Trial reportBMJ open2016
Effects of culture-sensitive adaptation of patient information material on usefulness in migrants: a multicentre, blinded randomised controlled trial.
Trial report in BMJ open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03483168 (The Effects of Culturally Sensitive Pain Education Program in Turkish Patients With Chronic Low Back Pain), which is not on this map. Cited by 19 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
The Effects of Culturally Sensitive Pain Education Program in Turkish Patients With Chronic Low Back Pain: A Pilot Randomized Controlled Trial
Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it, 48 citations in OpenAlex.
- Interventions for improving health literacy in migrants.The Cochrane database of systematic reviews · 2023Pooled it
- The Cleft Lip Education with Augmented Reality (CLEAR) VR Phase 2 Trial: A Pilot Randomized Crossover Trial of a Novel Patient Information Leaflet.The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association · 2023Trial
- Cultural Adaptation in Physical Therapy: A Scoping Review of Empirical Evidence and Practices.Healthcare (Basel, Switzerland) · 2026Review
- Multilingualism in mental health care - a long way to professionalism.Frontiers in psychiatry · 2026Article
- Cultural tailoring of pain management approaches: a scoping review.International journal for equity in health · 2025Article
- Comparative efficacy and acceptability of psychosocial interventions for PTSD, depression, and anxiety in asylum seekers, refugees, and other migrant populations: a systematic review and network meta-analysis of randomised controlled studies.The Lancet regional health. Europe · 2025Article
- Factors Affecting Diasporic Women's Quality of Life: A Systematic Review.Journal of multidisciplinary healthcare · 2024Review
- Customization options in consumer health information materials on type-2 diabetes mellitus-an analysis of modifiable features in different types of media.Frontiers in public health · 2024Review
- Misuse of Pregabalin: a qualitative study from a patient's perspective.BMC public health · 2023Article
- Awareness and use of psychosocial care among cancer patients and their relatives-a comparison of people with and without a migration background in Germany.Journal of cancer research and clinical oncology · 2023Article
- The feasibility of implementing a cultural mentoring program alongside pain management and physical rehabilitation for chronic musculoskeletal conditions: results of a controlled before-and-after pilot study.BMC musculoskeletal disorders · 2023Article
- Cultural Sensitivity in Interventions Aiming to Reduce or Prevent Intimate Partner Violence During Pregnancy: A Scoping Review.Trauma, violence & abuse · 2023Article
- Raising patient and carer awareness of the risks of postoperative opioids.British journal of pain · 2022Article
- Diversity Competency and Access to Healthcare in Hospitals in Croatia, Germany, Poland, and Slovenia.International journal of environmental research and public health · 2021Article
- A Multilingual Integrative Review of Health Literacy in Former Soviet Union, Russian-Speaking Immigrants.International journal of environmental research and public health · 2021Review
- Mind Over Matter: Reducing Perioperative Opioid Use Through Patient Education.Anesthesia and analgesia · 2020Article
- Development and Implementation of a Culturally Appropriate Education Program to Increase Cervical Cancer Screening among Maasai Women in Rural Tanzania.Annals of global health · 2019Article
- Process of adaptation, development and assessment of acceptability of a health educational intervention to improve referral uptake by people with diabetes in Sri Lanka.BMC public health · 2019Article
- Access to cardiac rehabilitation and the role of language barriers in the provision of cardiac rehabilitation to migrants.BMC health services research · 2019Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors at 5 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo evaluate the usefulness of culture-sensitive patient information material compared with standard translated material.
designMulticentre, double-blind randomised controlled trial.
setting37 primary care practices.
participants435 adult primary care patients with a migration background with unipolar depressive disorder or non-specific chronic low back pain were randomised. Patients who were unable to read in the language of their respective migration background were excluded. Sufficient data were obtained from 203 women and 106 men. The largest group was of Russian origin (202 patients), followed by those of Turkish (52), Polish (30) and Italian (25) origin.
interventionsIntervention group: provision of culture-sensitive adapted material. CONTROL GROUP: provision of standard translated material.
main outcome measuresPrimary outcome: patient-rated usefulness (USE) assessed immediately after patients received the material. SECONDARY OUTCOMES: patient-rated usefulness after 8 weeks and 6 months, symptoms of depression (PHQ-9), back pain (Back Pain Core Set) and quality of life (WHO-5) assessed at all time points.
resultsUsefulness was found to be significantly higher (t=1.708, one-sided p=0.04) in the intervention group (USE-score=65.08, SE=1.43), compared with the control group (61.43, SE=1.63), immediately after patients received the material, in the intention-to-treat analysis, with a mean difference of 3.65 (one-sided 95% lower confidence limit=0.13). No significant differences were found for usefulness at follow-up (p=0.16, p=0.71). No significant effect was found for symptom severity in depression (p=0.95, p=0.66, p=0.58), back pain (p=0.40, p=0.45, p=0.32) or quality of life (p=0.76, p=0.86, p=0.21), either immediately after receiving the material, or at follow-up (8 weeks; 6 months). Patients with a lower level of dominant society immersion benefited substantially and significantly more from the intervention than patients with a high level of immersion (p=0.005).
conclusionCultural adaptation of patient information material provides benefits over high quality translations. Clinicians are encouraged to use culture-sensitive material in their consultations, particularly with low-acculturated patients. TRIAL REGISTRATION NUMBER: German Register for Clinical Trials: DRKS00004241, Universal Trial Number: U1111-1135-8043, Results.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.