Evidence map›Paper›PMID 28228370›Full record

ArticleJournal of medical Internet research2017

Enhancing Doctors' Competencies in Communication With and Activation of Older Patients: The Promoting Active Aging (PRACTA) Computer-Based Intervention Study.

Dorota Wlodarczyk, Joanna Chylińska, Magdalena Lazarewicz, Marta Rzadkiewicz, Mariusz Jaworski, Miroslawa Adamus, Gørill Haugan, Monica Lillefjell, Geir Arild Espnes

Open access · goldAbstract read
In one paragraph

Article in Journal of medical Internet research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
6.4field-weighted citation impact, top 4% of its field
1 · What the graph read from 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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 23 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 2 countries.

Dorota WlodarczykSecond Faculty of Medicine, Department of Medical Psychology, Medical University of Warsaw, Warsaw, Poland.ORCID 0000-0002-0707-9503
Joanna ChylińskaSecond Faculty of Medicine, Department of Medical Psychology, Medical University of Warsaw, Warsaw, Poland.ORCID 0000-0002-9129-319X
Magdalena LazarewiczSecond Faculty of Medicine, Department of Medical Psychology, Medical University of Warsaw, Warsaw, Poland.ORCID 0000-0001-9451-8561
Marta RzadkiewiczSecond Faculty of Medicine, Department of Medical Psychology, Medical University of Warsaw, Warsaw, Poland.ORCID 0000-0003-0221-4494
Mariusz JaworskiSecond Faculty of Medicine, Department of Medical Psychology, Medical University of Warsaw, Warsaw, Poland.ORCID 0000-0002-5207-8323
Miroslawa AdamusSecond Faculty of Medicine, Department of Medical Psychology, Medical University of Warsaw, Warsaw, Poland.ORCID 0000-0003-4946-671X
Gørill HauganNTNU Center for Health Promotion Research, Department of Public Health and Nursing, Norwegian University of Science and Technology, Trondheim, Norway.ORCID 0000-0003-0090-6462
Monica LillefjellNTNU Center for Health Promotion Research, Department of Neuromedicine and Movement Science, Norwegian University of Science and Technology, Trondheim, Norway.ORCID 0000-0002-7698-7302
Geir Arild EspnesNTNU Center for Health Promotion Research, Department of Public Health and Nursing, Norwegian University of Science and Technology, Trondheim, Norway.ORCID 0000-0003-3806-1389
Medical University of Warsaw · PLNorwegian University of Science and Technology · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDemographic changes over the past decades call for the promotion of health and disease prevention for older patients, as well as strategies to enhance their independence, productivity, and quality of life.

objectiveOur objective was to examine the effects of a computer-based educational intervention designed for general practitioners (GPs) to promote active aging.

methodsThe Promoting Active Aging (PRACTA) study consisted of a baseline questionnaire, implementation of an intervention, and a follow-up questionnaire that was administered 1 month after the intervention. A total of 151 primary care facilities (response rate 151/767, 19.7%) and 503 GPs (response rate 503/996, 50.5%) agreed to participate in the baseline assessment. At the follow-up, 393 GPs filled in the questionnaires (response rate, 393/503, 78.1%), but not all of them took part in the intervention. The final study group of 225 GPs participated in 3 study conditions: e-learning (knowledge plus skills modelling, n=42), a pdf article (knowledge only, n=89), and control (no intervention, n=94). We measured the outcome as scores on the Patients Expectations Scale, Communication Scale, Attitude Toward Treatment and Health Scale, and Self-Efficacy Scale.

resultsGPs participating in e-learning demonstrated a significant rise in their perception of older patients' expectations for disease explanation (Wald χ

conclusionsBoth methods were suitable, but in different areas and under different conditions. The key benefit of the pdf article intervention was raising doctors' reflection on limitations in their communication skills, whereas e-learning was more effective in changing their perception of older patients' proactive attitude, especially among GPs working in privately owned facilities and having a greater number of assigned patients. Although we did not achieve all expected effects of the PRACTA intervention, both its forms seem promising in terms of enhancing the competencies of doctors in communication with and activation of older patients.

Indexed as

CommunicationInternetPhysician-Patient RelationsAge FactorsFemaleGeneral PractitionersHumansMaleMiddle AgedProfessional CompetenceQuality of LifeSurveys and Questionnairesactive aginge-learninggeneral practionershealth communicationhealth services for the agedprofessional competencepsychosocial competenciesseniors’ attitude toward treatment and healthseniors’ expectations

Identifiers

PMID28228370
PMCPMC5343213
OpenAlexW2590206311

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.