Evidence map›Paper›PMID 28762538›Full record

SynthesisMedical education2017

Assessing patient-centred communication in teaching: a systematic review of instruments.

Marianne Brouwers, Ellemieke Rasenberg, Chris van Weel, Roland Laan, Evelyn van Weel-Baumgarten

Abstract readSystematic Review
In one paragraph

Synthesis in Medical education, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

28 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Learning person-centred consultation skills in clinical medicine: A randomised controlled case study.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2020
    Trial
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Person-centred care, a core concept of family medicine.The European journal of general practice · 2024
    Article
  10. A Qualitative Exploration of Stakeholders' Preferences for Early-Stage Rectal Cancer Treatment.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2023
    Article
  11. Article
  12. Article
  13. The Influence of Patient-Centered Communication on Children's Anxiety and Use of Anesthesia for MR.International journal of environmental research and public health · 2022
    Article
  14. Centredness in health care: A systematic overview of reviews.Health expectations : an international journal of public participation in health care and health policy · 2022
    Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Marianne BrouwersDepartment of Primary and Community Care, Radboud University Medical Centre, Nijmegen, The Netherlands.ORCID http://orcid.org/0000-0001-8614-7692
Ellemieke RasenbergDepartment of Primary and Community Care, Radboud University Medical Centre, Nijmegen, The Netherlands.
Chris van WeelDepartment of Primary and Community Care, Radboud University Medical Centre, Nijmegen, The Netherlands.
Roland LaanHealth Academy, Radboud University Medical Centre, Nijmegen, the Netherlands.
Evelyn van Weel-BaumgartenDepartment of Primary and Community Care, Radboud University Medical Centre, Nijmegen, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

contextPatient-centred communication is a key component of patient centredness in medical care. Therefore, adequate education in and assessment of patient-centred communication skills are necessary. In general, feedback on communication skills is most effective when it is provided directly and is systematic. This calls for adequate measurement instruments.

objectivesThe aim of this study was to provide a systematic review of existing instruments that measure patient centredness in doctor-patient communication and can be used to provide direct feedback.

methodsA systematic review was conducted using an extensive validated search strategy for measurement instruments in PubMed, EMBASE, PsycINFO and CINAHL. The databases were searched from their inception to 1 July 2016. Articles describing the development or evaluation of the measurement properties of instruments that measure patient centredness (by applying three or more of the six dimensions of a published definition of patient centredness) in doctor-patient communication and that can be used for the provision of direct feedback were included. The methodological quality of measurement properties was evaluated using the COSMIN checklist.

resultsThirteen articles describing 14 instruments measuring patient centredness in doctor-patient communication were identified. These studies cover a wide range of settings and patient populations, and vary in the dimensions of patient centredness applied and in methodological quality on aspects of reliability and validity.

conclusionsThis review gives a comprehensive overview of all instruments available for the measurement of patient centredness in doctor-patient communication that can be used for the provision of direct feedback and are described in the literature. Despite the widely felt need for valid and reliable instruments for the measurement of patient-centred communication, most of the instruments currently available have not been thoroughly investigated. Therefore, we recommend further research into and enhancement of existing instruments in terms of validity and reliability, along with enhancement of their generalisability, responsiveness and aspects of interpretability in different contexts (real patients, simulated patients, doctors in different specialties, etc.). Comprehensibility and feasibility should also be taken into account.

Indexed as

CommunicationPhysician-Patient RelationsSurveys and QuestionnairesHumansPatient-Centered Care

Identifiers

PMID28762538
PMCPMC5655924

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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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.