Evidence map›Paper›PMID 30825880›Full record

Trial reportBMC family practice2019

Affecting patients with work-related problems by educational training of their GPs: a cost-effectiveness study.

Cornelis de Kock, Cindy Noben, Antoine Lagro-Janssen, Peter Lucassen, André Knottnerus, Angelique de Rijk, Frans Nijhuis, Romy Steenbeek, Silvia Evers

Open access · goldAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMC family practice, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 95% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Article
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 3 institutions in 1 country.

Cornelis de KockDepartment of Primary and Community Care, Gender and Women's Health, Radboud University Nijmegen Medical Center, PO Box 9101, 6500, HB, Nijmegen, The Netherlands. Kees.deKock@radboudumc.nl.ORCID 0000-0003-4754-2395
Cindy NobenDepartment of Health Services Research, CAPHRI School of Public Health and Primary Care, Maastricht University, Maastricht, The Netherlands.
Antoine Lagro-JanssenDepartment of Health Services Research, CAPHRI School of Public Health and Primary Care, Maastricht University, Maastricht, The Netherlands.
Peter LucassenDepartment of Primary and Community Care, Radboud University Nijmegen Medical Center, Nijmegen, The Netherlands.
André KnottnerusDepartment of General Practice, Maastricht University, Maastricht, The Netherlands.
Angelique de RijkDepartment of Social Medicine, CAPHRI School of Public Health and Primary Care, Maastricht University, Maastricht, The Netherlands.
Frans NijhuisDepartment of Work and Social Psychology, Maastricht University, Maastricht, The Netherlands.
Romy SteenbeekTNO Work, Health and Care, Leiden, The Netherlands.
Silvia EversDepartment of Health Services Research, CAPHRI School of Public Health and Primary Care, Maastricht University, Maastricht, The Netherlands.
Maastricht University · NLRadboud University Nijmegen · NLMaastricht University Medical Centre · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAssessing the cost effectiveness of training aimed at increasing general practitioners' (GP) work awareness and patients' work-related self-efficacy and quality of life.

methodsA cluster randomized controlled trial in twenty-six GP practices in the southeast of the Netherlands with 32 participating GPs. GPs working in an intervention group practice received training and GPs working in a control group practice delivered usual care. The training intervention consisted of lectures and workshops aimed at increasing GPs' work awareness and more proactive counseling for patients with work-related problems (WRP). Subjects were working age patients with paid work for at least 12 h per week, who visited one of the participating GPs during the study period. As outcome measures we used the Return to Work Self Efficacy scale to assess patients' work-related self-efficacy and the Euroquol to assess quality of life. We also measured health care costs and productivity costs. With a 4-item questionnaire we asked patients to assess their GPs' work awareness. Data were collected at baseline, after 6 and 12 months.

resultsData of 280 patients could be analyzed. The patient related outcomes did not improve after GP training. The change in GP work awareness and the overall mean cost difference (of €770) in favor of the intervention group were not significant.

conclusionsThe training intervention presented in this paper was not cost-effective. Training which is further personalized and targeted at high risk groups with respect to WRP, is more likely to be cost effective.

Indexed as

Return to WorkSelf EfficacyAdultCost-Benefit AnalysisEfficiencyFemaleGeneral PractitionersHealth Care CostsHumansMaleMiddle AgedNetherlandsOccupational HealthQuality of LifeHealth economicsOccupational/environmental medicinePrimary careRandomized controlled trialRehabilitation/disabilities

Identifiers

PMID30825880
PMCPMC6397438
OpenAlexW2931201852

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.