Evidence map›Paper›PMID 31158560›Full record

Trial reportSeizure2019

Neurologists' experiences of participating in the CODES study-A multicentre randomised controlled trial comparing cognitive behavioural therapy vs standardised medical care for dissociative seizures.

Gregg H Rawlings, Iain Perdue, Laura H Goldstein, Alan J Carson, Jon Stone, Markus Reuber

Open access · hybridAbstract readComparative StudyMulticenter StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Seizure, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.5field-weighted citation impact, top 35% 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

4 citing papers in PubMed, 5 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Review
  4. 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

6 authors at 3 institutions in 1 country.

Gregg H RawlingsSchool of Clinical Psychology, University of Sheffield, UK. Electronic address: ghrawlings1@sheffield.ac.uk.
Iain PerdueKing's College London, Department of Psychology, Institute of Psychiatry, Psychology and Neuroscience, London, UK. Electronic address: iain.perdue@kcl.ac.uk.
Laura H GoldsteinKing's College London, Department of Psychology, Institute of Psychiatry, Psychology and Neuroscience, London, UK. Electronic address: laura.goldstein@kcl.ac.uk.
Alan J CarsonCentre for Clinical Brain Sciences, University of Edinburgh, UK. Electronic address: A.Carson@ed.ac.uk.
Jon StoneCentre for Clinical Brain Sciences, University of Edinburgh, UK. Electronic address: Jon.Stone@ed.ac.uk.
Markus ReuberAcademic Neurology Unit, University of Sheffield, UK. Electronic address: m.reuber@sheffield.ac.uk.
King's College London · GBUniversity of Edinburgh · GBUniversity of Sheffield · GB

Funding

Department of Health 12/26/01
6 · The paper itself

Abstract

purposeWe investigated neurologists' experience of participating in the large CODES trial involving around 900 adults with dissociative seizures which subsequently evaluated the effectiveness of tailored cognitive behavioural therapy (CBT) plus standardised medical care versus standardised medical care alone in 368 patients with dissociative seizures.

methodWe asked all neurologists referring patients with dissociative seizures to the CODES study to complete a 43-item online survey. This examined neurologists' (i) demographics, (ii) knowledge of dissociative seizures before and after their involvement in the CODES trial, (iii) clinical practice before, during and since their involvement, and (iv) their experience of the CODES trial.

resultsForty-three (51%) neurologists completed the questionnaire. Only about half of neurologists could make referrals to psychological intervention specific for dissociative seizures before and after the trial. One-third of doctors reported having changed their referral practice following their involvement. The majority (>69%) agreed that patient satisfaction with different aspects of the trial was very high, and 83.7% thought that it was easy to recruit patients for the study. Over 90% agreed they would like the treatment pathway to continue. Respondents found different elements of the trial useful, in particular, the patient factsheet booklet (98%), diagnosis communication advice (93%) and the CBT package (93%).

conclusionsNeurologists participating in CODES generally found it easy to recruit patients and perceived patient satisfaction as very high. However, 46.5% of neurologists could not offer psychotherapy once the trial had finished, suggesting that problems with lack of access to psychological treatment for dissociative seizures persist.

Indexed as

Attitude of Health PersonnelPatient SelectionAdultCognitive Behavioral TherapyConversion DisorderDissociative DisordersFemaleHumansMaleMiddle AgedNeurologistsPatient SatisfactionReferral and ConsultationSeizuresCognitive behavioural therapyExperienceNeurologistNon-epileptic attack disorderPsychogenic non-epileptic seizuresQualitative

Identifiers

PMID31158560
PMCPMC6814443
OpenAlexW2946342304

What OpenQuestion holds

Textmetadata
LicenceTDM
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.