Evidence map›Paper›PMID 31813273›Full record

Trial reportCanadian journal of psychiatry. Revue canadienne de psychiatrie2020

Primary Care Practitioner Training in Child and Adolescent Psychiatry (PTCAP): A Cluster-Randomized Trial.

Stacey D Espinet, Sandra Gotovac, Sommer Knight, Larry Wissow, Merrick Zwarenstein, Lorelei Lingard, Margaret Steele

Abstract readMulticenter StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Canadian journal of psychiatry. Revue canadienne de psychiatrie, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–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

8 citing papers in PubMed.

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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

7 authors.

Stacey D EspinetDepartment of Psychiatry, Schulich School of Medicine & Dentistry, Centre for Education Research and Innovation, The University of Western Ontario, London, Ontario, Canada.
Sandra GotovacDivision of Child and Adolescent Psychiatry, London Health Sciences Center, London, Ontario, Canada.
Sommer KnightDepartment of Psychiatry, Schulich School of Medicine & Dentistry, Centre for Education Research and Innovation, The University of Western Ontario, London, Ontario, Canada.
Larry WissowSchool of Medicine, University of Washington, DC, USA.
Merrick ZwarensteinDepartment of Family Medicine, Centre for Studies in Family Medicine, The University of Western Ontario, Ontario, Canada.
Lorelei LingardCentre for Education Research and Innovation, Health Sciences Addition, The University of Western Ontario, London, Ontario, Canada.
Margaret SteeleDiscipline of Psychiatry, Faculty of Medicine, Memorial University of Newfoundland, Saint John's, Newfoundland, Canada.ORCID 0000-0003-3342-4304

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesRural primary care practitioners (PCPs) have a pivotal role to play in frontline pediatric mental health care, given limited options for referral and consultation. Yet they report a lack of adequate training and confidence to provide this care. The aim of this study was to test the effectiveness of the Practitioner Training in Child and Adolescent Psychiatry (PTCAP) program, which was designed to enhance PCPs' pediatric mental health care confidence. The program includes brief therapeutic skills and practice guidelines PCPs can use to address both subthreshold concerns and diagnosable conditions, themselves.

methodsThe study design was a pilot, cluster-randomized, multicenter trial. Practices were randomly assigned to intervention (

resultsFindings were a statistically significant difference in the primary outcomes. Compared to the control group, the intervention group indicated significantly greater confidence in managing

conclusionPTCAP enhances PCPs' child/youth mental health care confidence in managing both general and diagnosable concerns. However, an 8-hr session focused on applying brief therapeutic skills was insufficient to significantly change attitudes and knowledge. Formal testing of PTCAP may be warranted, perhaps using more intensive training and including outcome assessments capable of determining whether increased PCP confidence translates to more effective management and better patient outcomes.

Indexed as

Adolescent PsychiatryAttention Deficit Disorder with HyperactivityAdolescentChildFamilyHumansPrimary Health CareReferral and Consultationconfidencemental healthpediatricpractitionerprimary carerural

Identifiers

PMID31813273
PMCPMC7265617

What OpenQuestion holds

Textmetadata
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Registered trials

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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.