Evidence map›Paper›PMID 32311022›Full record

ArticleFamily practice2020

Patient preferences for preventive health checks in Danish general practice: a discrete choice experiment among patients at high risk of noncommunicable diseases.

Lars Bruun Larsen, Trine Thilsing, Line Bjørnskov Pedersen

Registry-linked trialAbstract read
In one paragraph

Article in Family practice, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02797392 (Early Detection and Prevention of Lifestyle Related Diseases - a Pilot Study), which is not on this map. Cited by 3 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing 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.

NCT02797392 nacompletednot on this map

Early Detection and Prevention of Lifestyle Related Diseases - a Pilot Study

TypeinterventionalSponsorUniversity of Southern DenmarkRan2016 to 2017Enrolled9,400ConditionsType-2 Diabetes, Cardiovascular Diseases, Chronic Obstructive Pulmonary Disease (COPD)ArmsLifestyle intervention
3 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. Pooled it
  3. 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

3 authors.

Lars Bruun LarsenResearch Unit of General Practice, Institute of Public Health, University of Southern Denmark, Odense, Denmark.
Trine ThilsingResearch Unit of General Practice, Institute of Public Health, University of Southern Denmark, Odense, Denmark.
Line Bjørnskov PedersenResearch Unit of General Practice, Institute of Public Health, University of Southern Denmark, Odense, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPreventive health checks targeted at the at-risk population can be a way of preventing noncommunicable diseases. However, evidence on patient preferences for preventive health checks is limited, especially among patients with a high risk of noncommunicable diseases.

objectiveTo examine patient preferences for preventive health checks in Danish general practice, targeting persons at high risk of a noncommunicable disease.

methodsThe method used in this study was a discrete choice experiment (DCE) with five attributes: assess, advice, agree, assist and arrange. The attributes were inspired by the 5A model for behaviour change counselling but was altered for the purpose of this study to grasp the entirety of the general practice-based intervention. Moreover, the attribute levels were defined to resemble daily clinical practice. The experimental design of the DCE was an efficient Bayesian main effects design and the results were analysed using a random utility theory framework.

resultsA total of 148 patients completed the DCE. Patients at high risk of a noncommunicable disease have positive preferences for: giving brief explanations about own lifestyle, practicing shared decision-making with the general practitioner (GP), follow-up counselling with the GP after the preventive health check and scheduling a new appointment right after the preventive health check.

conclusionsThe results provide Danish GPs with evidence on their patients' preferences towards preventive health checks which will enable the GPs to tailor these consultations. Moreover, the results suggest that pre-appointment measures, such as a health profile, may mediate a preference for more action-oriented attributes.

trial registrationRegistered at Clinical Trial Gov (Unique Protocol ID: TOFpilot2016, https://clinicaltrials.gov/ct2/show/NCT02797392?term=TOFpilot2016&rank=1). Prospectively registered on the 29th of April 2016.

Indexed as

General PracticeNoncommunicable DiseasesBayes TheoremChoice BehaviorDenmarkHumansPatient PreferencePreventive Health ServicesChronic diseasedoctor–patient relationshiplifestyle modification/health behaviour changepreventionprimary carerisk assessment

Identifiers

PMID32311022
PMCPMC7750959

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Registered trials

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.