Evidence map›Paper›PMID 32811749›Full record

Trial reportPatient education and counseling2021

Improved health outcomes in integrative medicine visits may reflect differences in physician and patient behaviors compared to standard medical visits.

Michelle L Dossett, Judith A Hall, Ted J Kaptchuk, Gloria Y Yeh

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Patient education and counseling, 2021. 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
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. 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

4 authors.

Michelle L DossettDivision of General Internal Medicine, Geriatrics, and Bioethics, University of California, Davis, Sacramento, USA; Division of General Internal Medicine and Benson-Henry Institute for Mind Body Medicine, Massachusetts General Hospital, Boston, USA; Division of General Medicine, Beth Israel Deaconess Medical Center, Boston, USA. Electronic address: mdossett@ucdavis.edu.
Judith A HallDepartment of Psychology, Northeastern University, Boston, USA.
Ted J KaptchukDivision of General Medicine, Beth Israel Deaconess Medical Center, Boston, USA.
Gloria Y YehDivision of General Medicine, Beth Israel Deaconess Medical Center, Boston, USA.

Funding

Harvard Clinical and Translational Science CenterUL1TR001102 · NCATS · HARVARD MEDICAL SCHOOL · PI NADLER, LEE MARSHALL · 2013 to 2017
$106.2M
Research Training in Complementary and Integrative MedicineT32AT000051 · NCCIH · HARVARD UNIVERSITY (MEDICAL SCHOOL) · PI GLORIA Y YEH · 1999 to 2026
$10.2M
Optimization of brain-based mechanisms supporting psychosocial aspects of acupuncture therapy - a hyperscanning fMRI studyR33AT009306 · NCCIH · MASSACHUSETTS GENERAL HOSPITAL · PI KAPTCHUK, TED, NAPADOW, VITALY · 2018 to 2021
$2.3M
Mentoring and Patient-Oriented Research in Mind-Body ExerciseK24AT009465 · NCCIH · BETH ISRAEL DEACONESS MEDICAL CENTER · PI GLORIA Y YEH · 2017 to 2026
$1.3M
Optimization of brain-based mechanisms supporting psychosocial aspects of acupuncture therapy - a hyperscanning fMRI studyR61AT009306 · NCCIH · MASSACHUSETTS GENERAL HOSPITAL · PI KAPTCHUK, TED, NAPADOW, VITALY · 2016 to 2017
$959k
Improving Health Outcomes Through Enhanced Patient-Provider RelationshipsK23AT009218 · NCCIH · UNIVERSITY OF CALIFORNIA AT DAVIS · PI DOSSETT, MICHELLE L · 2016 to 2020
$801k
NCATS NIH HHS UL1 TR001102NCCIH NIH HHS K23 AT009218NCCIH NIH HHS K24 AT009465NCCIH NIH HHS R33 AT009306NCCIH NIH HHS R61 AT009306NCCIH NIH HHS T32 AT000051
6 · The paper itself

Abstract

objectiveTo identify differences in patient-physician interactions associated with improvements in GERD symptoms in a randomized controlled trial comparing integrative medicine and primary care/standard visits.

methodsWe analyzed video recordings of 2-minute excerpts (thin slices) from the beginning, middle, and end of 21 study visits (11 standard, 10 integrative medicine).

resultsAccording to blind coders' analysis of the excerpts, prospective improvement in GERD symptoms was most highly correlated with patients appearing pleased (r = 0.71, p < 0.01) and friendly (r = 0.67, p < 0.01) at the end of the visit, controlling for visit type. The combination of patient and physician smiling at the end of the visit was associated with improvement in GERD symptoms (r

conclusionThe expanded history-taking questions asked by integrative clinicians may enhance relationship building, modifying patients' responses and improving patient-centered behaviors from clinicians,ultimately facilitating symptom improvement. PRACTICE IMPLICATIONS: Analysis of nonverbal behaviors may facilitate a better understanding of patient-clinician interactions in integrative medicine visits and yield insights to improve clinical interactions in conventional medicine.

Indexed as

Integrative MedicinePhysiciansCommunicationHumansOffice VisitsOutcome Assessment, Health CarePhysician-Patient RelationsProspective StudiesGastroesophageal refluxIntegrative medicineNonverbal communicationPatient-Centered carePhysician-patient relationsVideo recording

Identifiers

PMID32811749
PMCPMC7855201

What OpenQuestion holds

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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.