Evidence map›Paper›PMID 33510688›Full record

ArticleFrontiers in psychology2020

Saying "I Don't Know": A Video-Based Study on Physicians' Claims of No-Knowledge in Assisted Reproductive Technology Consultations.

Julia Menichetti, Jennifer Gerwing, Lidia Borghi, Pål Gulbrandsen, Elena Vegni

Abstract read
In one paragraph

Article in Frontiers in psychology, 2020. 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

5 authors.

Julia MenichettiInstitute of Clinical Medicine, Faculty of Medicine, University of Oslo, Oslo, Norway.
Jennifer GerwingHealth Services Research Unit - Akershus University Hospital, Lørenskog, Norway.
Lidia BorghiClinical Psychology, Department of Health Sciences, University of Milan, Milan, Italy.
Pål GulbrandsenInstitute of Clinical Medicine, Faculty of Medicine, University of Oslo, Oslo, Norway.
Elena VegniClinical Psychology, Department of Health Sciences, University of Milan, Milan, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe assisted reproductive technology (ART) field deals with consistent and predictable gaps in knowledge. Expressing lack of knowledge with a sentence like "I don't know" can be challenging for doctors. This study examined physicians' negative epistemic disclaimer "non lo so" in Italian ART doctor-couple interactions. In particular, it aimed to reveal specific features of "non lo so": function, topic, temporality, responsibility, and interactional aspects.

methodsThis was a video-based observational study. We used microanalysis of face-to-face dialogue to analyze 20 purposively selected triadic consultations from a corpus of 85. This inductive analysis focused on the function, the content (topic and temporality) and some selected interactional aspects of the "non lo so", quantifying and capturing the interaction between these qualitative features.

resultsWe found 82 doctors' "non lo so" in the corpus (mean = 4.4; range = 0-15). We discovered three main functions of this expression: propositional (

conclusionOur findings may be related to characteristics of the specific field of ART. Doctors in this setting must frequently express a direct lack of knowledge to their patients, and when they do, they mean it literally. Patients contribute to such disclosures, and their responses suggest that they find them acceptable, showing that they may expect limitations in their potential to conceive.

Indexed as

ART consultationinfertility carelack of knowledgeuncertaintyvideo-based study

Identifiers

PMID33510688
PMCPMC7835634

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