Evidence map›Paper›PMID 35292486›Full record

Trial reportBMJ open2022

Training physicians in providing complex information to patients with multiple sclerosis: a randomised controlled trial.

Jenny M Nordfalk, Trygve Holmøy, Owen Thomas, Magne Nylenna, Pal Gulbrandsen

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Enhancing involvement of people with multiple sclerosis in clinical trial design.Multiple sclerosis (Houndmills, Basingstoke, England) · 2023
    Review
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.

Jenny M NordfalkDepartment of Neurology, Akershus University Hospital, Lørenskog, Norway falkonguard-research@yahoo.com.ORCID 0000-0002-2277-3210
Trygve HolmøyInstitute of Clinical Medicine, University of Oslo Faculty of Medicine, Oslo, Norway.
Owen ThomasHealth Services Research Unit HØKH, Akershus University Hospital, Lørenskog, Norway.
Magne NylennaInstitute of Health and Society, Norwegian Institute of Public Health, Oslo, Norway.
Pal GulbrandsenInstitute of Clinical Medicine, University of Oslo Faculty of Medicine, Oslo, Norway.ORCID 0000-0001-7434-5392

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the effect of a specific communication training for neurologists on how to provide complex information about treatment options to patients with multiple sclerosis (MS).

designSingle-centre, single-blind, randomised controlled trial.

settingOne university hospital in Norway.

participantsThirty-four patients with early-stage MS.

interventionA 3-hour training for neurologists on how to provide complex information about MS escalation therapy.

main outcome measuresPatient recall rate, measured with a reliable counting system of provided and recalled information about drugs. SECONDARY OUTCOME MEASURES: Number of information units provided by the physicians. Effects on patient involvement through questionnaires.

methodsPatients with MS were instructed to imagine a disease development and were randomised and blinded to meet a physician to receive information on escalation therapy, before or after the physician had participated in a 3-hour training on how to provide complex information. Consultations and immediate patient recall interviews were video-recorded and transcribed verbatim.

resultsPatient recall rate was 0.37 (SD=0.10) pre-intervention and 0.39 (SD=0.10) post-intervention. The effect of the intervention on recall rate predicted with a general linear model covariate was not significant (coefficient parameter 0.07 (SE 0.04, 95% CI (-0.01 to 0.15)), p=0.099).The physicians tended to provide significantly fewer information units after the training, with an average of 91.0 (SD=30.3) pre-intervention and 76.5 (SD=17.4) post-intervention; coefficient parameter -0.09 (SE 0.02, 95% CI (-0.13 to -0.05)), p<0.001. There was a significant negative association between the amount of provided information and the recall rate (coefficient parameter -0.29 (SE 0.05, 95% CI (-0.39 to -0.18)), p<0.001). We found no significant effects on patient involvement using the Control Preference Scale, Collaborate or Four Habits Patient Questionnaire.

conclusionA brief course for physicians on providing complex information reduced the amount of information provided, but did not improve patient recall rate. TRIAL REGISTRATION NUMBER: ISRCTN42739508.

Indexed as

Multiple SclerosisHumansNeurologistsPatient ParticipationSingle-Blind MethodSurveys and Questionnairescommunicationmultiple sclerosispatient informationrandomised controlled trial

Identifiers

PMID35292486
PMCPMC8928319

What OpenQuestion holds

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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.