Evidence map›Paper›PMID 36332959›Full record

ArticleBMJ open2022

Impact of a multifaceted intervention on physicians' knowledge, attitudes and practices in relation to pharmaceutical incentivisation: protocol for a randomised control trial.

Muhammad Naveed Noor, Mishal Khan, Afifah Rahman-Shepherd, Amna Rehana Siddiqui, Sabeen Sharif Khan, Iqbal Azam, Sadia Shakoor, Rumina Hasan

Open access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in BMJ open, 2022. 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
0.4field-weighted citation impact, top 40% of its field
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, 2 citations in OpenAlex.

  1. Trial
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

8 authors at 2 institutions in 2 countries.

Muhammad Naveed NoorDepartment of Pathology and Laboratory Medicine, The Aga Khan University, Karachi, Sindh, Pakistan.ORCID 0000-0002-7847-6637
Mishal KhanDepartment of Global Health & Development, London School of Hygiene and Tropical Medicine, London, UK.
Afifah Rahman-ShepherdDepartment of Global Health & Development, London School of Hygiene and Tropical Medicine, London, UK.
Amna Rehana SiddiquiCommunity Health Sciences, Aga Khan University, Karachi, Sindh, Pakistan.
Sabeen Sharif KhanDepartment of Pathology and Laboratory Medicine, The Aga Khan University, Karachi, Sindh, Pakistan.
Iqbal AzamCommunity Health Sciences, Aga Khan University, Karachi, Sindh, Pakistan.
Sadia ShakoorDepartment of Pathology and Laboratory Medicine, The Aga Khan University, Karachi, Sindh, Pakistan.
Rumina HasanDepartment of Pathology and Laboratory Medicine, The Aga Khan University, Karachi, Sindh, Pakistan rumina.hasan@aku.edu.
Aga Khan University · PKLondon School of Hygiene & Tropical Medicine · GB

Funding

Medical Research Council MR/T02349X/1
6 · The paper itself

Abstract

introductionIn settings where the private sector constitutes a larger part of the health system, profit-gathering can take primacy over patients' well-being. In their interactions with pharmaceutical companies, private general practitioners (GPs) can experience the conflict of interest (COI), a situation whereby the impartiality of GPs' professional decision making may be influenced by secondary interests such as financial gains from prescribing specific pharmaceutical brands. METHODS AND ANALYSIS: This study is a randomised controlled trial to assess the impact of a multifaceted intervention on GPs' medical practice. The study sample consists of 419 registered GPs who own/work in private clinics and will be randomly assigned to intervention and control groups. The intervention group GPs will be exposed to emotive and educational seminars on medical ethics, whereas control group GPs will be given seminars on general medical topics. The primary outcome measure will be GPs' prescribing practices, whereas the secondary outcome measures will be their knowledge and attitudes regarding COI that arises from pharmaceutical incentivisation. In addition to a novel standardised pharmaceutical representatives (SPSR) method, in which field researchers will simulate pharmaceutical marketing with GPs, presurvey and postsurvey, and qualitative interviewing will be performed to collect data on GPs' knowledge, attitudes and practices in relation to COI linked with pharmaceutical incentives. Univariate and multivariate statistical analyses will be performed to measure a change in GPs' knowledge, attitudes and practices, while qualitative analysis will add to our understanding of the quantitative SPSR data. ETHICS AND DISSEMINATION: Ethics approval has been obtained from the Pakistan National Bioethics Committee (# 4-87/NBC-582/21/1364), the Aga Khan University (# 2020-4759-1129) and the London School of Hygiene and Tropical Medicine (# 26506). We will release results within 6-9 months of the study's completion. TRIAL REGISTRATION NUMBER: ISRCTN12294839.

Indexed as

Attitude of Health PersonnelGeneral PractitionersHealth Knowledge, Attitudes, PracticeHumansLondonPharmaceutical PreparationsPractice Patterns, Physicians'Randomized Controlled Trials as TopicPharmaceutical PreparationsEDUCATION & TRAINING (see Medical Education & Training)Health policyMEDICAL ETHICSProtocols & guidelinesPublic healthQuality in health care

Identifiers

PMID36332959
PMCPMC9639112
OpenAlexW4308634471

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.