Evidence map›Paper›PMID 37480792›Full record

ArticlePatient education and counseling2023

Taxonomy and effectiveness of clinician agenda-setting questions in routine ambulatory encounters: A mixed method study.

Sean Allgood, Jenny Park, Kiana Soleiman, Somnath Saha, Dingfen Han, Amanda McArthur, Richard D Moore, Mary Catherine Beach

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Article in Patient education and counseling, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Sean AllgoodJohns Hopkins University, Baltimore, MD, USA.
Jenny ParkOregon Health & Science University, Portland, OR, USA.
Kiana SoleimanJohns Hopkins University, Baltimore, MD, USA.
Somnath SahaJohns Hopkins University, Baltimore, MD, USA.
Dingfen HanJohns Hopkins University, Baltimore, MD, USA.
Amanda McArthurJohns Hopkins University, Baltimore, MD, USA.
Richard D MooreJohns Hopkins University, Baltimore, MD, USA.
Mary Catherine BeachJohns Hopkins University, Baltimore, MD, USA. Electronic address: mcbeach@jhmi.edu.

Funding

Maximizing respect and improving outcomes in HIV and substance abuse (MaRIPOHSA)R01DA037601 · NIDA · JOHNS HOPKINS UNIVERSITY · PI BEACH, MARY CATHERINE · 2014 to 2019
$3.1M
Communication Quality and Patient Outcomes in HIV/AIDS and Substance AbuseK24DA037804 · NIDA · JOHNS HOPKINS UNIVERSITY · PI BEACH, MARY CATHERINE · 2015 to 2019
$923k
NIDA NIH HHS K24 DA037804NIDA NIH HHS R01 DA037601
6 · The paper itself

Abstract

objectivesDespite decades of communication training, studies repeatedly demonstrate that clinicians fail to elicit patients' agendas. Our goal was to provide clinicians with actionable guidance about the effectiveness of agenda-soliciting questions.

methodsWe coded clinician agenda-soliciting questions and patient responses in audio-recorded ambulatory encounters at an urban academic hospital. To evaluate the association between question type and odds of the patient raising a concern, we performed mixed-effects logistic regression.

resultsWe identified 346 agenda-soliciting questions within 138 visits (mean 2.51/visit; range 0-9). Agenda-soliciting questions were categorized as personal state inquiries (37%, "How are you?"), feeling-focused (5% "How're you feeling?"), problem-focused (12%; "Are you having any problems"), direct solicitations (3%; "Anything you want to discuss today?"), "what else" (3%), "anything else" (14%), leading (16%; "Nothing else today?"), and space-reducing (11% "Anything else? Smoking?"). Patients raised a concern in response to 107 clinician questions (27%). Patients were more likely to raise a concern to direct solicitation (OR 22.95, 95% CI 2.62-200.70) or "what else" (OR 4.68, 95% CI 1.05-20.77) questions.

conclusionsThe most effective agenda-soliciting questions are used least frequently by clinicians. PRACTICE IMPLICATIONS: Clinicians should elicit patient agendas by using direct language, and solicit additional concerns using "what else" vs. "anything else" questions.

Indexed as

CommunicationEmotionsHumansLanguageRecordsSmokingAgenda-settingOutpatient carePatient-clinician communicationPrimary care

Identifiers

PMID37480792
PMCPMC12628284

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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.