Evidence map›Paper›PMID 39819759›Full record

Trial reportJMIR medical education2025

A Brief Web-Based Person-Centered Care Group Training Program for the Management of Generalized Anxiety Disorder: Feasibility Randomized Controlled Trial in Spain.

Vanesa Ramos-García, Amado Rivero-Santana, Wenceslao Peñate-Castro, Yolanda Álvarez-Pérez, Andrea Duarte-Díaz, Alezandra Torres-Castaño, María Del Mar Trujillo-Martín, Ana Isabel González-González, Pedro Serrano-Aguilar, Lilisbeth Perestelo-Pérez

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in JMIR medical education, 2025. 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
–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

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

10 authors.

Vanesa Ramos-GarcíaCanary Islands Health Research Institute Foundation, Santa Cruz de Tenerife, Spain.ORCID 0000-0002-9106-2420
Amado Rivero-SantanaCanary Islands Health Research Institute Foundation, Santa Cruz de Tenerife, Spain.ORCID 0000-0002-5067-3196
Wenceslao Peñate-CastroDepartment of Clinical Psychology, Psychobiology and Methodology, University of La Laguna (ULL), Santa Cruz de Tenerife, Spain.ORCID 0000-0001-9168-9920
Yolanda Álvarez-PérezCanary Islands Health Research Institute Foundation, Santa Cruz de Tenerife, Spain.ORCID 0000-0002-6414-2863
Andrea Duarte-DíazCanary Islands Health Research Institute Foundation, Santa Cruz de Tenerife, Spain.ORCID 0000-0003-1171-9945
Alezandra Torres-CastañoCanary Islands Health Research Institute Foundation, Santa Cruz de Tenerife, Spain.ORCID 0000-0003-4690-1421
María Del Mar Trujillo-MartínCanary Islands Health Research Institute Foundation, Santa Cruz de Tenerife, Spain.ORCID 0000-0003-2273-2192
Ana Isabel González-GonzálezNetwork for Research on Chronicity, Primary Care, and Health Promotion (RICAPPS), Madrid, Spain.ORCID 0000-0001-7167-4211
Pedro Serrano-AguilarNetwork for Research on Chronicity, Primary Care, and Health Promotion (RICAPPS), Tenerife, Spain.ORCID 0000-0002-5373-410X
Lilisbeth Perestelo-PérezNetwork for Research on Chronicity, Primary Care, and Health Promotion (RICAPPS), Tenerife, Spain.ORCID 0000-0002-6113-7313

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Shared decision-making (SDM) is a crucial aspect of patient-centered care. While several SDM training programs for health care professionals have been developed, evaluation of their effectiveness is scarce, especially in mental health disorders such as generalized anxiety disorder. Objective: This study aims to assess the feasibility and impact of a brief training program on the attitudes toward SDM among primary care professionals who attend to patients with generalized anxiety disorder. Methods: A feasibility randomized controlled trial was conducted. Health care professionals recruited in primary care centers were randomized to an intervention group (training program) or a control group (waiting list). The intervention consisted of 2 web-based sessions applied by 2 psychologists (VR and YA), based on the integrated elements of the patient-centered care model and including group dynamics and video viewing. The outcome variable was the Leeds Attitudes Towards Concordance scale, second version (LATCon II), assessed at baseline and after the second session (3 months). After the randomized controlled trial phase, the control group also received the intervention and was assessed again. Results: Among 28 randomized participants, 5 withdrew before the baseline assessment. The intervention significantly increased their scores compared with the control group in the total scale (b=0.57; P=.018) and 2 subscales: communication or empathy (b=0.74; P=.036) and shared control (ie, patient participation in decisions: b=0.68; P=.040). The control group also showed significant pre-post changes after receiving the intervention. Conclusions: For a future effectiveness trial, it is necessary to improve the recruitment and retention strategies. The program produced a significant improvement in participants' attitude toward the SDM model, but due to this study's limitations, mainly the small sample size, more research is warranted.

Indexed as

Anxiety DisordersHealth PersonnelPatient-Centered CareAdultAttitude of Health PersonnelDecision Making, SharedFeasibility StudiesFemaleGeneralized Anxiety DisorderHumansInternetInternet-Based InterventionMaleMiddle AgedSpainanxiety disorderperson-centered careprimary careSDMshared decision-makingtraining program

Identifiers

PMID39819759
PMCPMC11756839

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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.