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Tytuł pozycji:

Well informed physician-patient communication in consultations on back pain – study protocol of the cluster randomized GAP trial

Tytuł:
Well informed physician-patient communication in consultations on back pain – study protocol of the cluster randomized GAP trial
Autorzy:
Sebastian Voigt-Radloff
Andrea C. Schöpf
Martin Boeker
Luca Frank
Erik Farin
Klaus Kaier
Mirjam Körner
Katharina Wollmann
Britta Lang
Joerg J. Meerpohl
Ralph Möhler
Wilhelm Niebling
Julia Serong
Renate Lange
Piet van der Keylen
Andy Maun
Temat:
Lower back pain
Health communication
Internet portal
Primary health care
Evidence-based medicine
Medicine (General)
R5-920
Źródło:
BMC Family Practice, Vol 20, Iss 1, Pp 1-13 (2019)
Wydawca:
BMC, 2019.
Rok publikacji:
2019
Kolekcja:
LCC:Medicine (General)
Typ dokumentu:
article
Opis pliku:
electronic resource
Język:
English
ISSN:
1471-2296
Relacje:
http://link.springer.com/article/10.1186/s12875-019-0925-8; https://doaj.org/toc/1471-2296
DOI:
10.1186/s12875-019-0925-8
Dostęp URL:
https://doaj.org/article/2d810175a7614050879dafdbdc16a68e  Link otwiera się w nowym oknie
Numer akcesji:
edsdoj.2d810175a7614050879dafdbdc16a68e
Czasopismo naukowe
Abstract Background Back pain is one of the most frequent causes of health-related work absence. In Germany, more than 70% of adults suffer from at least one back pain episode per annum. It has strong impact on health care costs and patients’ quality of life. Patients increasingly seek health information on the internet. However, judging its trustworthiness is difficult. In addition, physicians who are being confronted with this type of information often experience it to complicate the physician-patient interaction. The GAP trial aims to develop, implement and evaluate an evidence-based, easy-to-understand and trustworthy internet information portal on lower back pain to be used by general practitioners and patients during and after the consultation. Effectiveness of GAP portal use compared to routine consultation on improving communication and informedness of both physicians and patients will be assessed. In addition, effects on health care costs and patients’ days of sick leave will be evaluated. Methods We will conduct a prospective multi-centre, cluster-randomized parallel group trial including 1500 patients and 150 recruiting general practitioners. The intervention group will have access to the GAP portal. The portal will contain brief guides for patients and physicians on how to improve the consultation as well as information on epidemiology, aetiology, symptoms, benefits and harms of treatment options for acute, sub-acute and chronic lower back pain. The GAP portal will be designed to be user-friendly and present information on back pain tailored for either patients or physicians in form of brief fact sheets, educative videos, info-graphics, animations and glossaries. Physicians and patients will assess their informedness and the physician-patient communication in consultations at baseline and at two time points after the consultations under investigation. Days of sick leave and health care costs related to back pain will be compared between control and intervention group using routine data of company health insurance funds. Discussion The GAP-trial intends to improve the communication between physicians and their patients and the informedness of both groups. If proven beneficial, the evidence-based and user-friendly portal will be made accessible for all patients and health professionals in back pain care. Inclusion of further indications might be implemented and evaluated in the long term. Trial registration German Clinical Trials Register DRKS00014279 (registered 27th of April 2018).
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