| A shared decision-making communication training program for physicians treating fibromyalgia patients: effects of a randomized controlled trial. | |
| | |
MedLine Citation:
|
PMID: 18157994 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
OBJECTIVE: Fibromyalgia syndrome (FMS) is a condition of chronic widespread pain that is difficult to control and is associated with strains in physician-patient interaction. Shared decision making (SDM) can be a potential solution to improve interaction. We evaluated the effects of an SDM intervention, including an SDM communication training program for physicians, in a randomized controlled trial with FMS patients. The main objective was to assess whether SDM improves the quality of physician-patient interaction from patients' perspective. METHODS: Patients were randomized to either an SDM group or an information-only group. The SDM group was treated by physicians trained in SDM communication and had access to a computer-based information package; the information-only group received only the information package and was treated by standard physicians. All patients were offered the same evidence-based treatment options for FMS. Patients were assessed with questionnaires on physician-patient interaction (main outcome criteria) and decisional processes. Physicians filled out a questionnaire on interaction difficulties. Assessment took place immediately after the initial consultation. RESULTS: Data from 85 FMS patients (44 in the SDM group and 41 in the information-only group) were analyzed. The mean age was 49.9 years (S.D.=10.2), and 91.8% of patients were female. The quality of physician-patient interaction was significantly higher in the SDM group than in the information-only group (P<.001). We found no differences in secondary outcome measures. CONCLUSIONS: SDM with FMS patients might be a possible means to achieve a positive quality of physician-patient interaction. A specific SDM communication training program teaches physicians to perform SDM and reduces frustration in patients. |
| | |
Authors:
|
Christiane Bieber; Knut Georg Müller; Klaus Blumenstiel; Achim Hochlehnert; Stefanie Wilke; Mechthild Hartmann; Wolfgang Eich |
Related Documents
:
|
20381134 - Extracorporeal shock wave lithotripsy for ureteral stones: do decompression tubes matter? 9146584 - Ureteroscopic stone removal in the distal ureter. why change? 8210164 - Latex allergy: an intraoperative hazard. 1486384 - Extracorporeal shock wave lithotripsy of ureteric stones with the modulith sl 20. 2065844 - Ototoxicity due to cis-diamminedichloroplatinum in the treatment of ovarian cancer: inf... 15868244 - Patients' views of a colostomy for fecal incontinence. |
Publication Detail:
|
Type: Comparative Study; Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't |
Journal Detail:
|
Title: Journal of psychosomatic research Volume: 64 ISSN: 0022-3999 ISO Abbreviation: J Psychosom Res Publication Date: 2008 Jan |
Date Detail:
|
Created Date: 2007-12-25 Completed Date: 2008-05-16 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 0376333 Medline TA: J Psychosom Res Country: England |
Other Details:
|
Languages: eng Pagination: 13-20 Citation Subset: IM |
Affiliation:
|
Department of Psychosomatic and General Internal Medicine, Medical Hospital, University of Heidelberg, Heidelberg, Germany. christiane.bieber@med.uni-heidelberg.de <christiane.bieber@med.uni-heidelberg.de> |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Communication* Decision Making* Female Fibromyalgia / psychology, therapy* Humans Inservice Training* Male Middle Aged Patient Education as Topic Patient Participation / psychology* Patient Satisfaction Physician-Patient Relations* Psychophysiologic Disorders / psychology, therapy* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Psychological factors associated with self-reported sensitivity to mobile phones.
Next Document: Development of a paradigm for measuring somatic disturbance in clinical populations with medically u...