Abstract:
OBJECTIVE:The aim of the present study was to find out if a training programme adapted to family physicians with several years of clinical experience changes their behaviour when they deal with fibromyalgic patients in the sense of introducing the communication skills that define the 'patient-centred' approach. METHODS:A randomized, and simple blind, educative study was carried out. Twenty full-time family physicians were invited to participate. They were allocated randomly to two groups: an intervention and a control group. A total of 110 patients were recruited from people attending physicians' surgeries for the first time and who complained of generalized pain that finally fulfilled criteria for generalized musculoskeletal chronic pain/fibromyalgia. This was done for an entire year. The intervention group received an 18 hour intensive course. One week after the course, all doctors carried out a video-recorded encounter with a patient who played the part of a typical fibromyalgia clinical case. The interviews were coded by an observer blind to the training status of the participants, using the GATHARES-CP questionnaire. All patients were contacted by telephone during a 1-2-month period by a different interviewer who was 'blinded' to the patient's experimental status. They were asked to respond to three questions that represent the key components of patient-centred style. RESULTS:The average score on the GATHARES-CP questionnaire was 11.3 +/- 0.9 and 9 +/- 2.3, for doctors from the intervention and control groups, respectively (P < 0.01). For 11 items, scores were higher in the intervention group. The patients' answers to all three questions showed statistically significant differences in a positive direction for the trained doctors. CONCLUSIONS:The doctors improved the use of strategies and skills for carrying out patient-centred consultations after they had received an interactive course. The doctors' behaviour appeared to have changed as much in a more experimental situation as in the actual consultations. Moreover, the gain was observed immediately after the intervention was completed, and after having run for a variable period of time up to 1 year.
journal_name
Fam Practjournal_title
Family practiceauthors
Moral RR,Alamo MM,Jurado MA,de Torres LPdoi
10.1093/fampra/18.1.60subject
Has Abstractpub_date
2001-02-01 00:00:00pages
60-3issue
1eissn
0263-2136issn
1460-2229journal_volume
18pub_type
临床试验,杂志文章,随机对照试验相关文献
FAMILY PRACTICE文献大全abstract:BACKGROUND:New information and communication technologies such as email and text messaging have been shown to be useful in some aspects of primary care service delivery. Little is known about Scottish GPs' attitudes towards the adoption of these technologies as routine consultation tools. OBJECTIVES:To explore GPs' pe...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmr087
更新日期:2012-06-01 00:00:00
abstract::A two-year single-group study in primary health care of 223 hypertensive patients with blood pressure under satisfactory control was performed. The study investigated whether the patients could be referred to district nurses for follow-up, between visits to district physicians, without risking loss of control over the...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/1.3.173
更新日期:1984-09-01 00:00:00
abstract:BACKGROUND:Patient expectation for a prescription is a recognized influence on GPs' prescribing, particularly in relation to the prescribing of antibiotics. Nurses are now able to supply antibiotics under a Patient Group Direction (PGD) in NHS walk-in centres and may experience similar pressures in this new role. OBJE...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmh504
更新日期:2004-10-01 00:00:00
abstract::There is a growing concern about rational prescribing of antibiotics. That is why a secondary analysis of prescribing antibiotics in upper respiratory tract infections has been conducted by means of a nationwide study of morbidity and interventions in The Netherlands. The mean percentage of antibiotic prescriptions va...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/10.4.366
更新日期:1993-12-01 00:00:00
abstract:BACKGROUND:Given the impact of obesity on mortality and morbidity in women, we evaluated correlates of weight gain in women ages 35-47 years. METHODS:Three hundred and thirty-six African American and Caucasian American women, randomly selected from among urban residents aged 35-47 years and pre-menopausal at baseline,...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmg411
更新日期:2003-08-01 00:00:00
abstract:BACKGROUND:Client or consumer expectation is considered to influence their satisfaction with the service provided, but its importance has not been quantified in health care. OBJECTIVE:The aim of this study was to determine the effect of "patient expectations of care" on satisfaction with care provided by out-of-hours ...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/19.4.333
更新日期:2002-08-01 00:00:00
abstract:BACKGROUND:This study examined the effect of measuring blood pressure below subjects' rolled-up sleeves, over the sleeve, or on the bare arm. This is an important day-to-day issue for the busy GP. METHODS:The sample consisted of 201 subjects in family practice clinics and residents of a senior citizens' home. A digita...
journal_title:Family practice
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1093/fampra/cmg618
更新日期:2003-12-01 00:00:00
abstract:BACKGROUND:Prevention of cardiovascular disease in the elderly is becoming increasingly important. GPs are in a unique position to initiate preventive interventions in this age group. However, it is not clear which strategy a GP should follow to identify patients at increased cardiovascular risk-case finding or screeni...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/16.4.389
更新日期:1999-08-01 00:00:00
abstract:BACKGROUND:Non-clinical factors impact on decisions about whether to refer a patient from primary care to specialist mental health services. The aim of this study was to investigate whether introducing a standardized assessment of severity improves agreement on referrals. METHODS:Multi-site mixed-method cluster random...
journal_title:Family practice
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1093/fampra/cmn025
更新日期:2008-06-01 00:00:00
abstract:OBJECTIVE:The purpose of this systematic review with meta-analysis is to determine the predictive value of the ABCD ²at 7 and 90 days across three strata of risk. Background. The risk of stroke after transient ischaemic attack (TIA) is significant. The ABCD ²clinical prediction rule is designed to predict early risk of...
journal_title:Family practice
pub_type: 杂志文章,meta分析,评审
doi:10.1093/fampra/cmr008
更新日期:2011-08-01 00:00:00
abstract:BACKGROUND:Previous studies have focused on the treatment received by rural cancer patients and have not examined their diagnostic pathways as reasons for poorer outcomes in rural Australia. OBJECTIVES:To compare and explore symptom appraisal and help-seeking behaviour in patients with breast, lung, prostate or colore...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cms087
更新日期:2013-06-01 00:00:00
abstract:INTRODUCTION:This is a study of the process of diagnosis in family medicine (FM) in four practice populations from the Netherlands, Malta, Serbia and Japan. Diagnostic odds ratios (ORs) for common reasons for encounter (RfEs) and episode titles are used to study the process of diagnosis in international FM and to test ...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmr100
更新日期:2012-06-01 00:00:00
abstract:OBJECTIVE:We aimed to assess criteria when diagnosing acute otitis media and related performance in general practice in Denmark. Furthermore, we aimed to identify the scale of and the reasons for diagnostic uncertainty. METHODS:We conducted: (i) a survey among GPs assessing criteria; and (ii) prospective registration ...
journal_title:Family practice
pub_type: 杂志文章,多中心研究
doi:10.1093/fampra/16.3.262
更新日期:1999-06-01 00:00:00
abstract::Mothers' beliefs and evaluations of their child's illness were studied in a group of 30 mothers who had consulted a general practitioner because of a cough. Data were collected by tape-recorded semi-structured interviews conducted in their own homes. A major concern for mothers was their fear that their child was goin...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/10.2.193
更新日期:1993-06-01 00:00:00
abstract:OBJECTIVES:We aimed to describe the clinical and psycho-socio-familial features of patients with widespread chronic musculoskeletal pain (WCMP)/fibromyalgia (FM) in primary care settings. To detect differences and similarities between both 'entities'. METHODS:An observational study was carried out with a newcoming cli...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/14.3.242
更新日期:1997-06-01 00:00:00
abstract:OBJECTIVE:The aim of this study was to evaluate the role of tympanometry for diagnosis, treatment and follow-up of otitis media in general practice. METHODS:The results from otoscopy performed by 40 physicians in general practice in Vejle County, Denmark were combined with the clinical condition and this was recorded ...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/17.4.317
更新日期:2000-08-01 00:00:00
abstract:OBJECTIVES:The aim of this study is to understand in depth the experience of the family physician faced with the patient that he perceives as 'difficult'. This was done by means of the 'long interview' as a method of qualitative research. METHOD:We interviewed 15 randomly selected Board-certified family physicians, wi...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/18.5.495
更新日期:2001-10-01 00:00:00
abstract::Recently, we published data of a 2 year randomized controlled study in which the effects of continuous versus symptomatic bronchodilator treatment in patients with moderate asthma or chronic bronchitis were investigated. The results showed that FEV1 decline in the continuously treated group was significantly larger th...
journal_title:Family practice
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1093/fampra/9.4.397
更新日期:1992-12-01 00:00:00
abstract:BACKGROUND:The World Health Organization and the World Organization of Family Doctors have called for 'doable' and 'limited' tasks to integrate mental health into primary care. Little information is provided about tasks GPs can undertake outside of guidelines that suggest to prescribe medication and refer to specialist...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmq016
更新日期:2010-08-01 00:00:00
abstract:OBJECTIVE:To examine whether heart failure patients' awareness of the purpose and side effects of their medicines equips them to participate in informed discussions about treatments. DESIGN:Qualitative interviews using a maximum variation sample were collected. Interviews were analysed using constant comparison. SETT...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cml036
更新日期:2006-12-01 00:00:00
abstract:BACKGROUND:The time between experiencing symptoms and treatment in cancer diseases is a time of insecurity and despair. Brain tumour disease is a severe disease with dramatic manifestations and it is important that this time be kept as short as possible. METHODS:A consecutive sample of 28 patients with malignant gliom...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/16.2.143
更新日期:1999-04-01 00:00:00
abstract:BACKGROUND:Recent guidelines on obesity management promote integrated care. There is little knowledge about local opportunities and barriers, faced by health care professionals and patients, that affect implementation of an integrated national health care standard in a local setting. Our aim is to understand experience...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmr072
更新日期:2012-04-01 00:00:00
abstract:BACKGROUND:A methodology is needed for classification of health problems by severity. OBJECTIVES:We aimed to test the Duke Severity of Illness Checklist (DUSOI) for feasibility and usefulness. METHOD:The DUSOI was field tested internationally by 22 family/general practitioners in 9 countries. RESULTS:The DUSOI was f...
journal_title:Family practice
pub_type: 杂志文章,多中心研究
doi:10.1093/fampra/13.3.303
更新日期:1996-06-01 00:00:00
abstract:BACKGROUND:Previous studies have suggested that the attitudes of health professionals towards people with disability may be as negative as those of society. Further, even positive attitudes may not always be reflected in the health professional's behaviour. OBJECTIVE:The aim of this study was to examine GPs' (registra...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/18.4.419
更新日期:2001-08-01 00:00:00
abstract:BACKGROUND:In general practice, it is too time-consuming to invite all patients for cardiovascular risk assessment. OBJECTIVE:To examine how many patients with an indication for treatment with cardiovascular medication can be identified by ad hoc case-finding when all patients with overweight/obesity are invited for r...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmv080
更新日期:2015-12-01 00:00:00
abstract:BACKGROUND:Pre-diabetes in young people is frequently unrecognized or not treated on time, with the consequent loss of opportunity for diabetes prevention. In Mexico, there is scarce information about the prevalence of pre-diabetes in young adults. OBJECTIVE:To determine the prevalence and risk factors for pre-diabete...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmu047
更新日期:2015-04-01 00:00:00
abstract::With current moves towards an emphasis on the 'whole' patient rather than fragmenting the person into organ systems research methods need to be developed which reflect that emphasis and direct us in our endeavour as clinicians. It is possible to have a descriptive science of human behaviour which can be based upon cli...
journal_title:Family practice
pub_type: 临床试验,杂志文章,评审
doi:10.1093/fampra/4.4.311
更新日期:1987-12-01 00:00:00
abstract::The aim of the study is to determine the diagnostic value of (combinations of) signs, symptoms and simple laboratory test results for colorectal cancer in patients with rectal bleeding presenting in general practice. Initial complaints and findings were compared with the final diagnoses based on clinical follow-up aft...
journal_title:Family practice
pub_type: 临床试验,杂志文章
doi:10.1093/fampra/12.3.279
更新日期:1995-09-01 00:00:00
abstract:BACKGROUND:There has been little research carried out on the prevalence and types of sexual dysfunction in the general population, although the indications are that such problems are relatively common. Most common sexual problems are potentially treatable. However GPs have estimated the prevalence of sexual problems to...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/15.6.519
更新日期:1998-12-01 00:00:00
abstract::A method of computerized cough sound analysis is described. The sounds of nocturnal and post-exercise coughs from a child with asthma were compared with those from a child without asthma. The spectrographic patterns of voluntary cough at rest from the two children were similar. The pattern seen after exercise from the...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/6.2.83
更新日期:1989-06-01 00:00:00