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Evaluating the clinical application of a leaflet for clinical practice guideline in patients with lumbar herniated intervertebral discs: Randomized controlled trial.

Abstract This study aims to demonstrate the effectiveness of using clinical practice guideline (CPG) leaflets as a communication tool between doctors and patients. We evaluated the leaflets as a communication tool in the treatment of lumbar herniated intervertebral discs (HIVDs) in terms of patient and physician satisfaction and ease of treatment.
PMID
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Evaluation of the clinical application of a leaflet for clinical practice guidelines in patients with herniated intervertebral discs: a study protocol for a randomized controlled trial.

Authors

Mayor MeshTerms

Patient Education as Topic

Practice Guidelines as Topic

Keywords
Journal Title medicine
Publication Year Start




PMID- 29390557
OWN - NLM
STAT- MEDLINE
DCOM- 20180212
LR  - 20180212
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 96
IP  - 51
DP  - 2017 Dec
TI  - Evaluating the clinical application of a leaflet for clinical practice guideline 
      in patients with lumbar herniated intervertebral discs: Randomized controlled
      trial.
PG  - e9406
LID - 10.1097/MD.0000000000009406 [doi]
AB  - BACKGROUND: This study aims to demonstrate the effectiveness of using clinical
      practice guideline (CPG) leaflets as a communication tool between doctors and
      patients. We evaluated the leaflets as a communication tool in the treatment of
      lumbar herniated intervertebral discs (HIVDs) in terms of patient and physician
      satisfaction and ease of treatment. METHODS: This study is a 2-parallel-arm,
      assessor-blinded, randomized controlled trial at Jaseng Hospital, Seoul, South
      Korea. We evaluated efficacy through a comparison of satisfaction and clinical
      outcomes in randomly allocated groups of HIVD lumbar patients visiting Jaseng
      Hospital of Korean Medicine. We used leaflets on the basis of Korean medicine CPG
      recommendations as an intervention. The intervention group received treatment and
      diagnosis using the leaflet, and the control group received the typical
      intervention, which was provided without the leaflet. RESULTS: The levels of
      patient satisfaction with and understanding of the doctors' explanation was 92%
      in the leaflet group and 64% in the nonleaflet group, which showed that, compared
      with patient satisfaction in the nonleaflet group, patient satisfaction was
      considerably higher by 28% in the leaflet group. In addition, the level of the
      reliability with treatment was 92% in the leaflet group and 64% in the control
      group. However, there were no significant differences in statistical analyses.
      The level of doctors' satisfaction with communicating with patients using the
      leaflet was 100% in the leaflet group. Given this satisfaction, the ease of
      persuasion of treatment was highest (84%) and followed the improvement in the
      patient's understanding of the treatment (16%) in the leaflet group. In addition,
      in the nonleaflet user group, almost all doctors thought that having a leaflet
      would be a more effective treatment. CONCLUSION: Although this study failed to
      show significant differences between the intervention and control groups, the
      leaflet, which included CPG information in the treatment of HIVD patients, was an
      effective communication tool between patients and doctors. However, further
      studies with larger samples should be conducted to investigate the effectiveness 
      of the communication tool based on the CPG. TRIAL REGISTRATION NUMBER: Clinical
      Research Information Service: KCT0001762.
CI  - Copyright (c) 2017 The Authors. Published by Wolters Kluwer Health, Inc. All
      rights reserved.
FAU - Lee, Ju Ah
AU  - Lee JA
AD  - KM Fundamental Research Division, Korea Institute of Oriental Medicine, Daejeon.
AD  - Department of Korean Internal Medicine, College of Korean Medicine, Gachon
      University, South Korea.
FAU - Ha, In-Hyuk
AU  - Ha IH
AD  - Jaseng Spine and Joint Research Institute, Jaseng Medical Foundation, Seoul,
      Republic of Korea.
FAU - Choi, Tae-Young
AU  - Choi TY
AD  - Clinical Research Division, Korea Institute of Oriental Medicine, Daejeon.
FAU - Choi, Jiae
AU  - Choi J
AD  - Clinical Research Division, Korea Institute of Oriental Medicine, Daejeon.
FAU - Jun, Ji Hee
AU  - Jun JH
AD  - Clinical Research Division, Korea Institute of Oriental Medicine, Daejeon.
FAU - Kang, Byoung-Kab
AU  - Kang BK
AD  - KM Fundamental Research Division, Korea Institute of Oriental Medicine, Daejeon.
FAU - Lee, Myeong Soo
AU  - Lee MS
AD  - Clinical Research Division, Korea Institute of Oriental Medicine, Daejeon.
LA  - eng
PT  - Journal Article
PT  - Randomized Controlled Trial
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
SB  - AIM
SB  - IM
MH  - Adult
MH  - Attitude of Health Personnel
MH  - Communication
MH  - Female
MH  - Humans
MH  - Intervertebral Disc Displacement/psychology/*therapy
MH  - Lumbar Vertebrae
MH  - Male
MH  - *Patient Education as Topic/methods
MH  - Patient Satisfaction
MH  - Physician-Patient Relations
MH  - *Practice Guidelines as Topic
PMC - PMC5758259
EDAT- 2018/02/03 06:00
MHDA- 2018/02/13 06:00
CRDT- 2018/02/03 06:00
PHST- 2018/02/03 06:00 [entrez]
PHST- 2018/02/03 06:00 [pubmed]
PHST- 2018/02/13 06:00 [medline]
AID - 10.1097/MD.0000000000009406 [doi]
AID - 00005792-201712220-00144 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2017 Dec;96(51):e9406. doi: 10.1097/MD.0000000000009406.