11. Effect of interventions on secondary outcomes: interventions targeting healthcare professionals compared to other interventions targeting healthcare professionals.
Continous data | Meta‐analysis | |||||||
Study | Intervention | Intervention | Outcome | N | SMD | SMD (95% CI) | I2 | |
Elwyn 2004 | Educational meeting + audit and feedback (SDM skills) | Educational meeting + audit and feedback (risk communication skills) | Health status (mental) time 1 | Pre: 169 Post: 295 | 0.24 (0.01 to 0.47) | 0.24 (0.01 to 0.47) | na | na |
Elwyn 2004 | Educational meeting + audit and feedback (SDM skills) | Educational meeting + audit and feedback (risk communication skills) | Health status (mental) time 2 | Pre: 147 Post: 257 | 0.17 (‐0.07 to 0.42) | 0.17 (‐0.07 to 0.42) | na | na |
Elwyn 2004 | Educational meeting + audit and feedback (SDM skills) | Educational meeting + audit and feedback (risk communication skills) | Health status (physical) time 1 | Pre: 169 Post: 295 | 0.05 (‐0.19 to 0.28) | 0.05 (‐0.19 to 0.28) | na | na |
Elwyn 2004 | Educational meeting + audit and feedback (SDM skills) | Educational meeting + audit and feedback (risk communication skills) | Health status (physical) time 2 | Pre: 147 Post: 257 | ‐0.01 (‐0.26 to 0.24) | ‐0.01 (‐0.26 to 0.24) | na | na |
Elwyn 2004 | Educational meeting + audit and feedback (SDM skills) | Educational meeting + audit and feedback (risk communication skills) | Anxiety ‐ time 1 | Pre: 186 Post: 325 | 0.04 (‐0.18 to 0.26) | 0.04 (‐0.18 to 0.26) | na | na |
Elwyn 2004 | Educational meeting + audit and feedback (SDM skills) | Educational meeting + audit and feedback (risk communication skills) | Anxiety ‐ time 2 | Pre: 165 Post: 281 | 0.25 (0.02 to 0.49) | 0.25 (0.02 to 0.49) | na | na |
Elwyn 2004 | Educational meeting + audit and feedback (SDM skills) | Educational meeting + audit and feedback (risk communication skills) | Anxiety ‐ time 3 | Pre: 136 Post: 237 | 0.15 (‐0.11 to 0.40) | 0.15 (‐0.11 to 0.40) | na | na |
Categorical data | Meta‐analysis | |||||||
Study | Intervention | Intervention | Outcome | N | RD | RD (95% CI) | I2 | |
No study | ||||||||
Qualitative statement | Meta‐analysis | |||||||
Study | Intervention | Intervention | Outcome | Direct quote | ||||
Krones 2008 (ARRIBA‐Herz) | Educational meeting + audit and feedback + educational material and Educational outreach visit | Educational meeting | Knowledge | "Knowledge did not improve through intervention." Page 223. Difference intervention ‐ control (95% CI): 0.11 (‐0.01 to 0.24); p=0.07 (table 4) | na | |||
Elwyn 2004 | Educational meeting and audit and feedback (SDM skills) | Educational meeting + audit and feedback (risk communication skills) | Satisfaction with information provided | ”No significant effects of the risk communication or SDM intervention were seen on the whole range of patient‐based outcomes“ Page 351 | na | |||
Elwyn 2004 | Educational meeting and audit and feedback (SDM skills) | Educational meeting + audit and feedback (risk communication skills) | Satisfaction with decision | ”No significant effects of the risk communication or SDM intervention were seen on the whole range of patient‐based outcomes“ Page 351 | na | |||
Krones 2008 (ARRIBA‐Herz) | Educational meeting + audit and feedback + Educational material and Educational outreach visit | Educational meeting | Decision regret (6 months) | "After 6 months, patients who could remember the decision and had completed the decisional regret scale (385 interventions, 377 controls), reported less decisional regret in the intervention arm. " Page 223. Difference intervention ‐ control (95% CI): ‐3.39 (‐6.26 to ‐0.53); p=0.02 (table 4) | na | |||
Elwyn 2004 | Educational meeting and audit and feedback (SDM skills) | Educational meeting + audit and feedback (risk communication skills) | Consultation length (minutes) | “There was no difference in the mean consultation lengths at baseline, phase 1 and phase 2 (overall consultation mean duration was 12.5 minutes)” Page 342 | na |
CI: confidence interval; N: sample size; na: not applicable; RD: risk difference; SDM: shared decision making; SMD: standardized mean difference.