| Methods |
RCT to compare two conditions.
Randomisation on GP level. Assessments on four occasions: baseline, 3, 6 and 12 months. |
| Participants |
127 somatizing patients (aged 18‐65) (symptoms om SOMS 4=>; GHQ =>2), recruited from 37 practices.
Therapists: 20 experimental GPs, 17 control GPs . |
| Interventions |
T (n:73) = routine ppc plus additional training in reattribution.
C (n:75) = routine psychosocial primary care (ppc), based on 80‐h training for GPs aimed at psychosocial problems.
Both groups: 6 20‐min sessions in 3 months.
Therapists (GPs) in T received 12‐h additional training in reattribution (video feedback, role playing, modeling). Use of training manual, no supervision throughout trial. |
| Outcomes |
3 month follow‐up:
no sign. differences on physical symptoms (SOMS), anxiety and depression (HADS), quality‐of‐life (SF‐12) or mental health (GHQ).
6 month follow‐up:
no sign. differences, except in number of physical symptoms (SOMS).
12 month follow‐up:
results not accurately described. |
| Notes |
non‐compliance: unknown.
withdrawal: T=29/73, C=20/54 (12 months).
no integrity check. |
| Risk of bias |
| Bias |
Authors' judgement |
Support for judgement |
| Allocation concealment? |
Low risk |
A ‐ Adequate |
