Harmsen 2005.

Methods	Provider RCT Follow up: providers: DONE patients: NOT CLEAR Blinded assessment: DONE Baseline: NOT CLEAR Reliable outcomes: NOT CLEAR Protection against contamination: DONE Overall quality: MODERATE
Participants	38 general practitioners with a practice population of at least 25% of non‐Western country of origin, resulting in a total of 986 consultations Country: Netherlands Proportion of eligible providers who participated: 22% General practice Academic/Teaching setting: NON‐TEACHING Type of targeted behaviour: GENERAL MANAGEMENT OF A PROBLEM (intercultural communication skills) Complexity of targeted behaviour: LOW
Interventions	1. CME, physician intervention: 2.5‐day training on intercultural communication based on Pinto's 'three‐step method' + patient intervention: 12‐min videotaped instruction in the waiting room that the patient should feel free to communicate directly and express any disagreement 2. No intervention control
Outcomes	Professional practice: one indicator for mutual understanding and three indicators for patients' satisfaction Patient: none Seriousness of outcome: HIGH
Notes
Risk of bias
Bias	Authors' judgement	Support for judgement
Allocation concealment (selection bias)	Unclear risk	B ‐ Unclear