Back Pain Clinical Trial
Official title:
ICE - Ideas, Concerns, Expectations. Implementing Patient-centered Communication to Prevent Unnecessary Medicine
Exploring patients` ideas, concerns and expectation (ICE) is a communication tool to promote patient centredness and shared decision making during a consultation. This study evaluates whether offering ICE training to doctors can decrease overdiagnosis in the management of acute backache.
The study is a cluster randomized trial recruiting general practitioner from practices in
Northern Bavaria/Germany forming a research network within the recently implemented framework
of PRO PRICARE (Preventing Overdiagnosis in Primary Care).
At baseline, the intervention group (24 out of 48 doctors) will take part in a one-day
training session covering theoretical background and clinical implementation of ICE
communication in association with frequent consultation contents.
Primary outcome measure are referrals to physiotherapists and medical specialists such as
orthopaedic surgeons, neurologists and radiologists, obtained from routinely collected
practice data. Secondary outcomes are patients' and doctors' satisfaction measured via
structured questionnaires and semi-structured interviews. Blinding is attempted by hiding the
trial purpose and treatment allocation from the participating doctors.
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