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Novel study design to assess the utility of the copd assessment test in a primary care setting

The quality of a consultation provided by a physician can have a profound impact on the quality of care and patient engagement in treatment decisions. When the COPD Assessment Test (CAT) was developed, one of its aims was to aid the communication between physician and patient about the impact of COP...

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Autores principales: Gruffydd-Jones, Kevin, Marsden, Helen, Holmes, Steve, Kardos, Peter, Escamilla, Roger, Dal Negro, Roberto, Roberts, June, Nadeau, Gilbert, Leather, David, Jones, Paul
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3667066/
https://www.ncbi.nlm.nih.gov/pubmed/23663700
http://dx.doi.org/10.1186/1471-2288-13-63
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author Gruffydd-Jones, Kevin
Marsden, Helen
Holmes, Steve
Kardos, Peter
Escamilla, Roger
Dal Negro, Roberto
Roberts, June
Nadeau, Gilbert
Leather, David
Jones, Paul
author_facet Gruffydd-Jones, Kevin
Marsden, Helen
Holmes, Steve
Kardos, Peter
Escamilla, Roger
Dal Negro, Roberto
Roberts, June
Nadeau, Gilbert
Leather, David
Jones, Paul
author_sort Gruffydd-Jones, Kevin
collection PubMed
description The quality of a consultation provided by a physician can have a profound impact on the quality of care and patient engagement in treatment decisions. When the COPD Assessment Test (CAT) was developed, one of its aims was to aid the communication between physician and patient about the impact of COPD. We developed a novel study design to assess this in a primary care consultation. Primary care physicians across five countries in Europe conducted videoed consultations with six standardised COPD patients (played by trained actors) which had patient-specific issues that the physician needed to identify through questioning. Half the physicians saw the patients with the completed CAT, and half without. Independent assessors scored the physicians on their ability to identify and address the patient-specific issues, review standard COPD aspects, their understanding of the case and their overall performance. This novel study design presented many challenges which needed to be addressed to achieve an acceptable level of robustness to assess the utility of the CAT. This paper discusses these challenges and the measures adopted to eliminate or minimise their impact on the study results.
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spelling pubmed-36670662013-05-30 Novel study design to assess the utility of the copd assessment test in a primary care setting Gruffydd-Jones, Kevin Marsden, Helen Holmes, Steve Kardos, Peter Escamilla, Roger Dal Negro, Roberto Roberts, June Nadeau, Gilbert Leather, David Jones, Paul BMC Med Res Methodol Correspondence The quality of a consultation provided by a physician can have a profound impact on the quality of care and patient engagement in treatment decisions. When the COPD Assessment Test (CAT) was developed, one of its aims was to aid the communication between physician and patient about the impact of COPD. We developed a novel study design to assess this in a primary care consultation. Primary care physicians across five countries in Europe conducted videoed consultations with six standardised COPD patients (played by trained actors) which had patient-specific issues that the physician needed to identify through questioning. Half the physicians saw the patients with the completed CAT, and half without. Independent assessors scored the physicians on their ability to identify and address the patient-specific issues, review standard COPD aspects, their understanding of the case and their overall performance. This novel study design presented many challenges which needed to be addressed to achieve an acceptable level of robustness to assess the utility of the CAT. This paper discusses these challenges and the measures adopted to eliminate or minimise their impact on the study results. BioMed Central 2013-05-10 /pmc/articles/PMC3667066/ /pubmed/23663700 http://dx.doi.org/10.1186/1471-2288-13-63 Text en Copyright © 2013 Gruffydd-Jones et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Correspondence
Gruffydd-Jones, Kevin
Marsden, Helen
Holmes, Steve
Kardos, Peter
Escamilla, Roger
Dal Negro, Roberto
Roberts, June
Nadeau, Gilbert
Leather, David
Jones, Paul
Novel study design to assess the utility of the copd assessment test in a primary care setting
title Novel study design to assess the utility of the copd assessment test in a primary care setting
title_full Novel study design to assess the utility of the copd assessment test in a primary care setting
title_fullStr Novel study design to assess the utility of the copd assessment test in a primary care setting
title_full_unstemmed Novel study design to assess the utility of the copd assessment test in a primary care setting
title_short Novel study design to assess the utility of the copd assessment test in a primary care setting
title_sort novel study design to assess the utility of the copd assessment test in a primary care setting
topic Correspondence
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3667066/
https://www.ncbi.nlm.nih.gov/pubmed/23663700
http://dx.doi.org/10.1186/1471-2288-13-63
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