TY - JOUR
KW - Adult
KW - Denmark
KW - Family Practice
KW - Female
KW - Humans
KW - Male
KW - Mental Health
KW - Middle Aged
KW - Outcome Assessment (Health Care)
KW - Primary Health Care
KW - Questionnaires
KW - Somatoform Disorders/diagnosis/therapy
KW - Teaching
AU - M. Rosendal
AU - F. Olesen
AU - P. Fink
AU - T. Toft
AU - I. Sokolowski
AU - F. Bro
A1 - 
AB - OBJECTIVE: Our aim was to evaluate the effect of an educational program designed to improve care for somatizing patients in primary care. METHOD: Evaluation was performed during routine clinical care in a cluster randomized controlled trial. Patients were included consecutively, and those with a high score on rating scales for somatization were selected for follow-up (n=911). Follow-up was conducted 3 months (response rate=0.74) and 12 months (response rate=0.69) after inclusion using questionnaires measuring quality of life (Medical Outcomes Study 36-Item Short Form), disability days (WHO's Disability Assessment Schedule), somatization (Whiteley-7 and Symptom Checklist Somatic Symptom Scale) and patient satisfaction (European Project on Patient Evaluation of General Practice Care). We analyzed differences from baseline to follow-up and compared these for intervention and control groups. RESULTS: Self-reported health improved in both intervention and control groups during follow-up for patients with a high score for somatization, but changes were small. We could not demonstrate any difference between the control group and the intervention group with regard to our primary outcome 'physical functioning.' Patients in the intervention group tended to be more satisfied at 12-month follow-up than those in the control group, but this difference fell short of statistical significance. CONCLUSION: Training of primary care physicians showed no statistically significant effect on clinical outcome and showed nonsignificant improvement in patient satisfaction with care for patients with a high score for somatization.
BT - General hospital psychiatry
C5 - Education & Workforce; Medically Unexplained Symptoms
CP - 4
CY - United States
DO - 10.1016/j.genhosppsych.2007.03.005
IS - 4
JF - General hospital psychiatry
N2 - OBJECTIVE: Our aim was to evaluate the effect of an educational program designed to improve care for somatizing patients in primary care. METHOD: Evaluation was performed during routine clinical care in a cluster randomized controlled trial. Patients were included consecutively, and those with a high score on rating scales for somatization were selected for follow-up (n=911). Follow-up was conducted 3 months (response rate=0.74) and 12 months (response rate=0.69) after inclusion using questionnaires measuring quality of life (Medical Outcomes Study 36-Item Short Form), disability days (WHO's Disability Assessment Schedule), somatization (Whiteley-7 and Symptom Checklist Somatic Symptom Scale) and patient satisfaction (European Project on Patient Evaluation of General Practice Care). We analyzed differences from baseline to follow-up and compared these for intervention and control groups. RESULTS: Self-reported health improved in both intervention and control groups during follow-up for patients with a high score for somatization, but changes were small. We could not demonstrate any difference between the control group and the intervention group with regard to our primary outcome 'physical functioning.' Patients in the intervention group tended to be more satisfied at 12-month follow-up than those in the control group, but this difference fell short of statistical significance. CONCLUSION: Training of primary care physicians showed no statistically significant effect on clinical outcome and showed nonsignificant improvement in patient satisfaction with care for patients with a high score for somatization.
PP - United States
PY - 2007
SN - 0163-8343; 0163-8343
SP - 364
EP - 373
EP - 
T1 - A randomized controlled trial of brief training in the assessment and treatment of somatization in primary care: Effects on patient outcome
T2 - General hospital psychiatry
TI - A randomized controlled trial of brief training in the assessment and treatment of somatization in primary care: Effects on patient outcome
U1 - Education & Workforce; Medically Unexplained Symptoms
U2 - 17591514
U3 - 10.1016/j.genhosppsych.2007.03.005
VL - 29
VO - 0163-8343; 0163-8343
Y1 - 2007
ER -