Consensus Statement

Chan, Siew Pheng; Chui, William; Lo, Kwok Wing; Huang, Kuo‐Chin; Leyesa, Normita D.; Lin, Wen‐Yuan; Mirasol, Roberto; Robles, Yolanda; Tey, Beng Hea; Paraidathathu, Thomas

doi:10.1177/1010539511402189

Cited by 2 publications

(1 citation statement)

References 12 publications

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“…46 If meta-analysis is not possible, we will present results in a narrative ‘Summary of findings’ table format, such as that used by Chan et al . 47 …”

Section: Methodsmentioning

confidence: 99%

Effects of placebos without deception compared with no treatment: protocol for a systematic review and meta-analysis

et al. 2015

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IntroductionPlacebos have long provided a robust control for evaluating active pharmacological preparations, but frequently demonstrate a variable therapeutic effect when delivered in double-blinded placebo-controlled trials. Delivery of placebos as treatment alone has been considered unethical, as it has been thought that deception is essential for their effect. However, recent evidence suggests that clinical benefit can be derived from placebos delivered without deception (unblinded/open-label) manner. Here, we present a protocol for the first systematic review and meta-analysis of studies of the effects of non-deceptive placebos compared with no treatment.Methods and analysisThis protocol will compare the effect of placebos delivered non-deceptively to no treatment. It will also assess the methods of delivery used for non-deceptive placebos. Studies will be sought through relevant database searches and will include those within disease settings and those among healthy controls. To be included, trials must include both non-deceptive (open-label) placebo and no treatment groups. All data extraction and analysis will be conducted by two independent reviewers. The analysis will evaluate any differences in outcome measures between the non-deceptive placebo and no treatment groups. Outcome measures will be the clinically-relevant outcomes detailed in the primary papers. The delivery methods, such as verbal instructions, which may provide positive expectations and outcomes, of non-deceptive placebos will also be assessed. Each study will be comprehensively assessed for bias. Subgroup analyses will identify any discrepancies among heterogeneous data.Ethics and disseminationThis review does not require ethical approval. The completed review will be widely disseminated by publication and social media where appropriate. This protocol has been registered on PROSPERO (2015:CRD42015023347).

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“…46 If meta-analysis is not possible, we will present results in a narrative ‘Summary of findings’ table format, such as that used by Chan et al . 47 …”

Section: Methodsmentioning

confidence: 99%

Effects of placebos without deception compared with no treatment: protocol for a systematic review and meta-analysis

et al. 2015

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Obesity communication among patients by health professionals: Findings from the Weight Care Project

Moorhead¹,

Coates²,

Gallagher³

et al. 2013

Health

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Obesity is on the increase worldwide and is a major global public health problem. In an increasingly obesogenic environment, it's important that health professionals are equipped to identify and address obesity issues within their clinical practice. As part of the Weight Care Project, the aim of this study was to explore the obesity-related communication issues for primary care and community-based health professionals. The study design was a quantitative survey, which was completed by 382 primary care and community-based health professionals across Northern Ireland and Republic of Ireland working with adults and children. Key findings included that the majority of the health professionals (86%) recognized having a role in giving obesity advice, acknowledged that in clinical practice communication of obesity messages is both complex and challenging (81%), and reported difficulty in sensitively addressing obesity issues (27%). The health professionals surveyed stated that they communicate obesity messages to their patients using a range of different methods, mainly verbally to individuals, leaflets and factsheets. Numerous benefits of communicating obesity messages were reported; the main one was interacting with patients to build trust. Identified barriers to communication were: limited time in patient consultations, restricted access to appropriate information, and not sure where to access appropriate resources. Communication needed be reported by the health professionals included provision of greater resources, more information on obesity management and prevention, followed by health communication training, and clear and consistent messages. Significant differences were observed, including significantly much younger health professionals considered their role to provide obesity advice (P = 0.025). It is clear from this study that health professionals view as important the need to be given information on "what" and "how" to communicate with their patients on obesity. This study highlights that health professionals need continued support to enable them to effectively address weight-related issues in a sensitive manner that is acceptable to the patient.

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Consensus Statement

Abstract: Public education on weight management is a shared responsibility; there is a need to raise public awareness of obesity and its health-related consequences. Advertising guidelines should ensure responsible direct-to-consumer advertising of weight-loss agents.

Cited by 2 publications

References 12 publications

Effects of placebos without deception compared with no treatment: protocol for a systematic review and meta-analysis

Effects of placebos without deception compared with no treatment: protocol for a systematic review and meta-analysis

Obesity communication among patients by health professionals: Findings from the Weight Care Project

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