The impact of informational interventions about cognitive behavioral therapy for chronic fatigue syndrome on GPs referral behavior

Scheeres, Korine; Wensing, Michel; Mes, C.A.J.; Bleijenberg, Gijs

doi:10.1016/j.pec.2007.04.002

Cited by 6 publications

(6 citation statements)

References 7 publications

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“…However, those physicians who had made a diagnosis were significantly less likely to agree with this statement, 66% in 2006 and 85% in 2007, compared to those who did not make a diagnosis, 39% and 64%. These findings are similar to those by Sheeres et al, who found that the more informed physicians are towards CFS, the better the knowledge, attitudes, and beliefs associated with CFS [13]. …”

Section: Discussionsupporting

confidence: 90%

“…In the Netherlands, Scheeres et al showed that physicians informed about CFS reported higher levels of knowledge and better attitudes towards the illness [13]. And, in the same study physicians receiving CFS education were significantly more likely to refer patients for cognitive behavioral therapy compared to physicians who did not receive education [13].…”

Section: Introductionmentioning

confidence: 99%

“…And, in the same study physicians receiving CFS education were significantly more likely to refer patients for cognitive behavioral therapy compared to physicians who did not receive education [13]. In Australia, 27% of practitioners reported that they did not believe CFS as a syndrome, and yet 71% of the sample stated they had treated a patient for CFS [14].…”

Section: Introductionmentioning

confidence: 99%

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U.S. healthcare providers' knowledge, attitudes, beliefs, and perceptions concerning Chronic Fatigue Syndrome

et al. 2010

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BackgroundChronic fatigue syndrome (CFS) is a debilitating illness with particular difficulties for healthcare providers because there are no diagnostic signs or laboratory tests and because management aims to merely improve symptoms. Further complicating management, healthcare providers' awareness concerning CFS has not been rigorously assessed. The present study aimed to ascertain United States (U.S.) healthcare providers' awareness of CFS and to assess their knowledge, attitudes, and beliefs (KAB) related to diagnosis and management of the illness. This information forms the foundation for developing CFS educational strategies.MethodsWe combined convenience and probability samples to measure CFS KAB among healthcare providers. In the convenience sample, 1,255 healthcare providers (81% response rate) from 13 professional conferences completed a 12-item form. Descriptive statistics were reported for 9 KAB item responses and chi-square tests were performed for examining their association with giving a diagnosis of CFS. We used principal component analysis to construct multidimensional subscales and perform a general linear model to examine factors associated with subscales. The probability sample involved data on 15 CFS-specific questions from 2006 and 2007 DocStyles web-based panel surveys collected from 2,750 physicians (average response rate 55%). We calculated descriptive and chi-square statistics. The significance was set at two-tailed with the alpha level of 0.05.ResultsHealthcare providers in both samples were aware of CFS and exhibited a high level of knowledge. Overall, 96% of respondents in the DocStyles (probability) sample had heard about CFS. Healthcare providers in the conference (convenience) sample demonstrated good KAB scores; physicians' scores were highest on KAB scales and lowest in perception. Nurses' scores were lowest in knowledge. More than 40% of physicians reported ever giving a CFS diagnosis and in the DocStyles (probability) sample more than 80% of physicians correctly identified CFS symptoms. Physicians reported professional journals, the Internet, and continuing education programs as the top 3 sources from which they obtain CFS information.ConclusionsFindings from these combined samples fill a gap in the evidence-base of U.S. healthcare providers' and knowledge, attitudes, and beliefs concerning CFS. Importantly, respondents in both samples expressed similar knowledge, attitudes, beliefs and perceptions. Awareness was high and negative attitudes were low. The primary areas for future education should address diagnosis and management of CFS and should be delivered through those venues providers indicated they primarily use. Data from this study provide a benchmark for evaluation the success of these future efforts.

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Section: Discussionsupporting

confidence: 90%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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U.S. healthcare providers' knowledge, attitudes, beliefs, and perceptions concerning Chronic Fatigue Syndrome

et al. 2010

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“…Chew-Graham, Cahill, Dowrick, Wearden, and Peters (2008) found that physicians felt the training and continuing education they received was not sufficient enough to give them confidence in treating ME and CFS. Researchers found that physicians who were more knowledgeable about the illness also had better attitudes toward it (Scheeres, Wensing, Mes, & Bleijenberg, 2007). It may also be beneficial to include improved training on managing illnesses with an unclear etiology.…”

Section: Discussionmentioning

confidence: 99%

Dismissing chronic illness: A qualitative analysis of negative health care experiences

McManimen

McClellan

Stoothoff

et al. 2019

Health Care for Women International

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In the US, medical training is inadequate regarding the symptomatology, prognosis, and treatment for myalgic encephalomyelitis (ME) and chronic fatigue syndrome (CFS). As a result, many physicians lack the appropriate level of knowledge about effective methods for ME and CFS symptom reduction and often suggest inappropriate treatments, such as increased exercise or psychiatric services. The authors’ purpose in this study was to analyze negative patient experiences with health care professionals. Patients with ME and CFS who reported experiencing a dismissive physician attitude were asked to detail the encounter via open-ended response on an international, online survey. Participant responses were thematically coded and analyzed using processes outlined by Patton. Emergent themes related to perceived physician attitudes and how they impact patient wellbeing are described and their implications discussed. Additionally, we highlight suggestions for how the health care system can effectively approach this often marginalized patient group.

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“…It takes on many configurations and approaches including: using written materials with follow-ups [2], videoconferencing [3], distance learning [4], peer review groups [5], in practice learning [6], and web based learning [7]. However, the most common approaches focus on interactive teaching workshops [8-12].…”

Section: Introductionmentioning

confidence: 99%

Improving primary care in British Columbia, Canada: evaluation of a peer-to-peer continuing education program for family physicians

MacCarthy¹,

Kallstrom²,

Kadlec³

et al. 2012

BMC Med Educ

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BackgroundAn innovative program, the Practice Support Program (PSP), for full-service family physicians and their medical office assistants in primary care practices was recently introduced in British Columbia, Canada. The PSP was jointly approved by both government and physician groups, and is a dynamic, interactive, educational and supportive program that offers peer-to-peer training to physicians and their office staff. Topic areas range from clinical tools/skills to office management relevant to General Practitioner (GP) practices and “doable in real GP time”. PSP learning modules consist of three half-day learning sessions interspersed with 6–8 week action periods. At the end of the third learning session, all participants were asked to complete a pen-and-paper survey that asked them to rate (a) their satisfaction with the learning module components, including the content and (b) the perceived impact the learning has had on their practices and patients.MethodsA total of 887 GPs (response rates ranging from 26.0% to 60.2% across three years) and 405 MOAs (response rates from 21.3% to 49.8%) provided responses on a pen-and-paper survey administered at the last learning session of the learning module. The survey asked respondents to rate (a) their satisfaction with the learning module components, including the content and (b) the perceived impact the learning has had on their practices and patients. The psychometric properties (Chronbach’s alphas) of the satisfaction and impact scales ranged from .82 to .94.ResultsEvaluation findings from the first three years of the PSP indicated consistently high satisfaction ratings and perceived impact on GP practices and patients, regardless of physician characteristics (gender, age group) or work-related variables (e.g., time worked in family practice). The Advanced Access Learning Module, which offers tools to improve office efficiencies, decreased wait times for urgent, regular and third next available appointments by an average of 1.2, 3.3, and by 3.4 days across all physicians. For the Chronic Disease Management module, over 87% of all GP respondents developed a CDM patient registry and reported being able to take better care of their patients. After attending the Adult Mental Health module: 94.1% of GPs agreed that they felt more comfortable helping patients who required mental health care; over 82% agreed that their skills and their confidence in diagnosing and treating mental health conditions had improved; and 41.0% agreed that their frequency of prescribing medications, if appropriate, had decreased. Additionally for the Adult Mental Health module, a 3–6 month follow-up survey of the GPs indicated that the implemented changes were sustained over time.ConclusionGP and medical office assistant participant ratings show that the PSP learning modules were consistently successful in providing GPs and their staff with new learning that was relevant and could be implemented and used in “real-GP-time”.

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The impact of informational interventions about cognitive behavioral therapy for chronic fatigue syndrome on GPs referral behavior

Cited by 6 publications

References 7 publications

U.S. healthcare providers' knowledge, attitudes, beliefs, and perceptions concerning Chronic Fatigue Syndrome

U.S. healthcare providers' knowledge, attitudes, beliefs, and perceptions concerning Chronic Fatigue Syndrome

Dismissing chronic illness: A qualitative analysis of negative health care experiences

Improving primary care in British Columbia, Canada: evaluation of a peer-to-peer continuing education program for family physicians

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