Using contextual factors to elicit placebo and nocebo effects: An online survey of healthcare providers' practice.
Journal
PloS one
ISSN: 1932-6203
Titre abrégé: PLoS One
Pays: United States
ID NLM: 101285081
Informations de publication
Date de publication:
2023
2023
Historique:
received:
13
01
2023
accepted:
22
08
2023
medline:
4
9
2023
pubmed:
1
9
2023
entrez:
1
9
2023
Statut:
epublish
Résumé
Contextual factor use by healthcare professionals has been studied mainly among nurses and physiotherapists. Preliminary results show that healthcare professionals use contextual factors without specifically labelling them as such. The main objective of this study was to evaluate knowledge and explore voluntary contextual factor use among various healthcare professions. The results aim to facilitate hypothesis-generation, to better position further research to explain and characterise contextual factor use. We conducted a web-based questionnaire cross-sectional observational study on a non-probabilistic convenience sample. Face and content validity were tested through cognitive interviews. Data were analysed descriptively. The target population was the main healthcare profession, or final year students, defined by the French public health law. The countries of distribution of the questionnaire were the French-speaking European countries. Among our 1236 participants, use of contextual factors was widespread. Those relating to the therapeutic relationship (e.g., communication) and patient characteristics (e.g., past experiences) were reportedly the most used. Meanwhile, contextual factors related to the healthcare providers' characteristics and their own beliefs were reported as less used. Despite high variability, respondents suggested contextual effects contribute to approximately half of the overall effect in healthcare and were perceived as more effective on children and elderly adults. Conceptual variations that exist in the literature are also present in the way healthcare providers consider contextual effects. Interestingly, there seems to be common ground between how physiotherapists, nurses and physicians use different contextual factors. Finally, in the present study we also observed that while there are similarities across usage, there is lack of both an epistemological and ethical consensus among healthcare providers with respect to contextual factors.
Identifiants
pubmed: 37656736
doi: 10.1371/journal.pone.0291079
pii: PONE-D-23-01153
pmc: PMC10473518
doi:
Types de publication
Observational Study
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e0291079Informations de copyright
Copyright: © 2023 Druart et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
Références
J Clin Nurs. 2019 May;28(9-10):1966-1978
pubmed: 30706543
Lancet. 1994 Nov 12;344(8933):1347-9
pubmed: 7968033
J Adv Nurs. 2003 Apr;42(1):57-63
pubmed: 12641812
Ann Rheum Dis. 2016 Nov;75(11):1964-1970
pubmed: 26882927
Front Psychiatry. 2021 Mar 15;12:591913
pubmed: 33790812
BMC Health Serv Res. 2020 Aug 10;20(1):734
pubmed: 32778097
PLoS One. 2014 Mar 14;9(3):e91699
pubmed: 24632880
Trials. 2021 Jul 26;22(1):493
pubmed: 34311793
Front Psychol. 2020 Oct 20;11:582174
pubmed: 33192904
Front Pain Res (Lausanne). 2021 Jun 10;2:684768
pubmed: 35295467
Psychother Psychosom. 2021;90(1):49-56
pubmed: 33075796
Clin Rheumatol. 2018 May;37(5):1375-1382
pubmed: 29264793
J Clin Med. 2023 Jun 18;12(12):
pubmed: 37373806
BMC Musculoskelet Disord. 2018 Jan 22;19(1):27
pubmed: 29357856
J Consult Clin Psychol. 2021 May;89(5):371-378
pubmed: 33829817
Man Ther. 2016 Aug;24:65-74
pubmed: 27133031
Pain. 2009 Sep;145(1-2):36-44
pubmed: 19559529
Psychother Psychosom. 2018;87(4):204-210
pubmed: 29895014
BMC Surg. 2016 Apr 27;16(1):27
pubmed: 27118280
Perspect Psychol Sci. 2014 Nov;9(6):641-51
pubmed: 26186114
Lancet. 2001 Mar 10;357(9258):757-62
pubmed: 11253970
Int Rev Neurobiol. 2018;139:29-48
pubmed: 30146051
Nurse Educ Pract. 2020 Jan;42:102670
pubmed: 31775083
Healthcare (Basel). 2021 Jun 07;9(6):
pubmed: 34200302
BMJ. 1995 Aug 26;311(7004):551-3
pubmed: 7663213
BJGP Open. 2020 May 1;4(1):
pubmed: 32127362
Front Pain Res (Lausanne). 2021 Dec 07;2:750523
pubmed: 35295427
Cochrane Database Syst Rev. 2010 Jan 20;(1):CD003974
pubmed: 20091554
Front Psychiatry. 2022 Jan 12;12:768135
pubmed: 35095592
PLoS One. 2018 Nov 30;13(11):e0208159
pubmed: 30500838
Front Psychol. 2023 Jul 03;14:1178560
pubmed: 37465492
Eval Health Prof. 2003 Jun;26(2):166-79
pubmed: 12789710
Acta Orthop. 2021 Oct;92(5):507-512
pubmed: 34165044