Primary care providers’ use of and attitudes towards placebos: An exploratory focus group study with US physicians

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Bernstein, Michael H (author)

Primary care providers’ use of and attitudes towards placebos : An exploratory focus group study with US physicians

Article/chapterEnglish2020

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2020-05-30
John Wiley & Sons,2020
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LIBRIS-ID:oai:DiVA.org:uu-488762
https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-488762URI
https://doi.org/10.1111/bjhp.12429DOI

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Language:English
Summary in:English

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Subject category:ref swepub-contenttype
Subject category:art swepub-publicationtype

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Objective To examine how primary care physicians define placebo concepts, use placebos in clinical practice, and view open-label placebos (OLPs).Design Semi-structured focus groups that were audio-recorded and content-coded.Methods Two focus groups with a total of 15 primary care physicians occurred at medical centres in the New England region of the United States. Prior experience using placebo treatments and attitudes towards open-label placebos were explored. Themes were analysed using an inductive data-driven approach.Results Physicians displayed a nuanced understanding of placebos and placebo effects in clinical contexts which sometimes focused on relational factors. Some respondents reported that they prescribed treatments with no known pharmacological effect for certain conditions and symptoms ('impure placebos') and that such prescriptions were more common for pain disorders, functional disorders, and medically unexplained symptoms. Opinions about OLP were mixed: Some viewed OLPs favourably or considered them 'harmless'; however, others strongly rejected OLPs as disrespectful to patients. Other issues in relation to OLPs included the following: lack of guidelines, legal and reputational concerns, and the notion that such treatments would run counter to customary medical practice.Conclusions A number of physicians reported prescribing impure placebos in clinical care. Although some primary care physicians were resistant to the possibility of recommending OLPs, others regarded OLPs more favourably, viewing them as potential treatments, albeit with restricted potential.

Subject headings and genre

SAMHÄLLSVETENSKAP Psykologi hsv//swe
SOCIAL SCIENCES Psychology hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Allmänmedicin hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine General Practice hsv//eng

Added entries (persons, corporate bodies, meetings, titles ...)

Locher, Cosima (author)
Stewart-Ferrer, Sif (author)
Buergler, Sarah (author)
DesRoches, Catherine M (author)
Dossett, Michelle L (author)
Miller, Franklin G (author)
Grose, Deborah (author)
Blease, CharlotteGeneral Medicine and Primary Care Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA;School of Psychology, University College Dublin, Ireland(Swepub:uu)chabl597 (author)
General Medicine and Primary Care Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA;School of Psychology, University College Dublin, Ireland (creator_code:org_t)

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In:British Journal of Health Psychology: John Wiley & Sons25:3, s. 596-6141359-107X2044-8287

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SOCIAL SCIENCES: SOCIAL SCIENCES; and Psychology

MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and General Practice

Articles in the publication: British Journal ...

By the university: Uppsala University

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