What Should Clinicians Tell Patients about Placebo and Nocebo Effects? Practical Considerations Based on Expert Consensus
Standard
What Should Clinicians Tell Patients about Placebo and Nocebo Effects? Practical Considerations Based on Expert Consensus. / Evers, Andrea W M; Colloca, Luana; Blease, Charlotte; Gaab, Jens; Jensen, Karin B; Atlas, Lauren Y; Beedie, Chris J; Benedetti, Fabrizio; Bingel, Ulrike; Büchel, Christian; Bussemaker, Jet; Colagiuri, Ben; Crum, Alia J; Finniss, Damien G; Geers, Andrew L; Howick, Jeremy; Klinger, Regine; Meeuwis, Stefanie H; Meissner, Karin; Napadow, Vitaly; Petrie, Keith J; Rief, Winfried; Smeets, Ionica; Wager, Tor D; Wanigasekera, Vishvarani; Vase, Lene; Kelley, John M; Kirsch, Irving; Consortium of Placebo Experts.
in: PSYCHOTHER PSYCHOSOM, Jahrgang 90, Nr. 1, 2021, S. 49-56.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
Harvard
APA
Vancouver
Bibtex
}
RIS
TY - JOUR
T1 - What Should Clinicians Tell Patients about Placebo and Nocebo Effects? Practical Considerations Based on Expert Consensus
AU - Evers, Andrea W M
AU - Colloca, Luana
AU - Blease, Charlotte
AU - Gaab, Jens
AU - Jensen, Karin B
AU - Atlas, Lauren Y
AU - Beedie, Chris J
AU - Benedetti, Fabrizio
AU - Bingel, Ulrike
AU - Büchel, Christian
AU - Bussemaker, Jet
AU - Colagiuri, Ben
AU - Crum, Alia J
AU - Finniss, Damien G
AU - Geers, Andrew L
AU - Howick, Jeremy
AU - Klinger, Regine
AU - Meeuwis, Stefanie H
AU - Meissner, Karin
AU - Napadow, Vitaly
AU - Petrie, Keith J
AU - Rief, Winfried
AU - Smeets, Ionica
AU - Wager, Tor D
AU - Wanigasekera, Vishvarani
AU - Vase, Lene
AU - Kelley, John M
AU - Kirsch, Irving
AU - Consortium of Placebo Experts
N1 - © 2020 The Author(s) Published by S. Karger AG, Basel.
PY - 2021
Y1 - 2021
N2 - INTRODUCTION: Clinical and laboratory studies demonstrate that placebo and nocebo effects influence various symptoms and conditions after the administration of both inert and active treatments.OBJECTIVE: There is an increasing need for up-to-date recommendations on how to inform patients about placebo and nocebo effects in clinical practice and train clinicians how to disclose this information.METHODS: Based on previous clinical recommendations concerning placebo and nocebo effects, a 3-step, invitation-only Delphi study was conducted among an interdisciplinary group of internationally recognized experts. The study consisted of open- and closed-ended survey questions followed by a final expert meeting. The surveys were subdivided into 3 parts: (1) informing patients about placebo effects, (2) informing patients about nocebo effects, and (3) training clinicians how to communicate this information to the patients.RESULTS: There was consensus that communicating general information about placebo and nocebo effects to patients (e.g., explaining their role in treatment) could be beneficial, but that such information needs to be adjusted to match the specific clinical context (e.g., condition and treatment). Experts also agreed that training clinicians to communicate about placebo and nocebo effects should be a regular and integrated part of medical education that makes use of multiple formats, including face-to-face and online modalities.CONCLUSIONS: The current 3-step Delphi study provides consensus-based recommendations and practical considerations for disclosures about placebo and nocebo effects in clinical practice. Future research is needed on how to optimally tailor information to specific clinical conditions and patients' needs, and on developing standardized disclosure training modules for clinicians.
AB - INTRODUCTION: Clinical and laboratory studies demonstrate that placebo and nocebo effects influence various symptoms and conditions after the administration of both inert and active treatments.OBJECTIVE: There is an increasing need for up-to-date recommendations on how to inform patients about placebo and nocebo effects in clinical practice and train clinicians how to disclose this information.METHODS: Based on previous clinical recommendations concerning placebo and nocebo effects, a 3-step, invitation-only Delphi study was conducted among an interdisciplinary group of internationally recognized experts. The study consisted of open- and closed-ended survey questions followed by a final expert meeting. The surveys were subdivided into 3 parts: (1) informing patients about placebo effects, (2) informing patients about nocebo effects, and (3) training clinicians how to communicate this information to the patients.RESULTS: There was consensus that communicating general information about placebo and nocebo effects to patients (e.g., explaining their role in treatment) could be beneficial, but that such information needs to be adjusted to match the specific clinical context (e.g., condition and treatment). Experts also agreed that training clinicians to communicate about placebo and nocebo effects should be a regular and integrated part of medical education that makes use of multiple formats, including face-to-face and online modalities.CONCLUSIONS: The current 3-step Delphi study provides consensus-based recommendations and practical considerations for disclosures about placebo and nocebo effects in clinical practice. Future research is needed on how to optimally tailor information to specific clinical conditions and patients' needs, and on developing standardized disclosure training modules for clinicians.
U2 - 10.1159/000510738
DO - 10.1159/000510738
M3 - SCORING: Journal article
C2 - 33075796
VL - 90
SP - 49
EP - 56
JO - PSYCHOTHER PSYCHOSOM
JF - PSYCHOTHER PSYCHOSOM
SN - 0033-3190
IS - 1
ER -