Using contextual factors to elicit placebo and nocebo effects: An online survey of healthcare providers’ practice

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 explo...

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Main Authors: Leo Druart, Emilie Bailly-Basin, Maïa Dolgopoloff, Giacomo Rossettini, Charlotte Blease, Cosima Locher, Alexandre Kubicki, Nicolas Pinsault
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2023-01-01
Series:PLoS ONE
Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10473518/?tool=EBI
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author Leo Druart
Emilie Bailly-Basin
Maïa Dolgopoloff
Giacomo Rossettini
Charlotte Blease
Cosima Locher
Alexandre Kubicki
Nicolas Pinsault
author_facet Leo Druart
Emilie Bailly-Basin
Maïa Dolgopoloff
Giacomo Rossettini
Charlotte Blease
Cosima Locher
Alexandre Kubicki
Nicolas Pinsault
author_sort Leo Druart
collection DOAJ
description 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.
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spelling doaj.art-7fc629e783254bf68bcbb0c7d08165c72023-09-07T05:31:40ZengPublic Library of Science (PLoS)PLoS ONE1932-62032023-01-01189Using contextual factors to elicit placebo and nocebo effects: An online survey of healthcare providers’ practiceLeo DruartEmilie Bailly-BasinMaïa DolgopoloffGiacomo RossettiniCharlotte BleaseCosima LocherAlexandre KubickiNicolas PinsaultContextual 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.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10473518/?tool=EBI
spellingShingle Leo Druart
Emilie Bailly-Basin
Maïa Dolgopoloff
Giacomo Rossettini
Charlotte Blease
Cosima Locher
Alexandre Kubicki
Nicolas Pinsault
Using contextual factors to elicit placebo and nocebo effects: An online survey of healthcare providers’ practice
PLoS ONE
title Using contextual factors to elicit placebo and nocebo effects: An online survey of healthcare providers’ practice
title_full Using contextual factors to elicit placebo and nocebo effects: An online survey of healthcare providers’ practice
title_fullStr Using contextual factors to elicit placebo and nocebo effects: An online survey of healthcare providers’ practice
title_full_unstemmed Using contextual factors to elicit placebo and nocebo effects: An online survey of healthcare providers’ practice
title_short Using contextual factors to elicit placebo and nocebo effects: An online survey of healthcare providers’ practice
title_sort using contextual factors to elicit placebo and nocebo effects an online survey of healthcare providers practice
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10473518/?tool=EBI
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