Emergency Department Query For Patient-centered Approaches To Sexual Orientation And Gender Identity
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Brigham and Women's Hospital
- Enrollment
- 749
- Primary Endpoint
- Communication Climate Assessment Toolkit Questionnaire (Patient)
Study Overview
Brief Summary
This trial is the final phase of a three phase PCORI-funded study to develop and test patient-centered approaches to collect sexual orientation and gender identity (SO/GI) information in the ED. From the results of Phase 1 qualitative interviews and national quantitative survey and Phase 2 Delphi rounds with the Stakeholder Advisory Board, we have determined two methods of collection favored by patients and providers to implement in the trial. The first method, nurse verbal collection, is in alignment with Partners recommended clinical practice and is therefore a quality improvement (QI) evaluation. The second method, non-verbal registrar form collection with nurse verbal confirmation, is a research intervention to evaluate and compare a new patient-centered approach to SO/GI collection. To compare the patient-centeredness of the two different approaches, satisfaction surveys will be administered to ED patients and staff members involved in collection.
In summary, the study design (1) evaluates recommended current practice (QI), (2) evaluates a quality improvement project to increase recommended current practice, and (3) evaluates a new method of collecting SO/GI (research intervention).
Study Design
- Study Type
- Interventional
- Allocation
- Na
- Intervention Model
- Single Group
- Primary Purpose
- Health Services Research
- Masking
- None
Eligibility Criteria
- Ages
- 18 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •Adult ED patients who are cognitively and physically capable of informed consent
- •Adult ED nurses and registrars who are cognitively and physically capable of informed consent
Exclusion Criteria
- •Any person not cognitively and physically capable of informed consent
Arms & Interventions
SO/GI Collection
Methods to collect SO/GI information in the ED
Intervention: Methods to collect SO/GI information in the ED (Other)
Outcomes
Primary Outcomes
Communication Climate Assessment Toolkit Questionnaire (Patient)
Time Frame: Through study completion (approximately 1 year)
The primary outcome was patient satisfaction as measured by a modified Communication Climate Assessment Toolkit (CCAT) patient survey, an assessment of attitudes towards organizational climate and provider/patient communication.The CCAT is reliable, validated in geographically and ethnically diverse health care organizations, and accurately predicts patient-reported quality and trust. Containing 5/7 items from the full CCAT, our pre-specified modified scale included only questions that were applicable to the ED population, e.g. we kept the question "Do you feel welcome at the hospital?" but eliminated the question "Was it easy to reach someone on the phone if you had a question?" from analyses.Each scale item was scored as a 0 (most disagreement), ½ (neutral), or 1 (agreement), resulting in a scale score ranging from 0-5; higher scores were considered more favorable. The average score for the modified scale was calculated and multiplied by 20 to provide the overall score out of 100.
Secondary Outcomes
- Staff-reported Outcomes Measure Questionnaire(Through study completion (approximately 1 year))
- Proportion of Patients Reporting SO/GI(Through study completion (approximately 1 year))
Investigators
Adil Haider
Kessler Director, Center for Surgery and Public Health
Brigham and Women's Hospital