The Impact Of Physician Communication On Family Inpatient Experience

Not Applicable

Withdrawn

• Conditions: Parental/Patient Satisfaction
• Interventions: Behavioral: Standing; Behavioral: Sitting

• Registration Number: NCT01298791
• Lead Sponsor: Boston Medical Center

Brief Summary

Patient satisfaction is affected by physician communication styles and communication at the bedside. The investigators are conducting a randomized controlled trial involving both providers and families to determine if providers sitting down while talking with families, will improve one aspect of quality care delivered during an inpatient stay as measured by patient/family satisfaction. The investigators will additionally study the affects of the intervention on the following outcomes: family assessment of provider communication, readmission rates, and length of stay.

Detailed Description

Not available

Study Timeline

• Study Start: 2011-02
• Study First Submitted: 2011-02-16
• Study First Submitted QC: 2011-02-17
• Study First Posted: 2011-02-18
• Primary Completion: 2011-06
• Study Completion: 2011-08
• Status Verified: 2016-10
• Last Update Submitted: 2016-10-07
• Last Update Posted: 2016-10-10

Recruitment & Eligibility

• Status: WITHDRAWN
• Sex: All
• Target Recruitment: Not specified

Inclusion Criteria

• Providers: all attendings, residents, and medical students involved in the care of patients on the pediatric inpatient wards during the study period.
• Families (Parents or legal guardians and children):
• (1) inpatient admissions to the pediatrics medical service at Boston Medical Center
• (2) whose parents or guardian have agreed to participate in family centered walk rounds
• (3) patients age 17 or younger who have family members present at the bedside each morning of hospitalization
• (4) English speaking.

Exclusion Criteria

• (1) All patients/families that as part of admission justification involves social assessment and concern by the patient care team, including patients with neonatal abstinence syndrome, child maltreatment, and concern for neglect.
• (2) All patients transferred to or from PICU as part of their inpatient care
• (3) All patients transferred from an outside institution to the inpatient ward for further care secondary to progression of disease.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Provider standing (control)	Standing	Providers standing during communication through hospitalization
Provider sitting	Sitting	Providers seated during communication through hospitalization

Primary Outcome Measures

Name	Time	Method
Patient/family satisfaction	4 months	PSQ-18: Assesses parental satisfaction with medical care
Patient/family Satisfaction	4 mo	Caregiver questionnaire obtains baseline information on caregiver and patients

Secondary Outcome Measures

Name	Time	Method
Follow-up appointment attendance	5 mo	Chart review and communication with caregivers regarding keeping follow-up appointment
Family assessment of doctor-patient communication skills	4 mo	Crossley Communication Questionnaire
Readmission rate	5 mo	Chart review and parental contact regarding readmission for same reason of initial hospitalization
Family discharge preparedness	4 mo	Brief PREPARED instrument
Length of stay	4 months	Chart review of length of inpatient hospitalization during intervention

Trial Locations

Locations (1)

Boston Medical Center; 🇺🇸 Boston, Massachusetts, United States