The Effect of Feedback Regarding Illness Behavior on Patient Satisfaction in Hand Surgery
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 128
- 试验地点
- 1
- 主要终点
- PROMIS CAT Physical Function
研究概览
简要总结
The investigators of this study would like to see whether providing feedback to patients regarding their illness behavior/coping strategies, using online questionnaires, improves patient-physician communication in orthopaedic surgery. The investigators aim to enroll 128 patients.
详细描述
Psychological and sociological factors are important in the human illness experience, but biomedical factors are the focus of most office visits, particularly in hand surgery. Both patients and surgeons can feel uncomfortable discussing emotions, stress, and coping strategies. Detmar et al. randomized patients in an oncology practice to receive feedback on a HRQL assessment or not during office visits. They observed that feedback on the HRQL assessment contributed to physicians' awareness of healthy issues and patient-physician communication. There was a difference in perceived emotional support, but not in overall satisfaction with the visit[1]. A retrospective study observed in patients with local prostate cancer, that pre-therapy HRQL assessment is associated with a better sexual function, sexual bother and bowel function according to post-therapy HRQL scores[2].
The investigators propose a two arm unblended, randomized (1:1) controlled trial to assess the effect of providing feedback to patients regarding illness behavior/coping strategies (using Patient Reported Outcomes Measurement Information System (PROMIS) Computer Adaptive Testing (CAT) instruments) on patient satisfaction and patient-physician communication in orthopaedic surgery.
If the results of the study suggest that feedback of results from the questionnaires increases patients' satisfaction, such an intervention may be used in the future to benefit future patients.
Aim:
The aim of this study is to assess the effect of feedback regarding illness behavior measured with Patient Reported Outcomes Measurement Instrument System - Computerized Adaptive Testing (PROMIS- CAT) on patient satisfaction.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 主要目的
- Health Services Research
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •All new patients visiting the Orthopaedic Hand and Upper Extremity Service
- •English fluency and literacy
- •Ability to provide informed consent
排除标准
- •age < 18
- •Inability to complete enrollment forms due to any mental status or language problems (e.g. dementia, head injury, overall illness).
研究组 & 干预措施
Intervention
The intervention group will be comprised of patients who will complete the PROMIS- CAT for pain interference, pain behavior and physical function prior to the encounter with the physician and then will complete the MISS-21 after the encounter.
干预措施: PROMIS CAT Pain Interference (Other)
Intervention
The intervention group will be comprised of patients who will complete the PROMIS- CAT for pain interference, pain behavior and physical function prior to the encounter with the physician and then will complete the MISS-21 after the encounter.
干预措施: PROMIS CAT Pain Behavior (Other)
Intervention
The intervention group will be comprised of patients who will complete the PROMIS- CAT for pain interference, pain behavior and physical function prior to the encounter with the physician and then will complete the MISS-21 after the encounter.
干预措施: PROMIS CAT Physical Function (Other)
Intervention
The intervention group will be comprised of patients who will complete the PROMIS- CAT for pain interference, pain behavior and physical function prior to the encounter with the physician and then will complete the MISS-21 after the encounter.
干预措施: MISS-21 (Other)
Control
The control group will complete the PROMIS- CAT for pain interference, pain behavior and physical function after the encounter and after completing a satisfaction questionnaire (MISS-21).
干预措施: PROMIS CAT Pain Interference (Other)
Control
The control group will complete the PROMIS- CAT for pain interference, pain behavior and physical function after the encounter and after completing a satisfaction questionnaire (MISS-21).
干预措施: PROMIS CAT Pain Behavior (Other)
Control
The control group will complete the PROMIS- CAT for pain interference, pain behavior and physical function after the encounter and after completing a satisfaction questionnaire (MISS-21).
干预措施: PROMIS CAT Physical Function (Other)
Control
The control group will complete the PROMIS- CAT for pain interference, pain behavior and physical function after the encounter and after completing a satisfaction questionnaire (MISS-21).
干预措施: MISS-21 (Other)
结局指标
主要结局
PROMIS CAT Physical Function
时间窗: 1 day
A computerized assessment of physical function measured at enrollment
Medical Interview Satisfaction Scale (MISS-21)
时间窗: 1 day
Questionnaire
PROMIS CAT Pain Behavior
时间窗: 1 day
A computerized assessment of pain behavior measured at enrollment
PROMIS CAT Pain Interference
时间窗: 1 day
A computerized assessment of pain interference measured at enrollment
次要结局
- Patient-physician communication(1 day)
研究者
David C. Ring, MD
Principal Investigator
Massachusetts General Hospital