Analyzing Challenging Clinical Discussions in Orthopaedics

Not Applicable

Terminated

• Conditions: Arthritis; Knee Arthropathy; Teach-Back Communication; Knee Osteoarthritis
• Interventions: Other: Teach-Back Lesson

• Registration Number: NCT03058393
• Lead Sponsor: Duke University

Brief Summary

The goal of this study is to analyze patient:provider communication surrounding the discussion of difficult clinical conversations such as knee replacement options. This study will also examine how using the teach-back communication technique can improve communication between patients and providers. Orthopedic residents, fellows, physician assistants, and attendings that agree to participate will be consented. Patients, who are likely to engage in a difficult clinical conversation, such as those who have a clinical indication for a Total Knee Replacement or a Partial Knee Replacement, will be recruited from participating providers clinical schedules. Patient:provider interactions will be recorded and then the providers will attend a 1 hour education lecture about how to use teach-back. After attending the lecture, additional patient:provider interactions will be recorded and analyzed via a qualitative approach. Additionally, providers will participate in a semi-structured interview to capture their perceptions of teach-back and what challenges and benefits they may derive from using it.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2017-02-14
• Study First Submitted QC: 2017-02-16
• Study First Posted: 2017-02-20
• Study Start: 2017-04-17
• Status Verified: 2018-06
• Primary Completion: 2018-11-07
• Study Completion: 2018-11-07
• Last Update Submitted: 2019-12-16
• Last Update Posted: 2019-12-17

Recruitment & Eligibility

• Status: TERMINATED
• Sex: All
• Target Recruitment: 7

Inclusion Criteria

Not provided

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Exclusion Criteria

Not provided

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Teach-Back Group	Teach-Back Lesson	A teach-back lesson will be provided to physician participants (Teach-Back Group), who are participating in challenging clinical discussions with patients

Primary Outcome Measures

Name	Time	Method
Patient/provider talking ratio	End of discussion with patient, 20 minutes	This outcome will also be assessed from audio-recorded conversations. The transcript will be coded and the coding scheme will compare how often and how long patients talk compared to provider talking.
Provider's uninterrupted utterances	End of discussion with patient, 20 minutes	We will assess this outcome directly from audio-recorded conversations. A coding scheme will then be developed that captures the average length of provider utterance without asking a question or an interruption from a patient

Secondary Outcome Measures

Name	Time	Method
Providers belief of future use of teach-back	End of semi-structured interview, one hour	This outcome will be assessed via the semi-structured interview
Providers perceptions about teach-back	End of semi-structured interview, one hour	This outcome will be assessed via semi-structured interviews.

Trial Locations

Locations (1)

Duke University Health System; 🇺🇸 Durham, North Carolina, United States