Disjunction Between Patient Narrative and Formulaic Thinking in the Doctor

Not Applicable

• Conditions: Musculoskeletal Diseases
• Interventions: Other: Story checklist

• Registration Number: NCT05401981
• Lead Sponsor: University of Texas at Austin

Brief Summary

This study is seeking whether giving or not giving a clinician a card with talking points in the form of a checklist about the patient's story affects the patients care experience or not

Detailed Description

During an office visit, the clinician and the patient engage in dialogue and begin a relationship. This traditionally starts with the patient telling their story, which conveys why they decided to seek care. This study will determine the influence of a checklist specifically about the patient's narrative. The checklist will be used during the interview portion of the visit, to remind the clinician to stay curious about the person before them, their experience of the illness, and their explanatory model, and to help ensure that empathic opportunities are not missed.

Study Timeline

• Status Verified: 2022-05
• Study First Submitted: 2022-05-11
• Study First Submitted QC: 2022-05-27
• Last Update Submitted: 2022-05-27
• Study Start: 2022-06
• Study First Posted: 2022-06-02
• Last Update Posted: 2022-06-02
• Primary Completion: 2022-11
• Study Completion: 2022-12

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 136

Inclusion Criteria

• New patients
• Orthopedic visit

Exclusion Criteria

• Languages other than English or Spanish.
• Cognitive dysfunction precluding completion of questionnaires.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Story checklist	Story checklist	Clinician given a card with talking points in the form of a checklist about the patient's story.

Primary Outcome Measures

Name	Time	Method
Patient Experience Measure questions	through study completion, an average of 6 months	Questionnaire assessing patient's experience

Secondary Outcome Measures

Name	Time	Method
Perceived empathy (JSPPPE)	through study completion, an average of 6 months	Patient perceived of physician empathy as measured by the JSPPPE;The scores range from 1 ("Strongly Disagree") to 7 ("Strongly Agree"), with the total score being between 5 and 35. Higher scores represent greater empathic perception about the physician.
Guttman CEQ	through study completion, an average of 6 months	Communication Effectiveness Questionnaire; The total score is the sum of all item scores (9 to 63) with higher scores representing a greater degree of perceived communication effectiveness.
PROMIS PF CAT	through study completion, an average of 6 months	Patient Physical Function is measure by the PROMIS PF CAT; Higher scores indicate better physical function, with a mean of 50 for the general US population
NRS pain intensity assessment	through study completion, an average of 6 months	Numeric rating scale = 11 point ordinal scale, the higher score indicates the more pain intensity
Guttman	through study completion, an average of 6 months	Patient Satisfaction as measured by the Guttman Scale, The total score is between 0 and 7, with higher scores indicating greater satisfaction.

Trial Locations

Locations (5)

Austin Regional Clinic; 🇺🇸 Austin, Texas, United States

Texas Orthopedics; 🇺🇸 Austin, Texas, United States

Orthopedic Specialists of Austin; 🇺🇸 Austin, Texas, United States

ATX Ortho; 🇺🇸 Austin, Texas, United States

HTB Musculoskeletal Institute; 🇺🇸 Austin, Texas, United States