Do communication training and patient education improve discussions about treatment restrictions?

Completed

Conditions: Het effect van interventies ophet gesprek over behandelbeperkingen
advanced care planning
Treatment restrictions
10018057

Registration Number: NL-OMON45935

Lead Sponsor: niversitair Medisch Centrum Utrecht

Brief Summary: Not available

Detailed Description: Not available

Recruitment & Eligibility

Status: Completed

Sex: Not specified

Target Recruitment: 244

Inclusion Criteria

All new patients or known patients (>18 years) with whom potential treatment restrictions have not been discussed, that are scheduled for a visit at the internal medicine outpatient clinic are eligible for inclusion. Moreover, internal medicine residents and internists who did not participate in the treatment restrictions communication training before will be asked to participate in this study.

Exclusion Criteria

Patients with insufficient Dutch language ability in order to be able to complete the patient information files and questionnaires, inability to give informed consent and patients with whom treatment restrictions have been discussed previously will be excluded.

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
<p>Primary study outcome is patient satisfaction about the conversation with their<br /><br>doctor, the received information and the patient-doctor relationship. This will<br /><br>be measured with three questions on satisfaction using a 11-point Likert scale.<br /><br>Moreover, the doctor-patient relationship will be further assessed with the<br /><br>Patient Doctor Relationship questionnaire (PDRQ-9), and doctors will receive a<br /><br>questionnaire that wil assess satisfaction as well.</p><br>

Secondary Outcome Measures

Name	Time	Method
<p>Quantitative analysis: decisional conflict (Decisional Evaluation Scale),<br /><br>shared decision-making (SDM-9-Doc), gender differences in previously mentioned<br /><br>outcomes<br /><br>Qualitative analysis: quality of the conversation on treatment restrictions,<br /><br>gender differences in communication styles regarding the conversation on<br /><br>treatment restrictions</p><br>