Evaluating the impact of using a novel patient prompting document on communication in the surgical outpatient clinic

Not Applicable

Completed

• Conditions: Surgery; Communication barriers in surgical clinic; Surgery - Other surgery; Public Health - Health service research

• Registration Number: ACTRN12623000089639
• Lead Sponsor: Professor Guy Maddern

Brief Summary

This randomised control trial demonstrated that in surgical consultations with a QPL more questions are asked, patients recall more information and are less likely to recall treatment discussions incorrectly. The QPL did not increase patient anxiety, or negatively impact patient-surgeon communication.

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Completion: 2022-06-30
• Study Start: 2023-01-25
• Last Update Posted: 30 January 2023

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 58

Inclusion Criteria

Patient Participants
Patients scheduled for surgical consultations from October 2021- March 2022 at The Queen Elizabeth Hospital. Any patient 16 years or older attending the outpatient surgical clinic, who has the capacity to consent to participation, and has signed and understood the consent form.

Staff participants
Staff participants will be eligible for inclusion in this study if employed by CALHN and any of the following criteria apply:
a.Surgical Staff Consultant (including heads of units, academic consultant surgeons)
b.Surgical Visiting Medical Officer
c.Surgical Fellow

Exclusion Criteria

Patient's who require a translator. Patient's with cognitive impairment. Patients who have visual impairment or are unable to read English.

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Patient knowledge - This will be assessed by a structured telephone survey that includes questions listed on the prompting document or QPL. <br><br>[Follow up phone consult will be 1 week post consultation];Patient engagement - The video recording of the consultation will be assessed by two independent blinded reviewers who will score the level of patient participation on the OPTION 12 scale. [Video review post consultation];Anxiety - This will be assessed using a 3 point likert scale during follow up phone consultation. [1 week post consultation. ]

Secondary Outcome Measures

Name	Time	Method
Satisfaction - This will be assessed using a 3 point Likert scale during follow up phone consultation. (Additional primary outcome)<br><br>[1 week phone call post consultation. ];Consultation dynamics (composite outcome). Retrospective video review will be conducted by 2x members of the research team blinded to cohort allocation. They will determine: Talk time; eye gaze; number of questions asked; and, content discussed. [During consultation via video review. ]