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Better clinical communication in hospital - a study of the effect of a Norwegian version of the Four habits Approach to Effective Clinical Communication in Akershus University Hospital

Completed
Conditions
Clinical communication
Not Applicable
Communication
Registration Number
ISRCTN22153332
Lead Sponsor
Regional Authorities for Hospital Care, Eastern Norway (Helse Øst RHF)
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
64
Inclusion Criteria

Physicians under 60 years doing full or part-time clinical work in somatic departments of Akershus University Hospital. Altogether 8 real consultations or meetings with patients/relatives of patients per physician are recruited consecutively.

Exclusion Criteria

None for physicians.

For consultations:
1. Anticipated consultation duration less than 5 minutes
2. Consultations or meetings with patients or relatives where they are in a particularly vulnerable situation and where videotaping would be inappropriate (e.g. when conveying serious messages)

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
The videotaped consultations/meetings were assessed using the ?Four Habits Coding Scheme? (Krupat et al, 2006).<br><br>Krupat E, Frankel R, Stein T, Irish J. The Four Habits Coding Scheme: validation of an instrument to assess clinicians? communication behavior. Pat Educ Couns 2006; 62: 38-45.
Secondary Outcome Measures
NameTimeMethod
1. Change in Habit 1 through 4 behaviours according to which habit the physicians particularly commit themselves to improve (physicians may want to implement all habits, but are prompted to give priority to one of them)<br>2. Changes in Habits in 20% of physicians with the lowest scores <br>3. Changes in Habits across age groups, gender, specialties, seniors/juniors <br>4. Change in physician communication specific self-efficacy<br>5. Change in patient satisfaction
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