Tracking and Improving Trust/Respect

Not Applicable

Completed

• Conditions: Impact of Feedback on Symptoms and Trust/Respect on Outcomes
• Interventions: Other: Trust/Respect feedback

• Registration Number: NCT04392336
• Lead Sponsor: University of Pennsylvania

Brief Summary

This study will examine the efficacy of a feedback system for providers that tracks patient trust/respect on an ongoing basis and to test the hypothesis that receiving feedback on trust/respect will lead to improvements in patient satisfaction, functioning, symptoms, and trust/respect.

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Detailed Description

This is a randomized effectiveness trial in which real-world providers will be given feedback on patient trust/respect. Approximately 40 clinicians, and up to 180 consumers will be enlisted participate in the randomized effectiveness trial. All enrolled patients will complete the BASIS-24, the Satisfaction with Care scale, and the Satisfaction with Social Roles and Activities Scale on handheld tablets or desktop computers at baseline. Patients will be randomized to one of two conditions. Patients in the first condition will attend therapy with clinicians who have received a standard automated outcome report, plus a report that contains information on the patient's trust/respect with suggestions for interventions if low/declining trust/respect is apparent. Patients in the second condition will attend therapy and complete the same measures as patients in the first condition, but their therapists will only receive a standard automated outcome report, without any patient information on trust/respect. At the time of the first therapy appointment and for all remaining therapy appointments, patients will complete four total measures: the new measure of trust/respect, the BASIS-24, the Satisfaction with Care scale, and the Satisfaction with Social Roles and Activities scale.

Study Timeline

• Study Start: 2019-09-27
• Study First Submitted: 2020-03-23
• Study First Submitted QC: 2020-05-12
• Study First Posted: 2020-05-18
• Primary Completion: 2022-04-29
• Study Completion: 2022-04-29
• Status Verified: 2022-07
• Last Update Submitted: 2022-07-22
• Last Update Posted: 2022-07-25

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 185

Inclusion Criteria

• Ability to read at least at the 4th grade level
• 18 years of age and older
• Willingness to participate in research.

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Exclusion Criteria

• N/A

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Trust/Respect feedback	Trust/Respect feedback	Clinicians with consumers in this arm receive feedback on trust/respect in addition to symptom feedback.

Primary Outcome Measures

Name	Time	Method
Change in PROMIS SF v2.0 scores	Up to 12 sessions, an average of 3 months	Evaluates satisfaction with social roles and activities. Raw scores range from 4 to 20. This is a longitudinal assessment of change between multiple time points.

Secondary Outcome Measures

Name	Time	Method
Change in Opinions about My Doctor/Therapist scores	Up to 12 sessions, an average of 3 months	Asks participants questions regarding trust/respect for their clinician. Scores range from 1 to 7, with higher scores indicating greater trust/respect. This is a longitudinal assessment of change between multiple time points.
Change in BASIS-24 scores	Up to 12 sessions, an average of 3 months	The 24-item Behavior and Symptom Identification Scale is used to determine overall well-being. Scores range from 0 to 4. Lower scores indicate overall better well-being. This is a longitudinal assessment of change between multiple time points.
Change in Satisfaction with Care scores	Up to 12 sessions, an 3 months	Evaluates satisfaction with care. Raw scores range from 1 to 7. This is a longitudinal assessment of change between multiple time points.

Trial Locations

Locations (1)

University of Pennsylvania; 🇺🇸 Philadelphia, Pennsylvania, United States