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临床试验/NCT03677609
NCT03677609已完成不适用

Stanford Clinics Physician Mindset Training

Kari Alyse Leibowitz1 个研究点 分布在 1 个国家目标入组 78,128 人开始时间: 2018年1月4日最近更新:
适应症
干预措施

试验速览

阶段
不适用
状态
已完成
发起方
入组人数
78,128
试验地点
1
主要终点
Patient health: Hypertension control: blood pressure

研究概览

简要总结

Mindsets play an important role in motivating and shaping health behavior and outcomes. For example, when patients have the mindset that a treatment will work, they are more likely to adhere to treatment medications and the treatment itself becomes more effective as a result of this mindset. Providers have an opportunity to shape important patient mindsets as part of clinical care, and these mindsets may influence patients' adherence to medication, screening and vaccination recommendations, and diet, exercise, and treatment recommendations that can help patients manage chronic illness. To help care teams capitalize on the potential of leveraging mindsets in medicine and improve patient health behavior and outcomes, we developed and implemented the Medicine Plus Mindset Training as part of Primary Care 2.0. Built on more than two decades of research, this training program (a) Informs Primary Care teams about the power of patient mindsets in shaping treatment outcomes (b) Provides care teams with a language and framework to identify which patient mindsets may be at play (i.e. patient mindsets about illness, treatment, their body, and the provider/care team) and (c) Equips care teams with skills and techniques to effectively shape patient mindsets to improve health outcomes. By motivating care teams to recognize patient mindsets that may be hindering health behavior change (such as "this illness is a catastrophe") or medication adherence (such as "this medication is going to cause side effects"), care teams become better equipped to help their patients adopt more useful mindsets (such as "this treatment will work," "this illness is manageable," "my body is capable," and "I am in good hands").

详细描述

Healthcare providers at four Stanford clinic sites will be the investigators' main participants and the study will follow a wait-list control design. The investigators will track patient health outcomes.

The intervention described in this study will only be for the healthcare team. The investigators will track both provider outcomes (using self-report survey measures) and patient outcomes (using health information already being collected by the clinic). Although the investigators will be tracking the outcomes of all physicians at the clinics, only select patient outcomes will be included as part of the study.

The study will begin with the care team filling out baseline self-report surveys online and/or in person.

Prior to delivering the intervention, the clinics will be split, and half of the clinic sites will be assigned to be wait-list control clinics, while the other half of sites will receive the mindset training.

The intervention for the care team will be delivered in person by members of the research team. The care team will be told that the investigators are assessing the impact of a novel training program for providers.The care team will truthfully be informed that the training they are receiving is designed to enhance their interactions with patients.

研究设计

研究类型
Interventional
分配方式
Non Randomized
干预模型
Parallel
主要目的
Health Services Research
盲法
None

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Patients will be screened and included if they have diabetes, hypertension, or pre-diabetes

排除标准

  • 未提供

研究组 & 干预措施

Intervention

Experimental

Physicians will receive a training or trainings to improve their communication and interaction with patients. The primary trainings will involve teaching physicians how to understand and leverage patient psychology as part of clinical care. Impact on patient health will then be assessed.

干预措施: Mindset & Communication Training (Behavioral)

Control

No Intervention

结局指标

主要结局

Patient health: Hypertension control: blood pressure

时间窗: 3-6 months post intervention

Disease status for patients with hypertension measured via patient systolic blood pressure

Patient adherence: Vaccine and screening recommendations

时间窗: 1-6 months post visit.

Patient adherence to recommended vaccines and screenings

Physician Wellbeing Questionnaire

时间窗: 3 months after the training

Assessing physician wellbeing, including burnout and job satisfaction using self-report Questionnaire developed and validated at Stanford Healthcare

Patient health: Diabetes control: Hemoglobin A1C

时间窗: 3-6 months post intervention

Disease status for patients with diabetes measured via patient Hemoglobin A1C

Patient health: Pre-Diabetes status: Fasting Blood Sugar

时间窗: 3-6 months post intervention

Disease status for patients with pre-diabetes measured via fasting blood sugar

次要结局

  • Physician mindset: Mindset Beliefs Survey(1, 3, 6, and 12 months post-training)
  • Physician satisfaction survey(Immediately post-training)
  • Physician Wellbeing Questionnaire(12 months after the training)
  • Physician use of mindset skills survey(1, 3, 6, and 12 months post-training)

研究者

发起方
Kari Alyse Leibowitz
申办方类型
Other
责任方
Sponsor Investigator
主要研究者

Kari Alyse Leibowitz

PhD Candidate

Stanford University

研究点 (1)

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