Patient Perception of Physician's Compassion, Communication Skills, and Professionalism During Clinic Visits: A Randomized Controlled Trial (EHR Study #2)
试验速览
- 阶段
- 不适用
- 状态
- 进行中（未招募）
- 入组人数
- 125
- 试验地点
- 2
- 主要终点
- Patients' perception of physicians' compassion after they watch the first video
研究概览
简要总结
This trial assesses patient perception of physician's compassion, communication skills, and professionalism during clinic visits through the use of videos and questionnaires.
详细描述
PRIMARY OBJECTIVES:
I. To compare patients' perception of physicians' compassion after they watch the first scripted-video vignettes of physicians: one portraying a physician using a standard electronic health record (EHR) and the other one portraying a physician using an integrated model of EHR during communication.
SECONDARY OBJECTIVES:
I. To compare patients' perception of physicians' compassion after they watch the second scripted-video vignettes of physicians: one portraying a physician using a standard electronic health record (EHR) and the other one portraying a physician using an integrated model of EHR during communication.
II. To compare patients' perception of physicians' communication skills after they watch each scripted-video vignettes of physicians: one portraying a physician using a standard EHR and the other one portraying a physician using an integrated model of EHR during communication.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients with a diagnosis of cancer either early disease or advanced cancer defined as locally advanced, recurrent or metastatic disease.
- •Outpatients (either new referrals or follow-ups) seen in the Supportive Care Clinic.
- •English speaking.
- •Patients with normal cognitive status (Memorial Delirium Assessment Scale [MDAS] =< 6/30) who can understand the nature and purpose of the study and have the ability to complete the consent process.
排除标准
- •Patients who are experiencing severe symptom distress, including severe emotional distress and cognitive dysfunction, which may interfere with study participation. This will be measured by the Edmonton Symptom Assessment Scale (ESAS) and Memorial Delirium Assessment Scale (MDAS), and will be determined by the principal investigator and/or attending physician who is caring for the patient during that visit.
结局指标
主要结局
Patients' perception of physicians' compassion after they watch the first video
时间窗: 1 year" or "up to 24 weeks", "through study completion
Quantified by the total score of ratings from a comprehensive 5-item tool which assesses dimensions such as warm/cold, pleasant/unpleasant, compassionate/distant, sensitive/insensitive, and caring/uncaring (ranging from 0 to 10 for each item, and from 0 to 50 for the total score). Physicians' compassion, communication skills and professionalism will be compared between standard electronic health record (EHR) and integrated EHR groups at the end of each video using a two-sample t-test or Wilcoxon rank-sum test when appropriate. The mixed model will be applied to further explore the patterns of physicians' compassion, communication skills and professionalism from both videos. Patients' preference of physician and perception of EHR will be compared between standard EHR and integrated EHR groups using Chi-squared test or Fisher's exact test when appropriate. Logistic regression model will also be employed.
次要结局
未报告次要终点