Improving Discharge Communication in the Emergency Department Through Information Structuring: A Cluster Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 196
- 试验地点
- 2
- 主要终点
- Patients' recall of the information provided during discharge communication
研究概览
简要总结
The goal of the proposed study is to assess the potential of information structuring for improving discharge communication. Specifically, the investigators aim to examine the advantages of an information-structuring skills training for physicians (compared to an empathy skills training) on discharge communication and associated patient outcomes, such as patients' information recall and adherence to physician recommendations. The investigators hypothesize that patients receiving structured discharge information from their trained physicians will be able to recall more information and show higher adherence to recommendations relative to controls (i.e., patients receiving discharge information from doctors trained in empathy skills).
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 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
- •Outpatients with chest pain
- •Outpatients with abdominal pain
排除标准
- •Patients younger than 18 years of age (limited ability to provide informed consent)
- •Patients with limited ability to communicate in German, the default language at the hospital (confounder related to language proficiency)
- •Patients with dementia (confounder arising from pathological memory deficits)
研究组 & 干预措施
Information structuring skills training
Physicians received a communication skills training focusing on information structuring with the so-called book metaphor for a structured discharge communication with the patient.
干预措施: Communication skills training "information structuring skills" (Behavioral)
Empathy skills training
Physicians received a communication skills training focusing on empathy skills with the acronym NURSE for an empathetic discharge communication with the patient.
干预措施: Communication skills training "empathy skills" (Behavioral)
结局指标
主要结局
Patients' recall of the information provided during discharge communication
时间窗: 3 times: immediately after discharge, one week after discharge, one month after discharge
次要结局
- Patient satisfaction in four dimensions(Immediately after discharge)
- Adherence to recommendations(2 times: one week and one month after discharge)