Hand Surgery Clinical Trial
Official title:
The Effect of Feedback Regarding Illness Behavior on Patient Satisfaction in Hand Surgery
The investigators of this study would like to see whether providing feedback to patients regarding their illness behavior/coping strategies, using online questionnaires, improves patient-physician communication in orthopaedic surgery. The investigators aim to enroll 128 patients.
Psychological and sociological factors are important in the human illness experience, but
biomedical factors are the focus of most office visits, particularly in hand surgery. Both
patients and surgeons can feel uncomfortable discussing emotions, stress, and coping
strategies. Detmar et al. randomized patients in an oncology practice to receive feedback on
a HRQL assessment or not during office visits. They observed that feedback on the HRQL
assessment contributed to physicians' awareness of healthy issues and patient-physician
communication. There was a difference in perceived emotional support, but not in overall
satisfaction with the visit[1]. A retrospective study observed in patients with local
prostate cancer, that pre-therapy HRQL assessment is associated with a better sexual
function, sexual bother and bowel function according to post-therapy HRQL scores[2].
The investigators propose a two arm unblended, randomized (1:1) controlled trial to assess
the effect of providing feedback to patients regarding illness behavior/coping strategies
(using Patient Reported Outcomes Measurement Information System (PROMIS) Computer Adaptive
Testing (CAT) instruments) on patient satisfaction and patient-physician communication in
orthopaedic surgery.
If the results of the study suggest that feedback of results from the questionnaires
increases patients' satisfaction, such an intervention may be used in the future to benefit
future patients.
Aim:
The aim of this study is to assess the effect of feedback regarding illness behavior
measured with Patient Reported Outcomes Measurement Instrument System - Computerized
Adaptive Testing (PROMIS- CAT) on patient satisfaction.
Primary Null Hypothesis:
There is no difference in satisfaction between patients who receive feedback about their
illness behavior, measured with PROMIS-CAT, compared to patients who do not.
Secondary Null Hypotheses:
There is no difference in patient-physician communication about patient's illness behavior
between patients who receive feedback about their illness behavior, measured with PROMISCAT,
compared to patients who do not.
There are no predictors for patient satisfaction.
;
Allocation: Randomized, Primary Purpose: Health Services Research
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