The Effect of Feedback Regarding Illness Behavior on Patient Satisfaction

Status Completed

Clinical Trial Summary

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.

Clinical Trial Description

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. ;

Study Design

Allocation: Randomized, Primary Purpose: Health Services Research

Related Conditions & MeSH terms

Clinical Trial Details

NCT number	NCT02209246
Study type	Interventional
Source	Massachusetts General Hospital
Contact
Status	Completed
Phase	N/A
Start date	July 2013

View Details

See also
Status	Clinical Trial	Phase
Recruiting	`NCT03512223` - Intravenous and Perineural Dexamethasone for Brachial Plexus Block in Hand Surgery	Early Phase 1
Enrolling by invitation	`NCT04636463` - Music in Wide Awake Hand Surgery	N/A
Enrolling by invitation	`NCT04656834` - Hand Incision Study
Completed	`NCT05343299` - Postoperative Experience of 2 WALANT-type Modes of Anesthesia Used in Ambulatory Surgery of the Upper Limb.	Phase 1
Completed	`NCT00321425` - Ultrasound Guidance Vs. Electrical Nerve Stimulation for Infraclavicular Brachial Plexus Block	N/A
Completed	`NCT00954928` - The Safety of Hand Surgery in the Anticoagulated Patient	N/A
Completed	`NCT00956683` - Dual Endpoint Nerve Stimulation Versus Ultrasound in Infraclavicular Block for Hand Surgery	N/A
Completed	`NCT04491656` - Evaluating Clinical Outcomes for Determining the Optimal Delay to Skin Incision Under WALANT	N/A
Terminated	`NCT00827658` - Ulnar Nerve Block for Procedural Anesthesia - Wrist Versus Palm	N/A
Recruiting	`NCT04306666` - Early Rehabilitation After Hand or Wrist Ambulatory Surgery : How to Preserve Locomotion at Home Without Rebound Pain?
Completed	`NCT04189198` - A Comparison of 4% Articaine Versus 0.5%Bupivacaine for Ambulatory Surgery Under Supraclavicular Block	Phase 1
Completed	`NCT00699244` - Comparison of Central Versus Peripheral Placement of Local Anesthetic	N/A
Active, not recruiting	`NCT02073383` - Three Techniques for Ultrasound Guided Axillary Brachial Plexus Block	N/A
Completed	`NCT03632304` - Local Anesthesia With Minimal Sedation and Brachial Plexus Block in Hand Surgery	N/A
Completed	`NCT05325372` - A Comparative Study Between Infraclavicular and Axillary Blocks for Assessment of Motor Power Using Handgrip Dynamometer	N/A

Clinical trials are conducted in a series of steps, called phases - each phase is designed to answer a separate research question.

Phase 1: Researchers test a new drug or treatment in a small group of people for the first time to evaluate its safety, determine a safe dosage range, and identify side effects.
Phase 2: The drug or treatment is given to a larger group of people to see if it is effective and to further evaluate its safety.
Phase 3: The drug or treatment is given to large groups of people to confirm its effectiveness, monitor side effects, compare it to commonly used treatments, and collect information that will allow the drug or treatment to be used safely.
Phase 4: Studies are done after the drug or treatment has been marketed to gather information on the drug's effect in various populations and any side effects associated with long-term use.

The Effect of Feedback Regarding Illness Behavior on Patient Satisfaction in Hand Surgery

Clinical Trial Summary

Clinical Trial Description

Study Design

Related Conditions & MeSH terms