Disjunction Between Patient Narrative and Formulaic Thinking in the Doctor

Musculoskeletal Diseases Clinical Trial

Official title:

Disjunction Between Patient Narrative and Formulaic Thinking in the Doctor

Clinical Trial Details — Status: Not yet recruiting

Administrative data

• NCT number: NCT05401981
• Other study ID #: 2020-01-0115
• Status: Not yet recruiting
• Phase: N/A
• Start date: June 2022
• Est. completion date: December 2022

Study information

• Verified date: May 2022
• Source: University of Texas at Austin
• Contact: Sina Ramtin, MD
• Phone: 5128276809
• Email: sina.ramtin[@]austin.utexas.edu
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

This study is seeking whether giving or not giving a clinician a card with talking points in the form of a checklist about the patient's story affects the patients care experience or not

Description:

During an office visit, the clinician and the patient engage in dialogue and begin a relationship. This traditionally starts with the patient telling their story, which conveys why they decided to seek care. This study will determine the influence of a checklist specifically about the patient's narrative. The checklist will be used during the interview portion of the visit, to remind the clinician to stay curious about the person before them, their experience of the illness, and their explanatory model, and to help ensure that empathic opportunities are not missed.

Recruitment information / eligibility

• Status: Not yet recruiting
• Enrollment: 136
• Est. completion date: December 2022
• Est. primary completion date: November 2022
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years to 89 Years

Eligibility

Inclusion Criteria:

• New patients

• Orthopedic visit

Exclusion Criteria:

• Languages other than English or Spanish.

• Cognitive dysfunction precluding completion of questionnaires.

Related Conditions & MeSH terms

• Musculoskeletal Diseases

Intervention

Other:
• Story checklist
The story checklist consists of a couple of questions that gives the physician something to keep in mind while visiting the patients.

Locations

Country	Name	City	State
United States	ATX Ortho	Austin	Texas
United States	Austin Regional Clinic	Austin	Texas
United States	HTB Musculoskeletal Institute	Austin	Texas
United States	Orthopedic Specialists of Austin	Austin	Texas
United States	Texas Orthopedics	Austin	Texas

Sponsors (1)

Lead Sponsor	Collaborator
University of Texas at Austin

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Patient Experience Measure questions	Questionnaire assessing patient's experience	through study completion, an average of 6 months
Secondary	Perceived empathy (JSPPPE)	Patient perceived of physician empathy as measured by the JSPPPE;The scores range from 1 ("Strongly Disagree") to 7 ("Strongly Agree"), with the total score being between 5 and 35. Higher scores represent greater empathic perception about the physician.	through study completion, an average of 6 months
Secondary	Guttman	Patient Satisfaction as measured by the Guttman Scale, The total score is between 0 and 7, with higher scores indicating greater satisfaction.	through study completion, an average of 6 months
Secondary	Guttman CEQ	Communication Effectiveness Questionnaire; The total score is the sum of all item scores (9 to 63) with higher scores representing a greater degree of perceived communication effectiveness.	through study completion, an average of 6 months
Secondary	PROMIS PF CAT	Patient Physical Function is measure by the PROMIS PF CAT; Higher scores indicate better physical function, with a mean of 50 for the general US population	through study completion, an average of 6 months
Secondary	NRS pain intensity assessment	Numeric rating scale = 11 point ordinal scale, the higher score indicates the more pain intensity	through study completion, an average of 6 months