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Brief title
Health condition
An important issue in measuring the effect of communication is that a clinical consultation is an iterative process of reciprocal interactions constantly influenced by the physician and the patient. This complicates studying the effects of specified communicative behaviors, since patient behavior can not be controlled in the experiments. This can be bypassed by not assessing the effects of communication directly in the patients in the consultation, but instead show a video of a consultation to subjects. This is called the “analogue patient paradigm” in which the viewer is the analogue patient. However, it is not clear to which extent the responses to the communication of analogue patients is comparable to the responses of patients actually present in the consultation.
Sponsors and support
Intervention
Outcome measures
Primary outcome
The main study parameters are the correlations of skin conductance responses, heart rate, positive and negative affect and state anxiety between subjects in a consultation and subjects viewing a consultation.
Secondary outcome
Correlations between observed communication while in the consultation and while watching the video of that consultation
Study objective
If subjects view a video a medical consultation, then viewing physician-patient commmunication will yield similar psychological and physiological responses as when that subject is taking part in that consultation.
Study design
All outcomes are measured right before and after the arranged consultation with the physician. Heart rate and skin conductance is measured throughout the procedure. Within one month after the consultation, subjects will view their own and other consultations on video. Before and after every video, outcomes are measured. Again heart rate and skin conductance is measured continuously.
Intervention
Physician communication in a consultation is varied in the different groups, consequently subjects see their own videos and the videos of other subjects.
Inclusion criteria
Women who are 18 years or older, having a menstrual cycle, experience with menstrual pain in the last six months
Exclusion criteria
1. Psychiatric disorders,
2. Inability to have an unaided conversation in Dutch,
3. Co-morbidity of other illnesses causing pain,
4. Knowing the physician administering the intervention.
Design
Recruitment
Followed up by the following (possibly more current) registration
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Other (possibly less up-to-date) registrations in this register
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In other registers
Register | ID |
---|---|
NTR-new | NL1218 |
NTR-old | NTR1263 |
Other | NIVEL : COM-018-2 |
ISRCTN | ISRCTN wordt niet meer aangevraagd |