We expect to gain insight in the difficulties in comunication in medical settings. This insight will help to improve the training of doctors and other caregivers. We also think that it can improve interventions directed to prevent and solve problems…
ID
Source
Brief title
Condition
- Other condition
Synonym
Health condition
psychologische invloeden op de communicatie arts-patiënt
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
We hope to be able to analyse the influence of attachmentfactors on the quality
of doctor-patient communication. We also expect to gain insight in the way
stressfactors influence the relationship of these variables.
The ECR-r (experiences in close relationships questionnaire-revised, dutch
version) will be used to get a meassure of the attachmentfactors (attachment
fear and attachment avoidance) of both doctors and patients. The DDPRQ-10
(difficult doctor patient relationships questionnaire, dutch version) will be
used to meassure problems in the interaction. We will use some addional
questions and the BSI-18 (Brief symptom inventory) to control for stress and
other expected confounders. All the used questionaaires have proper
psychometric characteristics.
Secondary outcome
-
Background summary
Communication between doctors and patients is a complex process which
influences the quality and safety of the healthcare a patient recieves. Earlier
research on communication problems was mainly aimed on patient characteristics
that influence communication. Recently the attention is shifted more to the
interactional aspects of the communication. The attachment theory that Bowlby
develloped is suitable for research on the interaction between doctors and
patients.
Study objective
We expect to gain insight in the difficulties in comunication in medical
settings. This insight will help to improve the training of doctors and other
caregivers. We also think that it can improve interventions directed to prevent
and solve problems due to miscommunication especially with difficult patients.
Study design
We will ask 220 patients of the emergency department of the MCH to fill out a
survey. With this survey we wil obtain a meassure of the attachmentfactors,
stress and the experiences in the interaction with the doctor. We wil ask the
doctors of the patients that are included in the study to fill out the same
questionaires with small adjusments to their role, In this way we will obtain
the same meassures from the doctors.
Study burden and risks
The expected time needed for completing the questionnaires is 30 minutes, once.
The biggest part of the questions can be answered during the waiting time for
medical treatment. The extra time asked from te the participating patients is
aproximately 10 minutes. The questionnaires are carefully selected to obtain
minimal burden in terms of time and psychological intrusiveness.
We expect the study to contribute to improvements in communication between
doctors and patients. As is said before good communication improves the outcome
of the healthcareprocess in many ways. We expect the results of this study to
be used in improving the training of doctors and other caregivers. The
researchers in this study are also involved in develloping the training of new
doctors and the coaching of practicing healthprofessionals. The questions we
hope to answer with our research originate from this work. We believe that the
answers we will find to have an important impact on these trainingprograms. It
will also help to improve interventions in conlicts or other difficulties in
doctor-patient communication.
lijnbaan 32
Den Haag 2512 VA
NL
lijnbaan 32
Den Haag 2512 VA
NL
Listed location countries
Age
Inclusion criteria
- 18 years or older
- the medical situation allows participation in the study
- the patient speaks and understands Dutch spoken and written
Exclusion criteria
If a patient gets code red or orange, indicating great medical, urgency, we will not ask them to participate.
Design
Recruitment
metc-ldd@lumc.nl
metc-ldd@lumc.nl
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In other registers
| Register | ID |
|---|---|
| CCMO | NL49777.098.14 |