Our aim is to improve patient and doctor satisfaction and quality of the discussion about potential treatment restrictions by introducing a digital information and conversation aid for patients and training for doctors. Moreover, we aim to provide…
ID
Source
Brief title
Condition
- Other condition
- Gender related factors
Synonym
Health condition
Het effect van interventies ophet gesprek over behandelbeperkingen
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
Primary study outcome is patient satisfaction about the conversation with their
doctor, the received information and the patient-doctor relationship. This will
be measured with three questions on satisfaction using a 11-point Likert scale.
Moreover, the doctor-patient relationship will be further assessed with the
Patient Doctor Relationship questionnaire (PDRQ-9), and doctors will receive a
questionnaire that wil assess satisfaction as well.
Secondary outcome
Quantitative analysis: decisional conflict (Decisional Evaluation Scale),
shared decision-making (SDM-9-Doc), gender differences in previously mentioned
outcomes
Qualitative analysis: quality of the conversation on treatment restrictions,
gender differences in communication styles regarding the conversation on
treatment restrictions
Background summary
Timely discussing treatment restrictions with patients is important in order to
prevent difficult situations at, for example, the emergency department.
Nowadays, patients are often uninformed about the possibilities and
consequences of resuscitation, mechanical ventilation and intensive care
admission. This makes it hard or even impossible to decide about whether these
interventions should be performed whenever they become necessary, especially in
an urgent medical situation. Doctors, however, find it difficult to discuss
potential treatment restrictions with patients. We hypothesize that routinely
discussing potential treatment restrictions with patients at the outpatient
clinic, in a less stressful environment with their *own* physician, leads to
better informed patients, more patient and doctor satisfaction about this
conversation and more shared decision-making. Furthermore, it is important to
gain more insight in the role of gender differences in communication style
regarding the discussion on potential treatment restrictions.
Study objective
Our aim is to improve patient and doctor satisfaction and quality of the
discussion about potential treatment restrictions by introducing a digital
information and conversation aid for patients and training for doctors.
Moreover, we aim to provide more insight into gender differences regarding this
subject.
Study design
This is a randomized controlled trial with a mixed methods design.
Intervention
Patients will receive a digital information brochure and conversational aid.
Doctors will be trained with simulated patients and an e-learning module.
Study burden and risks
No extra diagnostic or therapeutic actions will be performed for this study.
Discussing treatment restrictions at the outpatient clinic is considered good
clinical practice. The *burden* associated with study participation for
patients only involves questionnaires and the video recording of the
patient-doctor conversations. Moreover, half of the patients will receive extra
information on resuscitation, mechanical ventilation and intensive care unit
admission. Beside this, patient will receive regular care at the outpatient
clinic. Doctors will all participate in a training on discussing treatment
restrictions and will complete questionnaires.
Heidelberglaan 100
Utrecht 3584CX
NL
Heidelberglaan 100
Utrecht 3584CX
NL
Listed location countries
Age
Inclusion criteria
All new patients or known patients (>18 years) with whom potential treatment restrictions have not been discussed, that are scheduled for a visit at the internal medicine outpatient clinic are eligible for inclusion. Moreover, internal medicine residents and internists who did not participate in the treatment restrictions communication training before will be asked to participate in this study.
Exclusion criteria
Patients with insufficient Dutch language ability in order to be able to complete the patient information files and questionnaires, inability to give informed consent and patients with whom treatment restrictions have been discussed previously will be excluded.
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| CCMO | NL65774.041.18 |