The Impact Of Physician Communication On Family Inpatient Experience

The recruitment status of this study is unknown because the information has not been verified recently.

Verified February 2011 by Boston Medical Center.
Recruitment status was Recruiting

Sponsor:

Information provided by:

Boston Medical Center

ClinicalTrials.gov Identifier:

NCT01298791

First received: February 16, 2011

Last updated: February 17, 2011

Last verified: February 2011

History of Changes

Purpose

Patient satisfaction is affected by physician communication styles and communication at the bedside. The investigators are conducting a randomized controlled trial involving both providers and families to determine if providers sitting down while talking with families, will improve one aspect of quality care delivered during an inpatient stay as measured by patient/family satisfaction. The investigators will additionally study the affects of the intervention on the following outcomes: family assessment of provider communication, readmission rates, and length of stay.

Condition	Intervention
Parental/Patient Satisfaction	Behavioral: Sitting Behavioral: Standing

Study Type:	Interventional
Study Design:	Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Single Blind (Outcomes Assessor) Primary Purpose: Supportive Care
Official Title:	The Impact Of Physician Communication On Family Inpatient Experience

Further study details as provided by Boston Medical Center:

Primary Outcome Measures:

Patient/family satisfaction [ Time Frame: 4mo ] [ Designated as safety issue: No ]
Questionnaire obtains basic provider information
Patient/family Satisfaction [ Time Frame: 4 mo ] [ Designated as safety issue: No ]
Caregiver questionnaire obtains baseline information on caregiver and patients
Patient/family satisfaction [ Time Frame: 4 months ] [ Designated as safety issue: No ]
PSQ-18: Assesses parental satisfaction with medical care

Secondary Outcome Measures:

Length of stay [ Time Frame: 4 months ] [ Designated as safety issue: No ]
Chart review of length of inpatient hospitalization during intervention
Readmission rate [ Time Frame: 5 mo ] [ Designated as safety issue: No ]
Chart review and parental contact regarding readmission for same reason of initial hospitalization
Family discharge preparedness [ Time Frame: 4 mo ] [ Designated as safety issue: No ]
Brief PREPARED instrument
Follow-up appointment attendance [ Time Frame: 5 mo ] [ Designated as safety issue: No ]
Chart review and communication with caregivers regarding keeping follow-up appointment
Family assessment of doctor-patient communication skills [ Time Frame: 4 mo ] [ Designated as safety issue: No ]
Crossley Communication Questionnaire

Estimated Enrollment:	120
Study Start Date:	February 2011
Estimated Study Completion Date:	August 2011
Estimated Primary Completion Date:	June 2011 (Final data collection date for primary outcome measure)

Arms	Assigned Interventions
Experimental: Provider sitting Providers seated during communication through hospitalization	Behavioral: Sitting Providers will sit during inpatient family-centered walk rounds throughout the communication during rounds. The participating members of the care team (attending physician, resident and medical student) will remain seated while communicating with the patient and caregiver.
Experimental: Provider standing (control) Providers standing during communication through hospitalization	Behavioral: Standing Providers will stand during inpatient family-centered walk rounds throughout the communication during rounds. The participating members of the care team (attending physician, resident and medical student) will remain standing while communicating with the patient and caregiver.

Eligibility

Ages Eligible for Study:	up to 17 Years
Genders Eligible for Study:	Both
Accepts Healthy Volunteers:	No

Criteria

Inclusion Criteria:

Providers: all attendings, residents, and medical students involved in the care of patients on the pediatric inpatient wards during the study period.
Families (Parents or legal guardians and children):
(1) inpatient admissions to the pediatrics medical service at Boston Medical Center
(2) whose parents or guardian have agreed to participate in family centered walk rounds
(3) patients age 17 or younger who have family members present at the bedside each morning of hospitalization
(4) English speaking.

Exclusion Criteria:

(1) All patients/families that as part of admission justification involves social assessment and concern by the patient care team, including patients with neonatal abstinence syndrome, child maltreatment, and concern for neglect.
(2) All patients transferred to or from PICU as part of their inpatient care
(3) All patients transferred from an outside institution to the inpatient ward for further care secondary to progression of disease.

Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT01298791

Contacts

Contact: Michael Silverstein, MD, MPH

617-414-7903

michael.silverstein@bmc.org

Locations

United States, Massachusetts
Boston Medical Center	Recruiting
Boston, Massachusetts, United States, 02118
Contact: Michael Silverstein, MD, MPH
Principal Investigator: Michael Silverstein, MD, MPH
Sub-Investigator: Duncan M Henry, MD
Sub-Investigator: Israel Green-Hopkins, MD

Sponsors and Collaborators

Boston Medical Center

Investigators

Principal Investigator:

Michael Silverstein, MD, MPH

Boston Medical Center

More Information

No publications provided

Responsible Party:	Michael Silverstein, MD, MPH, Boston Medical Center
ClinicalTrials.gov Identifier:	NCT01298791 History of Changes
Other Study ID Numbers:	34423
Study First Received:	February 16, 2011
Last Updated:	February 17, 2011
Health Authority:	United States: Institutional Review Board

ClinicalTrials.gov processed this record on May 22, 2013

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