Social and Behavioral Influence (SBI)

This study is enrolling participants by invitation only.
Sponsor:
Collaborator:
Information provided by (Responsible Party):
Ronald Epstein, University of Rochester
ClinicalTrials.gov Identifier:
NCT01501006
First received: November 30, 2011
Last updated: October 18, 2013
Last verified: October 2013
  Purpose

The purpose of the study is to improve patient-physician communication and clinical decisions in the context of serious illness that may affect important clinical outcomes. The investigators will examine how variations in communication patterns and clinical decisions are affected by patient demographics (e.g age, sex), patient interactional style (e.g. communication behaviors) and physician characteristics (e.g. attitudes, background, training).


Condition Phase
Communication
Phase 2

Study Type: Observational
Study Design: Observational Model: Cohort
Time Perspective: Prospective
Official Title: Social and Behavioral Influences

Further study details as provided by University of Rochester:

Primary Outcome Measures:
  • Physicians' Communication Style [ Time Frame: 2 years ] [ Designated as safety issue: No ]
    To examine the degree to which physicians communication style (ex inclusive, authoritative) and clinical decisions (ex. aggressive,passive) differ according to patient characteristics. Unit of Measure: Audio recordings of office visits, will be transcribed, deidentified, and coded.


Secondary Outcome Measures:
  • Physician Communication Moderators (Sex,Class) [ Time Frame: 2 years ] [ Designated as safety issue: No ]
    To examine how patients participating in their care reduces these patient-specific differences in physician communication behaviors and decisions. Unit of Measure: Audio recordings of office visits, will be transcribed, deidentified, and coded.


Estimated Enrollment: 120
Study Start Date: October 2010
Estimated Study Completion Date: December 2015
Estimated Primary Completion Date: December 2015 (Final data collection date for primary outcome measure)
Groups/Cohorts
Patient Roles
Physician communication styles will be evaluated with different patient roles.

Detailed Description:

This will be a randomized field experiment. Physicians will receive two unannounced covert standardized patient (SP) visits during the 12-24 months after enrollment. SPs are trained actors who will pose as patients to assess physician behavior and communication. Each SP will present just like a real patient, and will have a standardized fabricated scenario and identity. The SP visit will be unannounced; the physician will not be informed at the time of the visit that they are seeing an SP. The visits will be covertly audio-recorded. This is being conducted at 3 sites: University of Rochester, Rochester, NY; Purdue, IN; and University of Michigan.

  Eligibility

Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Sampling Method:   Non-Probability Sample
Study Population

Male and Female physicians of all races and ethnicities

Criteria

Inclusion Criteria:

  • Currently in clinical practice
  • Do not plan on moving during the next year

Exclusion Criteria:

  • Non-physicians
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT01501006

Locations
United States, New York
University Of Rochester
Rochester, New York, United States, 14642
Sponsors and Collaborators
University of Rochester
Investigators
Principal Investigator: Ronald Epstein, MD University of Rochester
  More Information

No publications provided

Responsible Party: Ronald Epstein, Principal Investigator, University of Rochester
ClinicalTrials.gov Identifier: NCT01501006     History of Changes
Other Study ID Numbers: 33086, R01CA155376-01
Study First Received: November 30, 2011
Last Updated: October 18, 2013
Health Authority: United States: Institutional Review Board

Keywords provided by University of Rochester:
Physicians

ClinicalTrials.gov processed this record on September 11, 2014