An Educational Intervention to Improve Resident Comfort With Communication at the End of Life

This study has been completed.
Sponsor:
Information provided by:
University of California, San Francisco
ClinicalTrials.gov Identifier:
NCT01150968
First received: June 24, 2010
Last updated: February 9, 2011
Last verified: February 2011
  Purpose

The purpose of this study is to investigate whether the addition of teaching on communication at the end of life to the pre-existing resident curriculum will positively impact residents' knowledge and attitudes regarding communication at the end of life.


Condition Intervention
End of Life Communication
Behavioral: End of life education

Study Type: Interventional
Study Design: Intervention Model: Single Group Assignment
Masking: Open Label
Official Title: An Educational Intervention to Improve Resident Comfort With Communication at the End of Life

Further study details as provided by University of California, San Francisco:

Primary Outcome Measures:
  • Self-efficacy [ Time Frame: 90 days ] [ Designated as safety issue: No ]
    Residents participating in the intervention will demonstrate increased self-efficacy for end of life conversations.


Estimated Enrollment: 166
Study Start Date: March 2010
Study Completion Date: June 2010
Primary Completion Date: June 2010 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Internal Medicine Residents
All UCSf Internal Medicine residents for 2009-2010
Behavioral: End of life education
Residents will participate in one hour, case-based, interactive teaching sessions on end of life communication.

Detailed Description:

Previous research has demonstrated a lack of resident training in communication at the end of life. This can lead to anxiety on the part of residents and poor experiences with these conversations. Residents at UCSF, and affiliated sites, participate in a daily formal teaching session from 12-1 pm and an informal case conference, known as Morning Report, from 7:30-8:30 am (8-9 am at VAMC). We propose to administer a pre-intervention survey to residents to assess knowledge and attitudes regarding communication at the end of life. Over two months, residents will receive one lecture during the noon session. Clinical cases will be presented for discussion during three sessions of morning report. All sessions are voluntary and take place at all three training sites, UCSF, SFGH, and the VAMC. As residents rotate every two months between the inpatient and outpatient settings, the intervention will be repeated once to ensure that the majority of residents have the opportunity to participate. A post-intervention survey, identical to the pre-intervention survey, will be administered to assess for impact of the educational intervention. This project only involves UCSF Internal Medicine residents. No patients will be involved in this study.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • UCSF internal medicine resident

Exclusion Criteria:

  • Not UCSF internal medicine resident
  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: NCT01150968

Locations
United States, California
UCSF Program in Medical Ethics
San Francisco, California, United States, 94143-0903
Sponsors and Collaborators
University of California, San Francisco
  More Information

No publications provided

Responsible Party: Bernard Lo, MD, UCSF
ClinicalTrials.gov Identifier: NCT01150968     History of Changes
Other Study ID Numbers: 10035736
Study First Received: June 24, 2010
Last Updated: February 9, 2011
Health Authority: United States: Institutional Review Board

ClinicalTrials.gov processed this record on July 24, 2014