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Space and Interaction Trial: Room Design and Patient-physician Interaction (SIT)

This study has been completed.
Information provided by:
Mayo Clinic Identifier:
First received: December 10, 2008
Last updated: December 13, 2011
Last verified: December 2011
The purpose of this study is to improve the clinical encounter through the design of the clinical environment. We will conduct a randomized controlled trial to measure the extent to which a newly designed clinical room, compared to a traditional room, affects the patient-physician interaction. We will judge this outcome by (a) videotaping encounters; and (b) conducting post-visit surveys with patients and an interview with physicians. We will use both qualitative and quantitative tools, including a validated and widely used interaction coding system on the videotapes, to draw inferences from these data.

Condition Intervention
Internal Medicine Patients Participating Staff Other: Re-designed room Other: Control room

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double (Participant, Outcomes Assessor)
Primary Purpose: Health Services Research
Official Title: SIT Trial: The Effect of Clinical Room Design on the Quality of the Clinical Encounter

Resource links provided by NLM:

Further study details as provided by Mayo Clinic:

Primary Outcome Measures:
  • Patient and Clinician Interaction variables (duration of the encounter, patient sense of control in encounter, patient's ability to access information from the computer monitor and the quality of the verbal and non-verbal interaction). [ Time Frame: Immediately post clinical visit (survey) ]
  • Patient experience of the clinical encounter. The following variables will be measured: patient satisfaction with the room, patient satisfaction with the encounter and the quality of the relationship. [ Time Frame: Immediately post visit ]

Estimated Enrollment: 60
Study Start Date: July 2007
Study Completion Date: April 2008
Primary Completion Date: April 2008 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Active Comparator: Usual room
Patients in this arm will see their clinician in the usual clinical exam room
Other: Control room
This is the usual clinical room for a clinical visit, with physician at desk and chairs along the wall for patient/family.
Experimental: Re-designed room
Patients assigned to this arm will see the physician in a redesigned clinical exam room
Other: Re-designed room
In the redesigned room patients and clinicians are sitting at a single table in a different configuration compared to the usual clinical exam room, with the doctor at the computer and two chairs for the patient and family/friends.


Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Eligible Clinicians:

  1. In the Department of GIM or Preventive Medicine
  2. Able and Willing to participate in research study.

Eligible patients:

  1. Patient of a clinician participating in the study
  2. 18 years or older
  3. Seeing clinician for return/summary visit.

Exclusion Criteria:

1.) Not able to give informed consent.

  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 identifier: NCT00806559

United States, Minnesota
Mayo Clinic
Rochester, Minnesota, United States, 55905
Sponsors and Collaborators
Mayo Clinic
Principal Investigator: Victor M. Montori, M.D., MSc Mayo Clinic
  More Information

Additional Information:
Publications automatically indexed to this study by Identifier (NCT Number):
Responsible Party: Victor Montori, M.D., Mayo Clinic Identifier: NCT00806559     History of Changes
Other Study ID Numbers: 07-000135
Study First Received: December 10, 2008
Last Updated: December 13, 2011

Keywords provided by Mayo Clinic:
effects clinical space
follow-up appointments processed this record on September 19, 2017