Patient Centered Methods to Collect Sexual Orientation and Gender Identity Status in the ED (EQUALITY)
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|ClinicalTrials.gov Identifier: NCT02701049|
Recruitment Status : Completed
First Posted : March 8, 2016
Results First Posted : November 23, 2018
Last Update Posted : November 23, 2018
This trial is the final phase of a three phase PCORI-funded study to develop and test patient-centered approaches to collect sexual orientation and gender identity (SO/GI) information in the ED. From the results of Phase 1 qualitative interviews and national quantitative survey and Phase 2 Delphi rounds with the Stakeholder Advisory Board, we have determined two methods of collection favored by patients and providers to implement in the trial. The first method, nurse verbal collection, is in alignment with Partners recommended clinical practice and is therefore a quality improvement (QI) evaluation. The second method, non-verbal registrar form collection with nurse verbal confirmation, is a research intervention to evaluate and compare a new patient-centered approach to SO/GI collection. To compare the patient-centeredness of the two different approaches, satisfaction surveys will be administered to ED patients and staff members involved in collection.
In summary, the study design (1) evaluates recommended current practice (QI), (2) evaluates a quality improvement project to increase recommended current practice, and (3) evaluates a new method of collecting SO/GI (research intervention).
|Condition or disease||Intervention/treatment||Phase|
|Homosexuality Gender Identity||Other: Methods to collect SO/GI information in the ED||Not Applicable|
|Study Type :||Interventional (Clinical Trial)|
|Actual Enrollment :||749 participants|
|Intervention Model:||Single Group Assignment|
|Masking:||None (Open Label)|
|Primary Purpose:||Health Services Research|
|Official Title:||Emergency Department Query For Patient-centered Approaches To Sexual Orientation And Gender Identity|
|Actual Study Start Date :||February 16, 2016|
|Actual Primary Completion Date :||March 29, 2017|
|Actual Study Completion Date :||March 29, 2017|
Methods to collect SO/GI information in the ED
Other: Methods to collect SO/GI information in the ED
In Mode 1, all patients presenting to the ED will have SO/GI information collected verbally by the nurse, which is standard of care. In Mode 2, all patients presenting to the ED will have SO/GI information collected in a non-verbal manner, in which the registrar will ask them to complete an electronic form.
- Communication Climate Assessment Toolkit Questionnaire (Patient) [ Time Frame: Through study completion (approximately 1 year) ]The primary outcome was patient satisfaction as measured by a modified Communication Climate Assessment Toolkit (CCAT) patient survey, an assessment of attitudes towards organizational climate and provider/patient communication.The CCAT is reliable, validated in geographically and ethnically diverse health care organizations, and accurately predicts patient-reported quality and trust. Containing 5/7 items from the full CCAT, our pre-specified modified scale included only questions that were applicable to the ED population, e.g. we kept the question "Do you feel welcome at the hospital?" but eliminated the question "Was it easy to reach someone on the phone if you had a question?" from analyses.Each scale item was scored as a 0 (most disagreement), ½ (neutral), or 1 (agreement), resulting in a scale score ranging from 0-5; higher scores were considered more favorable. The average score for the modified scale was calculated and multiplied by 20 to provide the overall score out of 100.
- Staff-reported Outcomes Measure Questionnaire [ Time Frame: Through study completion (approximately 1 year) ]Measures responses to the staff survey question, "Did you experience difficulty collecting sexual orientation data from patients?"
- Proportion of Patients Reporting SO/GI [ Time Frame: Through study completion (approximately 1 year) ]Measures the proportion of all adult emergency department patients from whom SO/GI was collected during the study period
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02701049
|Principal Investigator:||Adil Haider, MD, MPH||Brigham and Women's Hospital|