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Trial record 15 of 560 for:    Recruiting, Not yet recruiting, Available Studies | Teaching

Mobile Learning to Improve Clinician's Ability to Break Bad News

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ClinicalTrials.gov Identifier: NCT03804918
Recruitment Status : Recruiting
First Posted : January 15, 2019
Last Update Posted : April 17, 2019
Sponsor:
Information provided by (Responsible Party):
Imperial College London

Brief Summary:

Design:

A pre-post mixed methods pilot study. All participants granted access to a breaking bad news mobile learning resource (VitalTips).

Baseline and post-intervention questionnaires, pre- and post-intervention simulated patient encounters, and post-intervention semi-structured interviews.

Objective:

To assess if a selected breaking bad news mobile learning resource can improve the ability of clinicians to break bad news.

Population/Eligibility:

15-20 junior doctors and nurses working within two NHS hospitals trusts and one private hospital in England.

Duration:

January 2018 to August 2019.


Condition or disease Intervention/treatment Phase
Education Other: VitalTips mobile application Not Applicable

  Show Detailed Description

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Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 15 participants
Intervention Model: Single Group Assignment
Intervention Model Description: A pre-post mixed methods pilot study.
Masking: None (Open Label)
Primary Purpose: Other
Official Title: Mobile Learning Resources as a Tool for Improving Clinician's Ability to Break Bad News: A Pre-post Mixed Methods Pilot Study
Actual Study Start Date : February 25, 2019
Estimated Primary Completion Date : August 2, 2019
Estimated Study Completion Date : August 2, 2019

Arm Intervention/treatment
Experimental: Interventional group: All participants
Given access to a selected breaking bad news mobile learning resource (VitalTips application).
Other: VitalTips mobile application
VitalTips is a mobile learning application with learning on breaking bad news. Participants will be expected to spend at least three hours using the mobile learning resource, ensuring that this time does not impact on their clinical and academic commitments.




Primary Outcome Measures :
  1. Change in Likert scores relating to confidence and behaviours related to breaking bad news at baseline and post-intervention. [ Time Frame: 4 to 6 weeks. ]
    Baseline and post-intervention questionnaires utilise a five-point Likert scale ranking of the user's confidence and agreeability with statements. Some statements have a white space to write comments. The questionnaires are novel to this study. A combination of a spreadsheet for the quantitative elements (converting the Likert scale into a numerical scale), and qualitative data management software for thematic analysis of the white space answers will be used to record and analyse the data. With each participant acting as their own control, comparisons will be made from their own baseline and post-intervention Likert scale ratings. A paired sample t-test will be used to statistically analyse the results (with p < 0.05 considered a statistically significant change).

  2. Change in simulated patient encounter marking scores related to breaking bad news at baseline and post-intervention. [ Time Frame: 4 to 6 weeks. ]
    The simulated patient encounter will be marked by three assessors: the Chief Investigator, the simulated patient and an independent assessor using the validated Breaking bad news Assessment Schedule (BAS). The marks are in the form of a numerical scale for quantitative analysis. The scores will be recorded on an Excel spreadsheet against the participant ID. With each participant acting as their own control, their baseline and post-intervention scores will be compared, and a paired sample t-test will be used for analysis (with p < 0.05 considered a statistically significant change).



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Ages Eligible for Study:   18 Years to 65 Years   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • Working and training within NHS England and a private healthcare hospital.
  • Junior doctor, pre-certificate of completion of training (of any specialty).
  • Junior nurse band 5 to 6 (or equivalent) from any specialty.
  • Over the age of 18.
  • Able to communicate and write in English.
  • Willing to engage with mobile learning resources as an additional task to their clinical role, ensuring their learning does not take time out of their clinical commitments.

Exclusion Criteria:

  • Medical and nursing students.
  • Clinicians who have completed their training programmes i.e. medical or nursing consultants, matrons.
  • Retired clinicians.

Information from the National Library of Medicine

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): NCT03804918


Contacts
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Contact: Gehan B Soosaipillai, BM BSc +44 20 759 41862 gsoosaip@ic.ac.uk

Locations
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United Kingdom
Barts Health NHS Trust Recruiting
London, United Kingdom, E1 2EF
Contact: Jack Biddle    +44 (020) 7882 8982    j.biddle@qmul.ac.uk   
Principal Investigator: Sarah Slater, MBBS MD FRCP         
Bupa Cromwell Hospital Recruiting
London, United Kingdom, SW5 0TU
Contact: Barbara Buckley         
Principal Investigator: Barbara Buckley         
Imperial College Healthcare NHS Trust Recruiting
London, United Kingdom, W2 1NY
Contact: Ruth Nicholson    +44 (020) 759 41862    r.nicholson@imperial.ac.uk   
Principal Investigator: Stephanie Archer, PhD         
Sponsors and Collaborators
Imperial College London
Investigators
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Principal Investigator: Gehan B Soosaipillai, BM BSc Imperial College London

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Responsible Party: Imperial College London
ClinicalTrials.gov Identifier: NCT03804918     History of Changes
Other Study ID Numbers: 18SM4947
First Posted: January 15, 2019    Key Record Dates
Last Update Posted: April 17, 2019
Last Verified: January 2019
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No
Plan Description: IPD will only be available on a password protected computer with sole access to the Chief Investigator (CI). Only anonymised data will be sent to the Academic Supervisor and other researchers.

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Keywords provided by Imperial College London:
Healthcare education
Breaking bad news
Digital learning