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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
December 10, 2008
December 13, 2011
July 2007
April 2008   (Final data collection date for primary outcome measure)
  • 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 ]
Same as current
Complete list of historical versions of study NCT00806559 on Archive Site
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Space and Interaction Trial: Room Design and Patient-physician Interaction
SIT Trial: The Effect of Clinical Room Design on the Quality of the Clinical Encounter
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.
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Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double (Participant, Outcomes Assessor)
Primary Purpose: Health Services Research
  • Internal Medicine Patients
  • Participating Staff
  • 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.
  • 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.
  • Active Comparator: Usual room
    Patients in this arm will see their clinician in the usual clinical exam room
    Intervention: Other: Control room
  • Experimental: Re-designed room
    Patients assigned to this arm will see the physician in a redesigned clinical exam room
    Intervention: Other: Re-designed room
Almquist JR, Kelly C, Bromberg J, Bryant SC, Christianson TH, Montori VM. Consultation room design and the clinical encounter: the space and interaction randomized trial. HERD. 2009 Fall;3(1):41-78.

*   Includes publications given by the data provider as well as publications identified by Identifier (NCT Number) in Medline.
April 2008
April 2008   (Final data collection date for primary outcome measure)

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.

Sexes Eligible for Study: All
18 Years and older   (Adult, Senior)
Contact information is only displayed when the study is recruiting subjects
United States
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Victor Montori, M.D., Mayo Clinic
Mayo Clinic
Principal Investigator: Victor M. Montori, M.D., MSc Mayo Clinic
Mayo Clinic
December 2011

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP