Videos and Questionnaires in Assessing Patient Perception of Physician's Compassion, Communication Skills, and Professionalism During Clinic Visits

• ClinicalTrials.gov Identifier: NCT03856060
• Recruitment Status: Active, not recruiting
• First Posted: February 27, 2019
• Last Update Posted: August 6, 2020
• Sponsor: M.D. Anderson Cancer Center
• Collaborator: National Cancer Institute (NCI)
• Information provided by (Responsible Party): M.D. Anderson Cancer Center

Study Description

Brief Summary:

This trial assesses patient perception of physician's compassion, communication skills, and professionalism during clinic visits through the use of videos and questionnaires.

Condition or disease	Intervention/treatment	Phase
Advanced Malignant Neoplasm; Locally Advanced Malignant Neoplasm; Malignant Neoplasm; Metastatic Malignant Neoplasm; Recurrent Malignant Neoplasm	Other: Questionnaire Administration; Other: Video	Not Applicable

Detailed Description:

PRIMARY OBJECTIVES:

I. To compare patients' perception of physicians' compassion after they watch the first scripted-video vignettes of physicians: one portraying a physician using a standard electronic health record (EHR) and the other one portraying a physician using an integrated model of EHR during communication.

SECONDARY OBJECTIVES:

I. To compare patients' perception of physicians' compassion after they watch the second scripted-video vignettes of physicians: one portraying a physician using a standard electronic health record (EHR) and the other one portraying a physician using an integrated model of EHR during communication.

II. To compare patients' perception of physicians' communication skills after they watch each scripted-video vignettes of physicians: one portraying a physician using a standard EHR and the other one portraying a physician using an integrated model of EHR during communication.

III. To compare patients' perception of physicians' professionalism after they watch each scripted-video vignettes of physicians: one portraying a physician using a standard EHR and the other one portraying a physician using an integrated model of EHR during communication.

IV. To compare patients' perception of physicians' compassion, communication skills and professionalism after they watch two scripted-video vignettes of physicians: one portraying a physician using a standard electronic health record (EHR) and the other one portraying a physician using an integrated model of EHR during communication.

V. To compare patients' preference after they watch two scripted-video vignettes of physicians sequentially: one portraying a physician using a standard EHR and the other one portraying a physician using an integrated model of EHR during communication.

VI. To examine patients' perception of EHR in healthcare delivery. VII. To establish demographic and clinical factors of patients preference for the physician.

OUTLINE: Patients are randomized to 1 of 2 groups.

GROUP I: Patients complete questionnaires and watch a video portraying a physician using a standard electronic health record (EHR) and then another portraying a physician using an integrated model of EHR during communication over 35 minutes.

GROUP II: Patients complete questionnaires and watch a video portraying a physician using an integrated model of EHR and then another portraying a physician using a standard EHR during communication over 35 minutes.

Study Design

• Study Type: Interventional (Clinical Trial)
• Actual Enrollment: 125 participants
• Allocation: Randomized
• Intervention Model: Parallel Assignment
• Masking: Single (Participant)
• Primary Purpose: Supportive Care
• Official Title: Patient Perception of Physician's Compassion, Communication Skills, and Professionalism During Clinic Visits: A Randomized Controlled Trial (EHR Study #2)
• Actual Study Start Date: March 30, 2019
• Estimated Primary Completion Date: January 31, 2021
• Estimated Study Completion Date: January 31, 2022

Arms and Interventions

Arm	Intervention/treatment
Experimental: Group I (questionnaires, videos); Patients complete questionnaires and watch a video portraying a physician using a standard EHR and then another portraying a physician using an integrated model of EHR during communication over 35 minutes.	Other: Questionnaire Administration; Complete questionnaires; Other: Video; Watch videos of doctor and patient interaction in different settings
Experimental: Group II (video, questionnaire); Patients complete questionnaires and watch a video portraying a physician using an integrated model of EHR and then another portraying a physician using a standard EHR during communication over 35 minutes.	Other: Questionnaire Administration; Complete questionnaires; Other: Video; Watch videos of doctor and patient interaction in different settings

Outcome Measures

Primary Outcome Measures :

1. Patients' perception of physicians' compassion after they watch the first video [ Time Frame: 1 year" or "up to 24 weeks", "through study completion ]
   Quantified by the total score of ratings from a comprehensive 5-item tool which assesses dimensions such as warm/cold, pleasant/unpleasant, compassionate/distant, sensitive/insensitive, and caring/uncaring (ranging from 0 to 10 for each item, and from 0 to 50 for the total score). Physicians' compassion, communication skills and professionalism will be compared between standard electronic health record (EHR) and integrated EHR groups at the end of each video using a two-sample t-test or Wilcoxon rank-sum test when appropriate. The mixed model will be applied to further explore the patterns of physicians' compassion, communication skills and professionalism from both videos. Patients' preference of physician and perception of EHR will be compared between standard EHR and integrated EHR groups using Chi-squared test or Fisher's exact test when appropriate. Logistic regression model will also be employed.

Eligibility Criteria

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

Criteria

Inclusion Criteria:

• Patients with a diagnosis of cancer either early disease or advanced cancer defined as locally advanced, recurrent or metastatic disease.
• Outpatients (either new referrals or follow-ups) seen in the Supportive Care Clinic.
• English speaking.
• Patients with normal cognitive status (Memorial Delirium Assessment Scale [MDAS] =< 6/30) who can understand the nature and purpose of the study and have the ability to complete the consent process.

Exclusion Criteria:

• Patients who are experiencing severe symptom distress, including severe emotional distress and cognitive dysfunction, which may interfere with study participation. This will be measured by the Edmonton Symptom Assessment Scale (ESAS) and Memorial Delirium Assessment Scale (MDAS), and will be determined by the principal investigator and/or attending physician who is caring for the patient during that visit.

Contacts and Locations

Locations

United States, Texas

M D Anderson Cancer Center

Houston, Texas, United States, 77030

Sponsors and Collaborators

M.D. Anderson Cancer Center

National Cancer Institute (NCI)

Investigators

• Principal Investigator: Ali Haider, MD; M.D. Anderson Cancer Center

More Information

Additional Information:

MD Anderson Cancer Center Website 

• Responsible Party: M.D. Anderson Cancer Center
• ClinicalTrials.gov Identifier: NCT03856060
• Other Study ID Numbers: 2018-1016; NCI-2019-00508 ( Registry Identifier: CTRP (Clinical Trial Reporting Program) ); 2018-1016 ( Other Identifier: M D Anderson Cancer Center ); P30CA016672 ( U.S. NIH Grant/Contract )
• First Posted: February 27, 2019
• Last Update Posted: August 6, 2020
• Last Verified: August 2020

• Studies a U.S. FDA-regulated Drug Product: No
• Studies a U.S. FDA-regulated Device Product: No

Additional relevant MeSH terms:

Neoplasms; Recurrence; Disease Attributes; Pathologic Processes