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Anchoring Patients Pain Scores in the Emergency Department

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ClinicalTrials.gov Identifier: NCT04717518
Recruitment Status : Recruiting
First Posted : January 22, 2021
Last Update Posted : January 22, 2021
Sponsor:
Information provided by (Responsible Party):
Landry Dorsett, DO, CHRISTUS Health

Study Description
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Brief Summary:
The proposed research will be a prospective, observational study to test the hypothesis that anchoring will affect verbal pain scores in the emergency department. There will be a small retrospective aspect to this study to obtain patient satisfaction ratings.

Condition or disease Intervention/treatment
Abdominal Pain Chest Pain Headache Joint Pain Muscle Pain Back Pain Neck Pain Other: Measurement of Pain

Detailed Description:
The investigators will evaluate a convenience sample of patients presenting to the ED with a complaint of pain. Patients will be consented for participation and will fill out a brief survey concerning the current visit in the ED. There will be two forms of the survey. Participants will be randomly assigned to one of the two survey forms. Participants will first be asked if their pain score for this visit is greater than or less than an anchor number provided. In this survey, the investigators will use 20 and 80 as our anchoring numbers. The participants will then have a follow up question asking them to estimate their pain score on a 0-100 scale. Investigators will then perform a chart review to determine patient satisfaction scores for that specific visit to determine if the anchoring effect has any input on patient satisfaction scores.
Study Design
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Study Type : Observational
Estimated Enrollment : 1000 participants
Observational Model: Cohort
Time Perspective: Prospective
Official Title: Anchoring Patients Pain Scores in the Emergency Department
Actual Study Start Date : August 24, 2020
Estimated Primary Completion Date : August 2022
Estimated Study Completion Date : August 2022
Groups and Cohorts
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Group/Cohort Intervention/treatment
Lower Anchor Survey
Patients will likely rate their pain lower.
 Other: Measurement of Pain
Patients will fill out a brief survey concerning the current visit to the ED.
Higher Anchor Survey
Patients will likely rate their pain higher.
 Other: Measurement of Pain
Patients will fill out a brief survey concerning the current visit to the ED.


Outcome Measures
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Primary Outcome Measures :
  1. Utilization of a questionnaire to measure the mean pain scores between two intervention groups based on the numeric pain score scale [ Time Frame: Through study completion, an average of 1 year ]
    A questionnaire will be used to measure pain scores by utilizing a numeric pain scale (0-100) and measure the effect of anchoring bias on pain scores in the Emergency Department. It is hypothesized that a lower pain score anchor will lead to a lower reported pain score by the patient.


Secondary Outcome Measures :
  1. An analysis to examine the influence of anchoring on patient satisfaction for patients with common chief complaints related to pain in the Emergency Department. It is unknown if anchoring affects a patient's overall satisfaction. [ Time Frame: Through study completion, an average of 1 year ]
    Patients receive Press-Ganey questionnaire to evaluate their visit to the Emergency Department. We will measure if the anchoring pain score affects the patients overall satisfaction with their Emergency Department care.


Eligibility Criteria
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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Sampling Method:   Non-Probability Sample
Study Population
Study subjects include patients presenting to the Emergency Department at CHRISTUS Spohn Shoreline with a chief complaint of pain.
Criteria

Inclusion Criteria:

  • 18 years of age or older
  • Presenting to the ED with a chief complaint of any type of pain

Exclusion Criteria:

  • Under 18 years of age
  • Refusal to consent
  • Incarcerated patients
  • Pregnant patients
  • Unable to complete survey secondary to clinical instability, severe pain, or disorientation determined by a study physician
Contacts and Locations
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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): NCT04717518


Contacts
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Contact: Lynn Carrasco 361-861-1865 lynn.carrasco@christushealth.org
Contact: Peter Richman, MD 361-861-1872 prichmanmdmba@gmail.com

Locations
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United States, Texas
CHRISTUS Spohn Health System Recruiting
Corpus Christi, Texas, United States, 78404
Contact: Landry Dorsett, DO    361-861-1865    landrydorsett@gmail.com   
Contact: Peter Richman, MD    361-861-1872    prichmanmdmba@gmail.com   
Principal Investigator: Landry Dorsett, DO         
Sub-Investigator: Peter Richman, MD         
Sponsors and Collaborators
CHRISTUS Health
Investigators
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Principal Investigator: Landry Dorsett, DO CHRISTUS Spohn Health System
More Information
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Publications:
"CDC Guideline for Prescribing Opioids for Chronic Pain." CDC, 2019, www.cdc.gov/drugoverdose/prescribing/guideline.html.
Colorado Opioid Safety Pilot Results Report The Colorado Opioid Safety Collaborative Background. Colorado Hospital Association, 2017.
"Nonopioid Pain Management | AHA." American Hospital Association, 2018, www.aha.org/bibliographylink-page/2018-09-28-nonopioid-pain-management. Accessed 13 Nov. 2019.
"Overdose Death Maps." CDC, 13 Aug. 2019, www.cdc.gov/drugoverdose/data/prescribing/overdosedeath-maps.html.
Northcraft, Gregory B, and Margaret A Neale. "Experts, Amateurs, and Real Estate: An Anchoring-andAdjustment Perspective on Property Pricing Decisions." Organizational Behavior and Human Decision Processes, vol. 39, no. 1, 1987, pp. 84-97, 10.1016/0749-5978(87)90046-x.
. Wansink, Brian, et al. "An Anchoring and Adjustment Model of Purchase Quantity Decisions." Journal of Marketing Research, vol. 35, no. 1, Feb. 1998, pp. 71-81, 10.1177/002224379803500108.
Yadav, Manjit S. "How Buyers Evaluate Product Bundles: A Model of Anchoring and Adjustment." Journal of Consumer Research, vol. 21, no. 2, Sept. 1994, p. 342, 10.1086/209402.
Liang, Hanchao, et al. "Bounded Rationality, Anchoring-and-Adjustment Sentiment, and Asset Pricing." The North American Journal of Economics and Finance, vol. 40, Apr. 2017, pp. 85-102, 10.1016/j.najef.2017.02.001. Accessed 13 Nov. 2019.

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Responsible Party: Landry Dorsett, DO, Principal Investigator, CHRISTUS Health
ClinicalTrials.gov Identifier: NCT04717518    
Other Study ID Numbers: 2020-132
First Posted: January 22, 2021    Key Record Dates
Last Update Posted: January 22, 2021
Last Verified: January 2021
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: Yes
Plan Description: Plans to collaborate with other universities in other studies and/or grants.
Supporting Materials: Study Protocol
Statistical Analysis Plan (SAP)
Clinical Study Report (CSR)

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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 Landry Dorsett, DO, CHRISTUS Health:
Emergency Room
Additional relevant MeSH terms:
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Arthralgia
Myalgia
Emergencies
Headache
Neck Pain
Chest Pain
Abdominal Pain
Pain
Neurologic Manifestations
 Disease Attributes
Pathologic Processes
Signs and Symptoms, Digestive
Joint Diseases
Musculoskeletal Diseases
Muscular Diseases
Neuromuscular Diseases
Nervous System Diseases
Musculoskeletal Pain