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Impact of Early Implementation of Narrative Medicine Techniques on Patient Centered Attitudes of Medical Students

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ClinicalTrials.gov Identifier: NCT03041571
Recruitment Status : Suspended (PI is no longer with UF. No New PI assigned to date.)
First Posted : February 2, 2017
Last Update Posted : January 24, 2019
Sponsor:
Information provided by (Responsible Party):
University of Florida

Brief Summary:

A qualitative study assessing the impact of early narrative medicine practice on Medical Honors Program (MHP) students' attitudes regarding patient-centered interactions, through interviewing patients with chronic or life-limiting illnesses to obtain their illness stories.

MHP students will develop a patient narrative for the patients interviewed. These narratives will be edited by the patient, and, with the permission of the patients, may be published as a collection of stories.


Condition or disease Intervention/treatment
Narrative Medicine Chronic Disease Terminal Illness Cancer Diabetes Mellitus Cystic Fibrosis Rheumatologic Disorder Oncologic Disorders Hematologic Diseases Behavioral: Patient Provider Orientation Scale Behavioral: Interview performed by MHP student

  Show Detailed Description

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Study Type : Observational
Estimated Enrollment : 28 participants
Observational Model: Cohort
Time Perspective: Prospective
Official Title: Patients to People: Examining the Effects of Early Implementation of Narrative Medicine Techniques on Patient Centered Attitudes in Medical Students. A Qualitative Study
Actual Study Start Date : March 1, 2017
Estimated Primary Completion Date : January 2020
Estimated Study Completion Date : January 31, 2020

Resource links provided by the National Library of Medicine


Group/Cohort Intervention/treatment
Medical Honors Students
The Medical Honors Program students will fill out the Patient Provider Orientation Scale (PPOS). MHP students will then interview a patient with a chronic or life limiting illness.
Behavioral: Patient Provider Orientation Scale
Investigators are interested in the impact that our activity has on the students' patient-centeredness. Investigators will use the Patient-Practitioner Orientation Scale (PPOS), which will be completed by both the student and the patient prior to the encounter. Following the interview, the co-investigators will lead a discussion with the patient and student. Investigators will discuss differences in patient and student PPOS scores, and how each party felt the interview went. Investigators will examine if the patients feel the interview differed from typical interactions with health care providers, and how this made the patient feel. The students will describe what was learned from the patients story as well as try to explore reasons why providers may not always learn the patient's illness story.

Behavioral: Interview performed by MHP student
The MHP students took a course called Medical Humanities in the fall of 2016. MHP students learned patient interviewing skills and the importance of gathering the patients "illness story". The students will conduct an interview with a patient with chronic illness, which will be focused on gather information about how the patients illness affects daily life as well as interactions with the health care system.

Patients with chronic illnesses
The patients will fill out the PPOS scale. The patient will then have an Interview performed by MHP student
Behavioral: Patient Provider Orientation Scale
Investigators are interested in the impact that our activity has on the students' patient-centeredness. Investigators will use the Patient-Practitioner Orientation Scale (PPOS), which will be completed by both the student and the patient prior to the encounter. Following the interview, the co-investigators will lead a discussion with the patient and student. Investigators will discuss differences in patient and student PPOS scores, and how each party felt the interview went. Investigators will examine if the patients feel the interview differed from typical interactions with health care providers, and how this made the patient feel. The students will describe what was learned from the patients story as well as try to explore reasons why providers may not always learn the patient's illness story.

Behavioral: Interview performed by MHP student
The MHP students took a course called Medical Humanities in the fall of 2016. MHP students learned patient interviewing skills and the importance of gathering the patients "illness story". The students will conduct an interview with a patient with chronic illness, which will be focused on gather information about how the patients illness affects daily life as well as interactions with the health care system.




Primary Outcome Measures :
  1. Patient provider orientation scale score (PPOS) [ Time Frame: baseline ]
    The PPOS is an 18 item questionnaire developed to evaluate patient centered care. The items are rated on a 6 point Likert-type scale. It has two separate parts, sharing and caring, that can be either summed or divided for scoring purposes. Higher scores indicate more patient centeredness.


Secondary Outcome Measures :
  1. Patient provider orientation scale- "Sharing" portion [ Time Frame: baseline ]
    Total from the questions related to "sharing" on the PPOS. The sharing portion relates to how open the provider is in sharing power in the patient-physician relationship, or in the case of the patient filling out the form, how much the patient wishes to share the power in the patient-physician relationship.

  2. Patient provider orientation scale- "Caring" portion [ Time Frame: baseline ]
    Total from the questions related to "caring" on the PPOS. The caring portion relates to how oriented the provider is in caring for the patient as a person and not just a disease.

  3. Patient and Student post-interview discussion [ Time Frame: immediately post-interview, up to 1 day ]
    qualitative measurement of topics and themes discussed in immediate post-interview discussion between the co-investigator, MHP student, and patient

  4. Medical honors students focus group [ Time Frame: following completion of all MHP/Patient interviews, up to 4 months ]
    qualitative measurement of topics and themes discussed in the focus group held following all MHP students completing their individual interviews



Information from the National Library of Medicine

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.


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Ages Eligible for Study:   8 Years to 100 Years   (Child, Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Sampling Method:   Non-Probability Sample
Study Population
Study population is two-fold. First the MHP students will be recruited and consented. Their participation is voluntary and will not affect their grades. Second, patients will be recruited based on the inclusion and exclusion criteria.
Criteria

Inclusion Criteria:

  • Patient inclusion criteria:

    • Patient of Shands UF Health or Shands Children's hospital
    • Children must be at least 8 years old
    • Patients diagnosed with chronic or potentially life-limiting illnesses
    • Patients must be English speaking
  • Student Inclusion criteria

    • UF students enrolled in the Medical Honors Program
    • Medical Honors students must be up to date on HIPAA training and Confidentiality statement agreement
    • Students must take the Medical Humanities course
    • UF college of medicine students

Exclusion Criteria:

  • Patient exclusion criteria:

    • Anyone that the medical social worker or Child life specialist feels would be unwilling or unable to participate in the study
    • Patients who at the time of interview are unfit to communicate (ex. Ventilated, comatose)
    • Patients less than eight years old
    • Patients that do not speak English
  • Student exclusion criteria:

    • Students not enrolled in the UF College of Medicine
    • Students not enrolled in the Medical Humanities course

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): NCT03041571


Locations
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United States, Florida
University of Florida
Gainesville, Florida, United States, 32611
Sponsors and Collaborators
University of Florida
Investigators
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Principal Investigator: Robert Lawrence, MD University of Florida

Additional Information:
Publications of Results:
Other Publications:
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Responsible Party: University of Florida
ClinicalTrials.gov Identifier: NCT03041571     History of Changes
Other Study ID Numbers: IRB201601597
First Posted: February 2, 2017    Key Record Dates
Last Update Posted: January 24, 2019
Last Verified: October 2018
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Additional relevant MeSH terms:
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Rheumatic Diseases
Cystic Fibrosis
Hematologic Diseases
Collagen Diseases
Disease
Chronic Disease
Pathologic Processes
Pancreatic Diseases
Digestive System Diseases
Lung Diseases
Respiratory Tract Diseases
Genetic Diseases, Inborn
Infant, Newborn, Diseases
Disease Attributes
Connective Tissue Diseases
Musculoskeletal Diseases