Positive Appraisal Improve Trust Between Patients and Therapists, and Change Treatment Effects

NCT ID: NCT02799628

Last Updated: 2018-09-26

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 32 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2016-07-31
• Study Completion Date: 2017-06-30

Brief Summary

The trust between patients and medical providers is the cornerstone to obtain success treatment. To boost the trust can increase medical prescription compliance, enhance patient satisfaction, and improve the effectiveness of treatment. Otherwise, mistrust between medical providers and patients will result in ineffective treatment and excessive defensive health care. This situation may cause medical dispute and medical resources wasting problems.

Most of treatment complete in a few times of admissions and interventions. So, how to improve the trust between patients and doctors quickly became a more knotty problem. Several studies found that speech (including listening, showing compassion, and take longer to explain), reputation, clothing, offer a newer therapy were more important than age, title, and sex.

However, past researches were restricted to an unclear causal relationship. That is they can't be determined whether good doctor-patient relationship and better trust conditions create a longer visit time, better satisfaction, and good reputation, or vice versa. They also unable to clarify whether the high degree of trust result in improved treatment effects, or good relationship result from good medical outcomes.

Investigators want to design a randomized control trial by giving patients recommendation and physical therapist introductions to enhance the trust of patients to therapists. And this study may verify whether enhance trust between therapists and patients will lead to changes in treatment effectiveness.

Conditions

Trust; Low Back Pain

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: QUADRUPLE

Study Groups

intervention

1. Give the physical therapy of low back pain educational video + therapist introduction and recommendation video, at the first time of clinic visit.

2. Physical therapy with hot packing + interference current therapy + pelvic traction + therapeutic exercise, 3 times per week for 4 weeks.

Group Type: ACTIVE_COMPARATOR

intervention

Intervention Type: BEHAVIORAL

intervention with recommendation and therapist introduction

placebo

Intervention Type: OTHER

low back pain education, and physical therapy 3 times per week

placebo

1. Give the physical therapy of low back pain educational video, at the first time of clinic visit.

2. Physical therapy with hot packing + interference current therapy + pelvic traction + therapeutic exercise, 3 times per week for 4 weeks.

Group Type: PLACEBO_COMPARATOR

placebo

Intervention Type: OTHER

low back pain education, and physical therapy 3 times per week

Interventions

intervention

intervention with recommendation and therapist introduction

Intervention Type: BEHAVIORAL

placebo

low back pain education, and physical therapy 3 times per week

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

1. First time visit to Taoyuan general hospital rehabilitation ward at 2016/07/01~2017/12/31

2. Diagnosis with L spine spondylosis, L spine Herniated Inter-vertebral Disc, or non-acute low back muscle strain

3. Suitable for physical therapy with ( Hot packing + interference current therapy + pelvic traction + therapeutic exercise )

4. most pain score >2

Exclusion Criteria

1. poor of follow oral order, or patients who can't understand Chinese, including patients with aphasia or dementia

2. patient who can not received 4 weeks of physical therapy

3. other cause of low back pain which can't treatment with physical therapy, including : (Urinary tract stones, infection, rapid progression disease which need immediately operation)

• Minimum Eligible Age: 18 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Taoyuan General Hospital

OTHER_GOV

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Huan-Jui Yeh

Role: PRINCIPAL_INVESTIGATOR

Department of Physical Medicine and Rehabilitation, Taoyuan General Hospital, Ministry of Health and Welfare, Taiwan

Locations

Taoyuan general hospital

Taoyuan District, , Taiwan

Countries

Taiwan

Other Identifiers

TYGH104046

Identifier Type: -

Identifier Source: org_study_id