Trial Outcomes & Findings for Improving Communication Between Cancer Patients & Oncologists (NCT NCT02969031)
NCT ID: NCT02969031
Last Updated: 2020-01-03
Results Overview
The score measures the construct of patient's perception of attentive response by the medical oncologist during recalled office encounters over 12 months. Patients completed the Clinician Group Consumer Assessment of Healthcare Providers and Systems (CG-CAHPS©) Version 1.0 questionnaire via computer or phone Interactive Voice Response (IVR) system.The Provider to Patient Communication Score:(1) Provider explained things in a way that was easy to understand (2) Provider listened carefully to patient (3) Provider showed respect for what patient had to say (4) Provider spent enough time with patient. Coded as 1 (Yes, definitely), 2 (Yes, somewhat), 3 (No), or 4 (I prefer not to answer).Obtained aggregate score ((1) to (3) above), calculated avg. of the scores to each question. Avgs. modeled with linear mixed-effect model. Analyzed data in both cases where a) missing responses are dropped from data and b) missing responses are kept in dataset. Lower score indicates more desirable outcome.
COMPLETED
NA
148 participants
6 months
2020-01-03
Participant Flow
Participant milestones
| Measure |
Enhanced SCOPE Training
Complete a baseline questionnaire, administer satisfaction surveys anonymously to a sample of their patients, audio record (using a smartphone application) eight clinic visits with eight different patients. Receive survey feedback as well as the enhanced SCOPE program that provides feedback on their audio-recorded encounters via a web-based interactive program.
Enhanced SCOPE training: Intervention is integrated into the American Board of Internal Medicine (ABIM) Maintenance Of Certification (MOC) process.
|
Standard Communication Training
Complete a baseline questionnaire, administer satisfaction surveys anonymously to a sample of their patients. Receive the results of the patient surveys and be asked to conduct a quality improvement activity of their own design that responds to the feedback (the current "standard" communication PIM).
Standard Communication training: Standard Communication training
|
|---|---|---|
|
Enrolled and Randomized
STARTED
|
73
|
75
|
|
Enrolled and Randomized
COMPLETED
|
73
|
75
|
|
Enrolled and Randomized
NOT COMPLETED
|
0
|
0
|
|
Collection of Baseline Surveys
STARTED
|
73
|
75
|
|
Collection of Baseline Surveys
COMPLETED
|
34
|
23
|
|
Collection of Baseline Surveys
NOT COMPLETED
|
39
|
52
|
|
Collection of Baseline Recordings
STARTED
|
34
|
23
|
|
Collection of Baseline Recordings
COMPLETED
|
22
|
18
|
|
Collection of Baseline Recordings
NOT COMPLETED
|
12
|
5
|
|
Completed Intervention
STARTED
|
22
|
18
|
|
Completed Intervention
COMPLETED
|
15
|
14
|
|
Completed Intervention
NOT COMPLETED
|
7
|
4
|
|
Collection of Follow-Up Surveys
STARTED
|
15
|
14
|
|
Collection of Follow-Up Surveys
COMPLETED
|
15
|
12
|
|
Collection of Follow-Up Surveys
NOT COMPLETED
|
0
|
2
|
|
Collection of Follow-Up Recordings
STARTED
|
15
|
12
|
|
Collection of Follow-Up Recordings
COMPLETED
|
15
|
12
|
|
Collection of Follow-Up Recordings
NOT COMPLETED
|
0
|
0
|
|
Completed and Analyzed
STARTED
|
15
|
12
|
|
Completed and Analyzed
COMPLETED
|
15
|
12
|
|
Completed and Analyzed
NOT COMPLETED
|
0
|
0
|
Reasons for withdrawal
Withdrawal data not reported
Baseline Characteristics
Improving Communication Between Cancer Patients & Oncologists
Baseline characteristics by cohort
| Measure |
Enhanced SCOPE Training
n=15 Participants
Complete a baseline questionnaire, administer satisfaction surveys anonymously to a sample of their patients, audio record (using a smartphone application) eight clinic visits with eight different patients. Receive survey feedback as well as the enhanced SCOPE program that provides feedback on their audio-recorded encounters via a web-based interactive program.
Enhanced SCOPE training: Intervention is integrated into the American Board of Internal Medicine (ABIM) Maintenance Of Certification (MOC) process.
|
Standard Communication Training
n=12 Participants
Complete a baseline questionnaire, administer satisfaction surveys anonymously to a sample of their patients. Receive the results of the patient surveys and be asked to conduct a quality improvement activity of their own design that responds to the feedback (the current "standard" communication PIM).
Standard Communication training: Standard Communication training
|
Total
n=27 Participants
Total of all reporting groups
|
|---|---|---|---|
|
Age, Continuous
|
53.00 years
STANDARD_DEVIATION 9.8 • n=5 Participants
|
51.92 years
STANDARD_DEVIATION 9.0 • n=7 Participants
|
52.52 years
STANDARD_DEVIATION 9.3 • n=5 Participants
|
|
Sex: Female, Male
Female
|
3 Participants
n=5 Participants
|
1 Participants
n=7 Participants
|
4 Participants
n=5 Participants
|
|
Sex: Female, Male
Male
|
12 Participants
n=5 Participants
|
11 Participants
n=7 Participants
|
23 Participants
n=5 Participants
|
|
Race (NIH/OMB)
American Indian or Alaska Native
|
0 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
0 Participants
n=5 Participants
|
|
Race (NIH/OMB)
Asian
|
4 Participants
n=5 Participants
|
3 Participants
n=7 Participants
|
7 Participants
n=5 Participants
|
|
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
|
0 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
0 Participants
n=5 Participants
|
|
Race (NIH/OMB)
Black or African American
|
1 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
1 Participants
n=5 Participants
|
|
Race (NIH/OMB)
White
|
10 Participants
n=5 Participants
|
9 Participants
n=7 Participants
|
19 Participants
n=5 Participants
|
|
Race (NIH/OMB)
More than one race
|
0 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
0 Participants
n=5 Participants
|
|
Race (NIH/OMB)
Unknown or Not Reported
|
0 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
0 Participants
n=5 Participants
|
|
Religion
Christian
|
9 Participants
n=5 Participants
|
8 Participants
n=7 Participants
|
17 Participants
n=5 Participants
|
|
Religion
Jewish
|
0 Participants
n=5 Participants
|
1 Participants
n=7 Participants
|
1 Participants
n=5 Participants
|
|
Religion
Islamic/Muslim
|
1 Participants
n=5 Participants
|
2 Participants
n=7 Participants
|
3 Participants
n=5 Participants
|
|
Religion
Buddhist/Hindu/Eastern
|
1 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
1 Participants
n=5 Participants
|
|
Religion
No Affiliation
|
4 Participants
n=5 Participants
|
1 Participants
n=7 Participants
|
5 Participants
n=5 Participants
|
|
Previous Training
Medical School
|
4 Participants
n=5 Participants
|
4 Participants
n=7 Participants
|
8 Participants
n=5 Participants
|
|
Previous Training
Residency
|
4 Participants
n=5 Participants
|
3 Participants
n=7 Participants
|
7 Participants
n=5 Participants
|
|
Previous Training
Fellowship
|
2 Participants
n=5 Participants
|
4 Participants
n=7 Participants
|
6 Participants
n=5 Participants
|
|
Previous Training
Practice Training
|
6 Participants
n=5 Participants
|
2 Participants
n=7 Participants
|
8 Participants
n=5 Participants
|
|
Previous Training
No Previous Training
|
5 Participants
n=5 Participants
|
5 Participants
n=7 Participants
|
10 Participants
n=5 Participants
|
|
Social vs. Technical Inclination
Social and Behavioral
|
10 Participants
n=5 Participants
|
5 Participants
n=7 Participants
|
15 Participants
n=5 Participants
|
|
Social vs. Technical Inclination
Technical and Scientific
|
5 Participants
n=5 Participants
|
7 Participants
n=7 Participants
|
12 Participants
n=5 Participants
|
PRIMARY outcome
Timeframe: 6 monthsThe score measures the construct of patient's perception of attentive response by the medical oncologist during recalled office encounters over 12 months. Patients completed the Clinician Group Consumer Assessment of Healthcare Providers and Systems (CG-CAHPS©) Version 1.0 questionnaire via computer or phone Interactive Voice Response (IVR) system.The Provider to Patient Communication Score:(1) Provider explained things in a way that was easy to understand (2) Provider listened carefully to patient (3) Provider showed respect for what patient had to say (4) Provider spent enough time with patient. Coded as 1 (Yes, definitely), 2 (Yes, somewhat), 3 (No), or 4 (I prefer not to answer).Obtained aggregate score ((1) to (3) above), calculated avg. of the scores to each question. Avgs. modeled with linear mixed-effect model. Analyzed data in both cases where a) missing responses are dropped from data and b) missing responses are kept in dataset. Lower score indicates more desirable outcome.
Outcome measures
| Measure |
Enhanced SCOPE Training
n=15 Participants
Complete a baseline questionnaire, administer satisfaction surveys anonymously to a sample of their patients, audio record (using a smartphone application) eight clinic visits with eight different patients. Receive survey feedback as well as the enhanced SCOPE program that provides feedback on their audio-recorded encounters via a web-based interactive program.
Enhanced SCOPE training: Intervention is integrated into the American Board of Internal Medicine (ABIM) Maintenance Of Certification (MOC) process.
|
Standard Communication Training
n=12 Participants
Complete a baseline questionnaire, administer satisfaction surveys anonymously to a sample of their patients. Receive the results of the patient surveys and be asked to conduct a quality improvement activity of their own design that responds to the feedback (the current "standard" communication PIM).
Standard Communication training: Standard Communication training
|
|---|---|---|
|
Provider to Patient Communication Score
|
1.0423 score on a scale
Standard Deviation 0.1380
|
1.0723 score on a scale
Standard Deviation 0.2049
|
SECONDARY outcome
Timeframe: 6 monthsWhat does the outcome measure? The outcome measures the construct of a physician's skill at providing appropriate empathic responses to patient's expressions of emotional concerns. The measure is the ratio of the number of empathic responses to the total empathic opportunities that occur during a provider-patient encounter. How is the outcome measured? The provider-patient encounters are audio recorded. Trained listeners review, score and code the physician responses from the audio-recorded conversations. This code indicates an empathic opportunity. Behaviors that represent appropriate empathic responses are also coded.
Outcome measures
| Measure |
Enhanced SCOPE Training
n=15 Participants
Complete a baseline questionnaire, administer satisfaction surveys anonymously to a sample of their patients, audio record (using a smartphone application) eight clinic visits with eight different patients. Receive survey feedback as well as the enhanced SCOPE program that provides feedback on their audio-recorded encounters via a web-based interactive program.
Enhanced SCOPE training: Intervention is integrated into the American Board of Internal Medicine (ABIM) Maintenance Of Certification (MOC) process.
|
Standard Communication Training
n=12 Participants
Complete a baseline questionnaire, administer satisfaction surveys anonymously to a sample of their patients. Receive the results of the patient surveys and be asked to conduct a quality improvement activity of their own design that responds to the feedback (the current "standard" communication PIM).
Standard Communication training: Standard Communication training
|
|---|---|---|
|
Empathic Response to Patient Expressions of Negative Emotions
|
0.2054 # empathic responses/# empathic opportun
Standard Deviation 0.2678
|
0.1203 # empathic responses/# empathic opportun
Standard Deviation 0.2735
|
Adverse Events
Enhanced SCOPE Training
Standard Communication Training
Serious adverse events
Adverse event data not reported
Other adverse events
Adverse event data not reported
Additional Information
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place