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Analyzing Challenging Clinical Discussions in Orthopaedics

NCT ID: NCT03058393

Last Updated: 2019-12-17

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

NA

Total Enrollment

7 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-04-17

Study Completion Date

2018-11-07

Brief Summary

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The goal of this study is to analyze patient:provider communication surrounding the discussion of difficult clinical conversations such as knee replacement options. This study will also examine how using the teach-back communication technique can improve communication between patients and providers. Orthopedic residents, fellows, physician assistants, and attendings that agree to participate will be consented. Patients, who are likely to engage in a difficult clinical conversation, such as those who have a clinical indication for a Total Knee Replacement or a Partial Knee Replacement, will be recruited from participating providers clinical schedules. Patient:provider interactions will be recorded and then the providers will attend a 1 hour education lecture about how to use teach-back. After attending the lecture, additional patient:provider interactions will be recorded and analyzed via a qualitative approach. Additionally, providers will participate in a semi-structured interview to capture their perceptions of teach-back and what challenges and benefits they may derive from using it.

Detailed Description

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Conditions

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Teach-Back Communication Arthritis Knee Osteoarthritis Knee Arthropathy

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

NONE

Study Groups

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Teach-Back Group

A teach-back lesson will be provided to physician participants (Teach-Back Group), who are participating in challenging clinical discussions with patients

Group Type EXPERIMENTAL

Teach-Back Lesson

Intervention Type OTHER

A teach-back lesson will be given to providers (teach-back group) who have challenging clinical discussions with patients

Interventions

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Teach-Back Lesson

A teach-back lesson will be given to providers (teach-back group) who have challenging clinical discussions with patients

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Age 18 years and older
* Clinical indication for multiple treatment options


* Age 18 years and older
* A resident, fellow, physician assistant, or attending in the Duke Department of Orthopaedic Surgery

Exclusion criterion (Provider Participants):

• Non-English speaking

Exclusion Criteria

* Non-English speaking
* Minors or non-consenting other individuals (spouses, friends, family members, children) in the patient room during the clinical visit
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Duke University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Richard C Mather III, MD, MBA

Role: PRINCIPAL_INVESTIGATOR

Duke University

Locations

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Duke University Health System

Durham, North Carolina, United States

Site Status

Countries

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United States

Other Identifiers

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Pro00079809

Identifier Type: -

Identifier Source: org_study_id