Trial Outcomes & Findings for Communication Coaching to Improve Patient and Clinician Satisfaction in Cardiology Encounters (NCT NCT03464110)
NCT ID: NCT03464110
Last Updated: 2024-05-28
Results Overview
WISER is based on established codebooks (i.e., Motivational Interviewing Treatment Integrity manual, and Suchman's codebook for patient emotion and physician empathic responses). Communication coaches taught five skills: 1) sitting down and making eye contact with all in the room, 2) open-ended questions, 3) reflective statements, 4) empathic statements, and 5) "What questions do you have?". Reported here is the number of Reflective Statements made.
COMPLETED
NA
280 participants
One encounter, up to approximately 1 hour
2024-05-28
Participant Flow
Participant milestones
| Measure |
Standard of Care - Physicians
Investigator will compare patients randomized into the intervention group to those who receive standard of care.
|
Communication Intervention - Physicians
The intervention will contain elements of Motivational Interviewing coaching but also will teach providers how to address patient emotion and increase the efficiency of their visits. Clinicians randomized to the intervention will receive a tailored communication coaching intervention that includes didactic elements, audio recording encounters and providing feedback, and role-playing.
Communication Intervention: . The intervention will contain elements of Motivational Interviewing coaching but also will teach providers how to address patient emotion and increase the efficiency of their visits. Clinicians randomized to the intervention will receive a tailored communication coaching intervention that includes didactic elements, audio recording encounters and providing feedback, and role-playing.
|
Standard of Care - Patients
Investigator will compare patients randomized into the intervention group to those who receive standard of care.
|
Communication Intervention - Patients
The intervention will contain elements of Motivational Interviewing coaching but also will teach providers how to address patient emotion and increase the efficiency of their visits. Clinicians randomized to the intervention will receive a tailored communication coaching intervention that includes didactic elements, audio recording encounters and providing feedback, and role-playing.
Communication Intervention: . The intervention will contain elements of Motivational Interviewing coaching but also will teach providers how to address patient emotion and increase the efficiency of their visits. Clinicians randomized to the intervention will receive a tailored communication coaching intervention that includes didactic elements, audio recording encounters and providing feedback, and role-playing.
|
|---|---|---|---|---|
|
Overall Study
STARTED
|
20
|
20
|
120
|
120
|
|
Overall Study
COMPLETED
|
20
|
20
|
120
|
120
|
|
Overall Study
NOT COMPLETED
|
0
|
0
|
0
|
0
|
Reasons for withdrawal
Withdrawal data not reported
Baseline Characteristics
Only applicable to Providers. This data was not collected for patients - not applicable.
Baseline characteristics by cohort
| Measure |
Standard of Care (Provider)
n=20 Participants
Control cardiology providers. Receiving no intervention.
|
Communication Intervention (Provider)
n=20 Participants
The intervention will contain elements of Motivational Interviewing coaching but also will teach providers how to address patient emotion and increase the efficiency of their visits. Clinicians randomized to the intervention will receive a tailored communication coaching intervention that includes didactic elements, audio recording encounters and providing feedback, and role-playing.
Communication Intervention: . The intervention will contain elements of Motivational Interviewing coaching but also will teach providers how to address patient emotion and increase the efficiency of their visits. Clinicians randomized to the intervention will receive a tailored communication coaching intervention that includes didactic elements, audio recording encounters and providing feedback, and role-playing.
|
Standard of Care (Patient)
n=120 Participants
Patients seen by standard of care (control) cardiology providers.
|
Communication Intervention (Patient)
n=120 Participants
Patients seen by cardiologists who received the communication coaching intervention.
|
Total
n=280 Participants
Total of all reporting groups
|
|---|---|---|---|---|---|
|
Age, Continuous
|
48 years
STANDARD_DEVIATION 9 • n=20 Participants
|
46 years
STANDARD_DEVIATION 9 • n=20 Participants
|
60 years
STANDARD_DEVIATION 14 • n=120 Participants
|
56 years
STANDARD_DEVIATION 15 • n=120 Participants
|
56.4 years
STANDARD_DEVIATION 12.4 • n=280 Participants
|
|
Sex: Female, Male
Female
|
4 Participants
n=20 Participants
|
3 Participants
n=20 Participants
|
65 Participants
n=120 Participants
|
61 Participants
n=120 Participants
|
133 Participants
n=280 Participants
|
|
Sex: Female, Male
Male
|
16 Participants
n=20 Participants
|
17 Participants
n=20 Participants
|
55 Participants
n=120 Participants
|
59 Participants
n=120 Participants
|
147 Participants
n=280 Participants
|
|
Ethnicity (NIH/OMB)
Hispanic or Latino
|
2 Participants
n=20 Participants
|
1 Participants
n=20 Participants
|
1 Participants
n=120 Participants
|
1 Participants
n=120 Participants
|
5 Participants
n=280 Participants
|
|
Ethnicity (NIH/OMB)
Not Hispanic or Latino
|
18 Participants
n=20 Participants
|
19 Participants
n=20 Participants
|
119 Participants
n=120 Participants
|
119 Participants
n=120 Participants
|
275 Participants
n=280 Participants
|
|
Ethnicity (NIH/OMB)
Unknown or Not Reported
|
0 Participants
n=20 Participants
|
0 Participants
n=20 Participants
|
0 Participants
n=120 Participants
|
0 Participants
n=120 Participants
|
0 Participants
n=280 Participants
|
|
Race (NIH/OMB)
American Indian or Alaska Native
|
0 Participants
n=20 Participants
|
0 Participants
n=20 Participants
|
0 Participants
n=120 Participants
|
0 Participants
n=120 Participants
|
0 Participants
n=280 Participants
|
|
Race (NIH/OMB)
Asian
|
6 Participants
n=20 Participants
|
4 Participants
n=20 Participants
|
0 Participants
n=120 Participants
|
0 Participants
n=120 Participants
|
10 Participants
n=280 Participants
|
|
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
|
0 Participants
n=20 Participants
|
0 Participants
n=20 Participants
|
0 Participants
n=120 Participants
|
0 Participants
n=120 Participants
|
0 Participants
n=280 Participants
|
|
Race (NIH/OMB)
Black or African American
|
2 Participants
n=20 Participants
|
0 Participants
n=20 Participants
|
60 Participants
n=120 Participants
|
58 Participants
n=120 Participants
|
120 Participants
n=280 Participants
|
|
Race (NIH/OMB)
White
|
9 Participants
n=20 Participants
|
16 Participants
n=20 Participants
|
60 Participants
n=120 Participants
|
62 Participants
n=120 Participants
|
147 Participants
n=280 Participants
|
|
Race (NIH/OMB)
More than one race
|
3 Participants
n=20 Participants
|
0 Participants
n=20 Participants
|
0 Participants
n=120 Participants
|
0 Participants
n=120 Participants
|
3 Participants
n=280 Participants
|
|
Race (NIH/OMB)
Unknown or Not Reported
|
0 Participants
n=20 Participants
|
0 Participants
n=20 Participants
|
0 Participants
n=120 Participants
|
0 Participants
n=120 Participants
|
0 Participants
n=280 Participants
|
|
Average Number of Direct Patient Care Hours per Week
|
32 hours per week
STANDARD_DEVIATION 14 • n=20 Participants • Only applicable to Providers. This data was not collected for patients - not applicable.
|
29 hours per week
STANDARD_DEVIATION 15 • n=20 Participants • Only applicable to Providers. This data was not collected for patients - not applicable.
|
—
|
—
|
30 hours per week
STANDARD_DEVIATION 15 • n=40 Participants • Only applicable to Providers. This data was not collected for patients - not applicable.
|
|
Type of visit
Procedural
|
7 Participants
n=20 Participants • Only applicable to Providers. This data was not collected for patients - not applicable.
|
8 Participants
n=20 Participants • Only applicable to Providers. This data was not collected for patients - not applicable.
|
—
|
—
|
15 Participants
n=40 Participants • Only applicable to Providers. This data was not collected for patients - not applicable.
|
|
Type of visit
Non-procedural
|
13 Participants
n=20 Participants • Only applicable to Providers. This data was not collected for patients - not applicable.
|
12 Participants
n=20 Participants • Only applicable to Providers. This data was not collected for patients - not applicable.
|
—
|
—
|
25 Participants
n=40 Participants • Only applicable to Providers. This data was not collected for patients - not applicable.
|
|
No prior communication training
|
13 Participants
n=20 Participants • Only applicable to Providers. This data was not collected for patients - not applicable.
|
14 Participants
n=20 Participants • Only applicable to Providers. This data was not collected for patients - not applicable.
|
—
|
—
|
27 Participants
n=40 Participants • Only applicable to Providers. This data was not collected for patients - not applicable.
|
|
Practice Specialty
General
|
8 Participants
n=20 Participants • Only applicable to Providers. This data was not collected for patients - not applicable.
|
6 Participants
n=20 Participants • Only applicable to Providers. This data was not collected for patients - not applicable.
|
—
|
—
|
14 Participants
n=40 Participants • Only applicable to Providers. This data was not collected for patients - not applicable.
|
|
Practice Specialty
Electrophysiology
|
3 Participants
n=20 Participants • Only applicable to Providers. This data was not collected for patients - not applicable.
|
4 Participants
n=20 Participants • Only applicable to Providers. This data was not collected for patients - not applicable.
|
—
|
—
|
7 Participants
n=40 Participants • Only applicable to Providers. This data was not collected for patients - not applicable.
|
|
Practice Specialty
Interventional
|
4 Participants
n=20 Participants • Only applicable to Providers. This data was not collected for patients - not applicable.
|
3 Participants
n=20 Participants • Only applicable to Providers. This data was not collected for patients - not applicable.
|
—
|
—
|
7 Participants
n=40 Participants • Only applicable to Providers. This data was not collected for patients - not applicable.
|
|
Practice Specialty
Advanced Heart Failure
|
3 Participants
n=20 Participants • Only applicable to Providers. This data was not collected for patients - not applicable.
|
5 Participants
n=20 Participants • Only applicable to Providers. This data was not collected for patients - not applicable.
|
—
|
—
|
8 Participants
n=40 Participants • Only applicable to Providers. This data was not collected for patients - not applicable.
|
|
Practice Specialty
Cardiac Imaging
|
2 Participants
n=20 Participants • Only applicable to Providers. This data was not collected for patients - not applicable.
|
1 Participants
n=20 Participants • Only applicable to Providers. This data was not collected for patients - not applicable.
|
—
|
—
|
3 Participants
n=40 Participants • Only applicable to Providers. This data was not collected for patients - not applicable.
|
|
Practice Specialty
Congenital disease
|
0 Participants
n=20 Participants • Only applicable to Providers. This data was not collected for patients - not applicable.
|
1 Participants
n=20 Participants • Only applicable to Providers. This data was not collected for patients - not applicable.
|
—
|
—
|
1 Participants
n=40 Participants • Only applicable to Providers. This data was not collected for patients - not applicable.
|
|
Years in Practice
Less than a Year
|
1 Participants
n=20 Participants • Only applicable to Providers. This data was not collected for patients - not applicable.
|
0 Participants
n=20 Participants • Only applicable to Providers. This data was not collected for patients - not applicable.
|
—
|
—
|
1 Participants
n=40 Participants • Only applicable to Providers. This data was not collected for patients - not applicable.
|
|
Years in Practice
1-5 Years
|
3 Participants
n=20 Participants • Only applicable to Providers. This data was not collected for patients - not applicable.
|
0 Participants
n=20 Participants • Only applicable to Providers. This data was not collected for patients - not applicable.
|
—
|
—
|
3 Participants
n=40 Participants • Only applicable to Providers. This data was not collected for patients - not applicable.
|
|
Years in Practice
6-10 Years
|
2 Participants
n=20 Participants • Only applicable to Providers. This data was not collected for patients - not applicable.
|
5 Participants
n=20 Participants • Only applicable to Providers. This data was not collected for patients - not applicable.
|
—
|
—
|
7 Participants
n=40 Participants • Only applicable to Providers. This data was not collected for patients - not applicable.
|
|
Years in Practice
11-15 Years
|
3 Participants
n=20 Participants • Only applicable to Providers. This data was not collected for patients - not applicable.
|
6 Participants
n=20 Participants • Only applicable to Providers. This data was not collected for patients - not applicable.
|
—
|
—
|
9 Participants
n=40 Participants • Only applicable to Providers. This data was not collected for patients - not applicable.
|
|
Years in Practice
More than 15 Years
|
11 Participants
n=20 Participants • Only applicable to Providers. This data was not collected for patients - not applicable.
|
9 Participants
n=20 Participants • Only applicable to Providers. This data was not collected for patients - not applicable.
|
—
|
—
|
20 Participants
n=40 Participants • Only applicable to Providers. This data was not collected for patients - not applicable.
|
|
Years in Practice
Prefer not to answer
|
0 Participants
n=20 Participants • Only applicable to Providers. This data was not collected for patients - not applicable.
|
0 Participants
n=20 Participants • Only applicable to Providers. This data was not collected for patients - not applicable.
|
—
|
—
|
0 Participants
n=40 Participants • Only applicable to Providers. This data was not collected for patients - not applicable.
|
|
Patient Education
Eighth Grade or Less
|
—
|
—
|
1 Participants
n=120 Participants • Only applicable to Patients. This data was not collected for providers - not applicable.
|
0 Participants
n=120 Participants • Only applicable to Patients. This data was not collected for providers - not applicable.
|
1 Participants
n=240 Participants • Only applicable to Patients. This data was not collected for providers - not applicable.
|
|
Patient Education
Some High School. Completed high school or GED.
|
—
|
—
|
24 Participants
n=120 Participants • Only applicable to Patients. This data was not collected for providers - not applicable.
|
29 Participants
n=120 Participants • Only applicable to Patients. This data was not collected for providers - not applicable.
|
53 Participants
n=240 Participants • Only applicable to Patients. This data was not collected for providers - not applicable.
|
|
Patient Education
Vocational or trade school
|
—
|
—
|
8 Participants
n=120 Participants • Only applicable to Patients. This data was not collected for providers - not applicable.
|
7 Participants
n=120 Participants • Only applicable to Patients. This data was not collected for providers - not applicable.
|
15 Participants
n=240 Participants • Only applicable to Patients. This data was not collected for providers - not applicable.
|
|
Patient Education
Some college or university but no degree
|
—
|
—
|
24 Participants
n=120 Participants • Only applicable to Patients. This data was not collected for providers - not applicable.
|
15 Participants
n=120 Participants • Only applicable to Patients. This data was not collected for providers - not applicable.
|
39 Participants
n=240 Participants • Only applicable to Patients. This data was not collected for providers - not applicable.
|
|
Patient Education
Associate's degree from college or university
|
—
|
—
|
13 Participants
n=120 Participants • Only applicable to Patients. This data was not collected for providers - not applicable.
|
10 Participants
n=120 Participants • Only applicable to Patients. This data was not collected for providers - not applicable.
|
23 Participants
n=240 Participants • Only applicable to Patients. This data was not collected for providers - not applicable.
|
|
Patient Education
Bachelor's degree
|
—
|
—
|
21 Participants
n=120 Participants • Only applicable to Patients. This data was not collected for providers - not applicable.
|
25 Participants
n=120 Participants • Only applicable to Patients. This data was not collected for providers - not applicable.
|
46 Participants
n=240 Participants • Only applicable to Patients. This data was not collected for providers - not applicable.
|
|
Patient Education
Some graduate or professional school
|
—
|
—
|
6 Participants
n=120 Participants • Only applicable to Patients. This data was not collected for providers - not applicable.
|
2 Participants
n=120 Participants • Only applicable to Patients. This data was not collected for providers - not applicable.
|
8 Participants
n=240 Participants • Only applicable to Patients. This data was not collected for providers - not applicable.
|
|
Patient Education
Graduate or professional degree
|
—
|
—
|
20 Participants
n=120 Participants • Only applicable to Patients. This data was not collected for providers - not applicable.
|
28 Participants
n=120 Participants • Only applicable to Patients. This data was not collected for providers - not applicable.
|
48 Participants
n=240 Participants • Only applicable to Patients. This data was not collected for providers - not applicable.
|
|
Patient Education
Missing
|
—
|
—
|
3 Participants
n=120 Participants • Only applicable to Patients. This data was not collected for providers - not applicable.
|
4 Participants
n=120 Participants • Only applicable to Patients. This data was not collected for providers - not applicable.
|
7 Participants
n=240 Participants • Only applicable to Patients. This data was not collected for providers - not applicable.
|
|
Patient Marital Status
|
—
|
—
|
73 Participants
n=120 Participants • Only applicable to Patients. This data was not collected for providers - not applicable.
|
66 Participants
n=120 Participants • Only applicable to Patients. This data was not collected for providers - not applicable.
|
139 Participants
n=240 Participants • Only applicable to Patients. This data was not collected for providers - not applicable.
|
|
Patient Employment
|
—
|
—
|
42 Participants
n=120 Participants • Only applicable to Patients. This data was not collected for providers - not applicable.
|
43 Participants
n=120 Participants • Only applicable to Patients. This data was not collected for providers - not applicable.
|
85 Participants
n=240 Participants • Only applicable to Patients. This data was not collected for providers - not applicable.
|
|
Patient Insurance
Plan purchased via employer or union
|
—
|
—
|
40 Participants
n=120 Participants • Only applicable to Patients. This data was not collected for providers - not applicable.
|
49 Participants
n=120 Participants • Only applicable to Patients. This data was not collected for providers - not applicable.
|
89 Participants
n=240 Participants • Only applicable to Patients. This data was not collected for providers - not applicable.
|
|
Patient Insurance
Plan, self or family purchased
|
—
|
—
|
2 Participants
n=120 Participants • Only applicable to Patients. This data was not collected for providers - not applicable.
|
4 Participants
n=120 Participants • Only applicable to Patients. This data was not collected for providers - not applicable.
|
6 Participants
n=240 Participants • Only applicable to Patients. This data was not collected for providers - not applicable.
|
|
Patient Insurance
Medicare
|
—
|
—
|
57 Participants
n=120 Participants • Only applicable to Patients. This data was not collected for providers - not applicable.
|
38 Participants
n=120 Participants • Only applicable to Patients. This data was not collected for providers - not applicable.
|
95 Participants
n=240 Participants • Only applicable to Patients. This data was not collected for providers - not applicable.
|
|
Patient Insurance
Medicaid
|
—
|
—
|
11 Participants
n=120 Participants • Only applicable to Patients. This data was not collected for providers - not applicable.
|
16 Participants
n=120 Participants • Only applicable to Patients. This data was not collected for providers - not applicable.
|
27 Participants
n=240 Participants • Only applicable to Patients. This data was not collected for providers - not applicable.
|
|
Patient Insurance
TRICARE
|
—
|
—
|
2 Participants
n=120 Participants • Only applicable to Patients. This data was not collected for providers - not applicable.
|
6 Participants
n=120 Participants • Only applicable to Patients. This data was not collected for providers - not applicable.
|
8 Participants
n=240 Participants • Only applicable to Patients. This data was not collected for providers - not applicable.
|
|
Patient Insurance
Some other source
|
—
|
—
|
3 Participants
n=120 Participants • Only applicable to Patients. This data was not collected for providers - not applicable.
|
1 Participants
n=120 Participants • Only applicable to Patients. This data was not collected for providers - not applicable.
|
4 Participants
n=240 Participants • Only applicable to Patients. This data was not collected for providers - not applicable.
|
|
Patient Insurance
None
|
—
|
—
|
2 Participants
n=120 Participants • Only applicable to Patients. This data was not collected for providers - not applicable.
|
2 Participants
n=120 Participants • Only applicable to Patients. This data was not collected for providers - not applicable.
|
4 Participants
n=240 Participants • Only applicable to Patients. This data was not collected for providers - not applicable.
|
|
Patient Insurance
Missing
|
—
|
—
|
3 Participants
n=120 Participants • Only applicable to Patients. This data was not collected for providers - not applicable.
|
4 Participants
n=120 Participants • Only applicable to Patients. This data was not collected for providers - not applicable.
|
7 Participants
n=240 Participants • Only applicable to Patients. This data was not collected for providers - not applicable.
|
|
Patient Income
After paying the bills, you still have enough money for special things that you want
|
—
|
—
|
61 Participants
n=120 Participants • Only applicable to Patients. This data was not collected for providers - not applicable.
|
56 Participants
n=120 Participants • Only applicable to Patients. This data was not collected for providers - not applicable.
|
117 Participants
n=240 Participants • Only applicable to Patients. This data was not collected for providers - not applicable.
|
|
Patient Income
You have enough money to pay the bills, but little spare money to buy extra or special things
|
—
|
—
|
36 Participants
n=120 Participants • Only applicable to Patients. This data was not collected for providers - not applicable.
|
33 Participants
n=120 Participants • Only applicable to Patients. This data was not collected for providers - not applicable.
|
69 Participants
n=240 Participants • Only applicable to Patients. This data was not collected for providers - not applicable.
|
|
Patient Income
You have money to pay the bills, but only because you have cut back on things
|
—
|
—
|
10 Participants
n=120 Participants • Only applicable to Patients. This data was not collected for providers - not applicable.
|
8 Participants
n=120 Participants • Only applicable to Patients. This data was not collected for providers - not applicable.
|
18 Participants
n=240 Participants • Only applicable to Patients. This data was not collected for providers - not applicable.
|
|
Patient Income
You are having difficulty paying the bills, no matter what you do
|
—
|
—
|
6 Participants
n=120 Participants • Only applicable to Patients. This data was not collected for providers - not applicable.
|
6 Participants
n=120 Participants • Only applicable to Patients. This data was not collected for providers - not applicable.
|
12 Participants
n=240 Participants • Only applicable to Patients. This data was not collected for providers - not applicable.
|
|
Patient Income
Prefer not to answer
|
—
|
—
|
4 Participants
n=120 Participants • Only applicable to Patients. This data was not collected for providers - not applicable.
|
13 Participants
n=120 Participants • Only applicable to Patients. This data was not collected for providers - not applicable.
|
17 Participants
n=240 Participants • Only applicable to Patients. This data was not collected for providers - not applicable.
|
|
Patient Income
Missing
|
—
|
—
|
3 Participants
n=120 Participants • Only applicable to Patients. This data was not collected for providers - not applicable.
|
4 Participants
n=120 Participants • Only applicable to Patients. This data was not collected for providers - not applicable.
|
7 Participants
n=240 Participants • Only applicable to Patients. This data was not collected for providers - not applicable.
|
PRIMARY outcome
Timeframe: One encounter, up to approximately 1 hourPopulation: Only applies to Patient groups. Data not collected on 10 participants.
WISER is based on established codebooks (i.e., Motivational Interviewing Treatment Integrity manual, and Suchman's codebook for patient emotion and physician empathic responses). Communication coaches taught five skills: 1) sitting down and making eye contact with all in the room, 2) open-ended questions, 3) reflective statements, 4) empathic statements, and 5) "What questions do you have?". Reported here is the number of Reflective Statements made.
Outcome measures
| Measure |
Standard of Care - Patients
n=113 Participants
Investigator will compare patients randomized into the intervention group to those who receive standard of care.
|
Communication Intervention - Patients
n=117 Participants
The intervention will contain elements of Motivational Interviewing coaching but also will teach providers how to address patient emotion and increase the efficiency of their visits. Clinicians randomized to the intervention will receive a tailored communication coaching intervention that includes didactic elements, audio recording encounters and providing feedback, and role-playing.
|
|---|---|---|
|
Cardiologist Behavior as Measured by WISER (Writing, Immersive Experiences, Speaking, Ethical Communication, and Research) Assessment.
|
11.95 Number of Reflective Statements
Standard Deviation 8.81
|
13.15 Number of Reflective Statements
Standard Deviation 9.96
|
PRIMARY outcome
Timeframe: One encounter, up to approximately 1 hourPopulation: Only applies to Patient groups. Data not collected on 10 participants.
WISER is based on established codebooks (i.e., Motivational Interviewing Treatment Integrity manual, and Suchman's codebook for patient emotion and physician empathic responses). Communication coaches taught five skills: 1) sitting down and making eye contact with all in the room, 2) open-ended questions, 3) reflective statements, 4) empathic statements, and 5) "What questions do you have?". Reported here is the number of Open-ended Questions asked.
Outcome measures
| Measure |
Standard of Care - Patients
n=113 Participants
Investigator will compare patients randomized into the intervention group to those who receive standard of care.
|
Communication Intervention - Patients
n=117 Participants
The intervention will contain elements of Motivational Interviewing coaching but also will teach providers how to address patient emotion and increase the efficiency of their visits. Clinicians randomized to the intervention will receive a tailored communication coaching intervention that includes didactic elements, audio recording encounters and providing feedback, and role-playing.
|
|---|---|---|
|
Cardiologist Behavior as Measured by WISER (Writing, Immersive Experiences, Speaking, Ethical Communication, and Research) Assessment.
|
3.41 questions asked
Standard Deviation 2.84
|
3.28 questions asked
Standard Deviation 2.89
|
PRIMARY outcome
Timeframe: One encounter, up to approximately 1 hourPopulation: Participants with encounters in which the clinician had at least one empathic response. Only applies to Patient groups.
Communication coaches taught five skills: 1) sitting down and making eye contact with all in the room, 2) open-ended questions, 3) reflective statements, 4) empathic statements, and 5) "What questions do you have?". Reported here is the ratio of empathic responses to empathic opportunities.
Outcome measures
| Measure |
Standard of Care - Patients
n=35 Participants
Investigator will compare patients randomized into the intervention group to those who receive standard of care.
|
Communication Intervention - Patients
n=48 Participants
The intervention will contain elements of Motivational Interviewing coaching but also will teach providers how to address patient emotion and increase the efficiency of their visits. Clinicians randomized to the intervention will receive a tailored communication coaching intervention that includes didactic elements, audio recording encounters and providing feedback, and role-playing.
|
|---|---|---|
|
Ratio of Empathic Responses to Empathic Opportunities
|
0.20 ratio of responses to opportunities
Standard Deviation 0.36
|
0.50 ratio of responses to opportunities
Standard Deviation 0.47
|
SECONDARY outcome
Timeframe: One encounter, up to approximately 1 hourPopulation: Only applies to Patient groups. Data not collected on 10 participants.
Global ratings represent areas of effective communication that address many domains of patient-centered communication or areas that facilitate patient satisfaction with communication. WISER is based on established codebooks (i.e., Motivational Interviewing Treatment Integrity manual, and Suchman's codebook for patient emotion and physician empathic responses. Scores of 1-5 with 3 being average, 1 being below average, 5 being above average.
Outcome measures
| Measure |
Standard of Care - Patients
n=113 Participants
Investigator will compare patients randomized into the intervention group to those who receive standard of care.
|
Communication Intervention - Patients
n=117 Participants
The intervention will contain elements of Motivational Interviewing coaching but also will teach providers how to address patient emotion and increase the efficiency of their visits. Clinicians randomized to the intervention will receive a tailored communication coaching intervention that includes didactic elements, audio recording encounters and providing feedback, and role-playing.
|
|---|---|---|
|
Global Ratings of Communication as Measured by WISER (Writing, Immersive Experiences, Speaking, Ethical Communication, and Research) Assessment
Respect
|
3.8 score on a scale
Standard Deviation 1.0
|
4.0 score on a scale
Standard Deviation 0.9
|
|
Global Ratings of Communication as Measured by WISER (Writing, Immersive Experiences, Speaking, Ethical Communication, and Research) Assessment
Warmth
|
3.5 score on a scale
Standard Deviation 0.9
|
3.6 score on a scale
Standard Deviation 0.8
|
|
Global Ratings of Communication as Measured by WISER (Writing, Immersive Experiences, Speaking, Ethical Communication, and Research) Assessment
Attentiveness
|
3.8 score on a scale
Standard Deviation 0.9
|
3.8 score on a scale
Standard Deviation 0.9
|
|
Global Ratings of Communication as Measured by WISER (Writing, Immersive Experiences, Speaking, Ethical Communication, and Research) Assessment
Flow
|
2.9 score on a scale
Standard Deviation 1.1
|
3.3 score on a scale
Standard Deviation 1.0
|
|
Global Ratings of Communication as Measured by WISER (Writing, Immersive Experiences, Speaking, Ethical Communication, and Research) Assessment
Concern
|
4.0 score on a scale
Standard Deviation 0.8
|
4.2 score on a scale
Standard Deviation 0.7
|
Adverse Events
Standard of Care (Provider)
Communication Intervention (Provider)
Standard of Care (Patient)
Communication Intervention (Patient)
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