The Impact of Patient Motivational Dialogue (PMD) on Patient Self-advocacy for Hand Hygiene

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

COMPLETED

Clinical Phase

NA

Total Enrollment

63 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-10-01

Study Completion Date

2018-03-13

Brief Summary

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This exploratory cross sectional cohort study will evaluate the feasibility and fidelity of using an innovative strategy, the Patient Motivational Dialogue (PMD)/PMDPlus that will intentionally motivate and encourage the patient toward self-advocacy for their Health Care Professional's (HCP's) hand hygeine (HH) adherence.

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Detailed Description

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This study will be implemented with two volunteer innovation champion physicians, one in radiation oncology and one in the chemotherapy oncology clinic. If other physicians begin to use the PMD/ PMDPlus in their clinics, the initiation will be considered a positive indication of feasibility and fidelity.

New patients will be enrolled in the study starting September 2016 until the sample size reaches 30 patients per clinic (n=60). Each patient will be followed in each clinic visit longitudinal through March 2017 or until discharged from the clinic treatment depending on which comes first. PMD will be administered in the first clinic visit followed by the PMDPlus each visit thereafter to ensure an adequate treatment dose. The PMD is estimated to take about two minutes of the initial clinic visit and the PMDPlus is estimated to take about one minute of the follow-up clinic visit.

The following steps will be taken based on the innovation decision model:

1. The PI will instruct the physicians, or designee in the use of the PMD/PMDPlus. Script cards with the PMD/PMDPlus will be provided to each physician. The physician will be instructed in use of PMD at the initial visit and the PMDPlus every follow-up clinic visit thereafter until discharge from the clinic.
2. A HCP survey will be conducted pre-intervention asking the HCP: "Has a patient or family ever ask you to clean your hands? If yes, the HCP will be asked to describe the situation.

Conditions

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Hand Disinfection

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Subjects will be included from two oncology clinics, one in radiation oncology and one in chemotherapy oncology

Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

NONE

Study Groups

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Hand Hygiene education

Group Type OTHER

PMD

Intervention Type OTHER

A script used to train the physician to engage with the patient in the topic of hand hygiene compliance used on the initial visit.

PMDPlus

Intervention Type OTHER

A script used to train the physician to engage with the patient in the topic of hand hygiene compliance on follow up visits

Interventions

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PMD

A script used to train the physician to engage with the patient in the topic of hand hygiene compliance used on the initial visit.

Intervention Type OTHER

PMDPlus

A script used to train the physician to engage with the patient in the topic of hand hygiene compliance on follow up visits

Intervention Type OTHER

Other Intervention Names

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Patient Motivational Dialogue Patient Motivational Dialogue Plus

Eligibility Criteria

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Inclusion Criteria

* English or Spanish speaking
* Able to understand instructions given by physician
* Receiving care in radiation oncology clinic and/or chemotherapy clinic at Cancer Therapy Research Center at University of Texas Health Science Center (UTHSCSA)