An Educational Intervention to Improve Resident Comfort With Communication at the End of Life
| Tracking Information | |
|---|---|
| First Received Date ICMJE | June 24, 2010 |
| Last Updated Date | February 9, 2011 |
| Start Date ICMJE | March 2010 |
| Primary Completion Date | June 2010 (final data collection date for primary outcome measure) |
| Current Primary Outcome Measures ICMJE |
Self-efficacy [ Time Frame: 90 days ] [ Designated as safety issue: No ] Residents participating in the intervention will demonstrate increased self-efficacy for end of life conversations. |
| Original Primary Outcome Measures ICMJE | Same as current |
| Change History | Complete list of historical versions of study NCT01150968 on ClinicalTrials.gov Archive Site |
| Current Secondary Outcome Measures ICMJE | Not Provided |
| Original Secondary Outcome Measures ICMJE | Not Provided |
| Current Other Outcome Measures ICMJE | Not Provided |
| Original Other Outcome Measures ICMJE | Not Provided |
| Descriptive Information | |
| Brief Title ICMJE | An Educational Intervention to Improve Resident Comfort With Communication at the End of Life |
| Official Title ICMJE | An Educational Intervention to Improve Resident Comfort With Communication at the End of Life |
| Brief Summary | The purpose of this study is to investigate whether the addition of teaching on communication at the end of life to the pre-existing resident curriculum will positively impact residents' knowledge and attitudes regarding communication at the end of life. |
| Detailed Description | Previous research has demonstrated a lack of resident training in communication at the end of life. This can lead to anxiety on the part of residents and poor experiences with these conversations. Residents at UCSF, and affiliated sites, participate in a daily formal teaching session from 12-1 pm and an informal case conference, known as Morning Report, from 7:30-8:30 am (8-9 am at VAMC). We propose to administer a pre-intervention survey to residents to assess knowledge and attitudes regarding communication at the end of life. Over two months, residents will receive one lecture during the noon session. Clinical cases will be presented for discussion during three sessions of morning report. All sessions are voluntary and take place at all three training sites, UCSF, SFGH, and the VAMC. As residents rotate every two months between the inpatient and outpatient settings, the intervention will be repeated once to ensure that the majority of residents have the opportunity to participate. A post-intervention survey, identical to the pre-intervention survey, will be administered to assess for impact of the educational intervention. This project only involves UCSF Internal Medicine residents. No patients will be involved in this study. |
| Study Type ICMJE | Interventional |
| Study Phase | Not Provided |
| Study Design ICMJE | Intervention Model: Single Group Assignment Masking: Open Label |
| Condition ICMJE | End of Life Communication |
| Intervention ICMJE | Behavioral: End of life education
Residents will participate in one hour, case-based, interactive teaching sessions on end of life communication. |
| Study Arm (s) | Experimental: Internal Medicine Residents
All UCSf Internal Medicine residents for 2009-2010
Intervention: Behavioral: End of life education |
| Publications * | Not Provided |
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* Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline. |
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| Recruitment Information | |
| Recruitment Status ICMJE | Completed |
| Estimated Enrollment ICMJE | 166 |
| Completion Date | June 2010 |
| Primary Completion Date | June 2010 (final data collection date for primary outcome measure) |
| Eligibility Criteria ICMJE | Inclusion Criteria:
Exclusion Criteria:
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| Gender | Both |
| Ages | 18 Years and older |
| Accepts Healthy Volunteers | No |
| Contacts ICMJE | Contact information is only displayed when the study is recruiting subjects |
| Location Countries ICMJE | United States |
| Administrative Information | |
| NCT Number ICMJE | NCT01150968 |
| Other Study ID Numbers ICMJE | 10035736 |
| Has Data Monitoring Committee | No |
| Responsible Party | Bernard Lo, MD, UCSF |
| Study Sponsor ICMJE | University of California, San Francisco |
| Collaborators ICMJE | Not Provided |
| Investigators ICMJE | Not Provided |
| Information Provided By | University of California, San Francisco |
| Verification Date | February 2011 |
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ICMJE Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP |
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