Working…
COVID-19 is an emerging, rapidly evolving situation.
Get the latest public health information from CDC: https://www.coronavirus.gov.

Get the latest research information from NIH: https://www.nih.gov/coronavirus.
ClinicalTrials.gov
ClinicalTrials.gov Menu

Improving Discharge Communication in the Emergency Department Through Information Structuring

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT02468869
Recruitment Status : Completed
First Posted : June 11, 2015
Last Update Posted : October 23, 2018
Sponsor:
Collaborators:
University of Basel
Max Planck Institute for Human Development
Information provided by (Responsible Party):
University Hospital, Basel, Switzerland

Brief Summary:
The goal of the proposed study is to assess the potential of information structuring for improving discharge communication. Specifically, the investigators aim to examine the advantages of an information-structuring skills training for physicians (compared to an empathy skills training) on discharge communication and associated patient outcomes, such as patients' information recall and adherence to physician recommendations. The investigators hypothesize that patients receiving structured discharge information from their trained physicians will be able to recall more information and show higher adherence to recommendations relative to controls (i.e., patients receiving discharge information from doctors trained in empathy skills).

Condition or disease Intervention/treatment Phase
Information Structuring Skills Empathy Skills Behavioral: Communication skills training "empathy skills" Behavioral: Communication skills training "information structuring skills" Not Applicable

Layout table for study information
Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 196 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Participant)
Primary Purpose: Health Services Research
Official Title: Improving Discharge Communication in the Emergency Department Through Information Structuring: A Cluster Randomized Controlled Trial
Actual Study Start Date : April 2015
Actual Primary Completion Date : April 2017
Actual Study Completion Date : April 2017

Arm Intervention/treatment
Experimental: Information structuring skills training
Physicians received a communication skills training focusing on information structuring with the so-called book metaphor for a structured discharge communication with the patient.
Behavioral: Communication skills training "information structuring skills"
Active Comparator: Empathy skills training
Physicians received a communication skills training focusing on empathy skills with the acronym NURSE for an empathetic discharge communication with the patient.
Behavioral: Communication skills training "empathy skills"



Primary Outcome Measures :
  1. Patients' recall of the information provided during discharge communication [ Time Frame: 3 times: immediately after discharge, one week after discharge, one month after discharge ]

Secondary Outcome Measures :
  1. Adherence to recommendations [ Time Frame: 2 times: one week and one month after discharge ]
  2. Patient satisfaction in four dimensions [ Time Frame: Immediately after discharge ]
    (1) comprehension, (2) structuredness (3) recommendation of the physician to family and friends (4) informativeness



Information from the National Library of Medicine

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.


Layout table for eligibility information
Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Outpatients with chest pain
  • Outpatients with abdominal pain

Exclusion criteria:

  • Patients younger than 18 years of age (limited ability to provide informed consent)
  • Patients with limited ability to communicate in German, the default language at the hospital (confounder related to language proficiency)
  • Patients with dementia (confounder arising from pathological memory deficits)

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02468869


Locations
Layout table for location information
Switzerland
University Hospital Basel, Emergency Department
Basel, Baselstadt, Switzerland, 4031
Sponsors and Collaborators
University Hospital, Basel, Switzerland
University of Basel
Max Planck Institute for Human Development
Investigators
Layout table for investigator information
Principal Investigator: Roland Bingisser, Prof. Dr. University Hospital, Basel, Switzerland
Layout table for additonal information
Responsible Party: University Hospital, Basel, Switzerland
ClinicalTrials.gov Identifier: NCT02468869    
Other Study ID Numbers: BACOP2
First Posted: June 11, 2015    Key Record Dates
Last Update Posted: October 23, 2018
Last Verified: October 2018
Keywords provided by University Hospital, Basel, Switzerland:
Recall
Discharge communication
Satisfaction
Adherence
Information structuring
Empathy skills
Additional relevant MeSH terms:
Layout table for MeSH terms
Emergencies
Disease Attributes
Pathologic Processes