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Stanford Clinics Physician Mindset Training

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ClinicalTrials.gov Identifier: NCT03677609
Recruitment Status : Enrolling by invitation
First Posted : September 19, 2018
Last Update Posted : September 20, 2018
Sponsor:
Information provided by (Responsible Party):
Kari Alyse Leibowitz, Stanford University

Brief Summary:
The purpose of this study is to test the efficacy of a novel intervention for physicians to increase awareness about interacting with patients with pre- diabetes, diabetes, and hypertension. The investigators will measure health outcomes in patients as well as patient and physician satisfaction at Stanford Corporate clinics. The doctor-patient relationship has been shown to positively impact not only patient satisfaction, but also patients' physiological health outcomes. Thus, the investigators hypothesize that improving the patient-provider relationship would increase physician efficacy in regards to communicating and mitigating long-term risks to patients at risk for or suffering from chronic illness. The present study develops and tests a mindset intervention for physicians aimed at helping physicians prioritize connecting with their patients both in addition to and in comparison with a communication skills training for physicians.

Condition or disease Intervention/treatment Phase
Diabetes Diabetes Mellitus Hypertension Pre Diabetes Overweight and Obesity Behavioral: Mindset & Communication Training Not Applicable

  Show Detailed Description

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Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 3000 participants
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Health Services Research
Official Title: Stanford Clinics Physician Mindset Training
Actual Study Start Date : January 4, 2018
Estimated Primary Completion Date : September 1, 2019
Estimated Study Completion Date : September 1, 2019

Arm Intervention/treatment
Experimental: Intervention
Physicians will receive a training or trainings to improve their communication and interaction with patients. The primary trainings will involve teaching physicians how to understand and leverage patient psychology as part of clinical care. Impact on patient health will then be assessed.
Behavioral: Mindset & Communication Training
The mindset training is a two-hour, live training, with a one-hour follow-up one month later, that teaches care providers to recognize, shape, and leverage patient mindsets in healthcare.

No Intervention: Control



Primary Outcome Measures :
  1. Physician Wellbeing Questionnaire [ Time Frame: 3 months after the training ]
    Assessing physician wellbeing, including burnout and job satisfaction using self-report Questionnaire developed and validated at Stanford Healthcare

  2. Patient health: Diabetes control: Hemoglobin A1C [ Time Frame: 3-6 months post intervention ]
    Disease status for patients with diabetes measured via patient Hemoglobin A1C

  3. Patient health: Hypertension control: blood pressure [ Time Frame: 3-6 months post intervention ]
    Disease status for patients with hypertension measured via patient systolic blood pressure

  4. Patient health: Pre-Diabetes status: Fasting Blood Sugar [ Time Frame: 3-6 months post intervention ]
    Disease status for patients with pre-diabetes measured via fasting blood sugar


Secondary Outcome Measures :
  1. Physician satisfaction survey [ Time Frame: Immediately post-training ]
    Physician satisfaction with training, measured via self-report satisfaction survey developed as part of training

  2. Physician use of mindset skills survey [ Time Frame: 1, 3, 6, and 12 months post-training ]
    Use of mindset techniques in clinical care providers measured via self-report survey assessing reported use of mindset skills in practice; survey developed as part of training

  3. Patient satisfaction survey [ Time Frame: Immediately after visit with physician ]
    Patient satisfaction with physician and visit, measured via survey items assessing interaction with physician developed by Stanford Mind & Body Lab for use in various studies

  4. Physician Wellbeing Questionnaire [ Time Frame: Immediately after the training ]
    Assessing physician wellbeing, including burnout and job satisfaction using self-report Questionnaire developed and validated at Stanford Healthcare

  5. Physician Wellbeing Questionnaire [ Time Frame: 6 months after the training ]
    Assessing physician wellbeing, including burnout and job satisfaction using self-report Questionnaire developed and validated at Stanford Healthcare

  6. Physician Wellbeing Questionnaire [ Time Frame: 12 months after the training ]
    Assessing physician wellbeing, including burnout and job satisfaction using self-report Questionnaire developed and validated at Stanford Healthcare

  7. Physician mindset: Illness Mindset Inventory [ Time Frame: 3, 6, and 12 months post-training ]
    Physician mindset as self-reported on the Illness Mindset Inventory

  8. Physician mindset: Mindset Beliefs Survey [ Time Frame: 1, 3, 6, and 12 months post-training ]
    Physician beliefs regarding the power and importance of mindset in clinical care, measured via self-report survey developed as part of the training



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

Inclusion Criteria:

  • Patients will be screened and included if they have diabetes, hypertension, or pre-diabetes

Exclusion Criteria:

-


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): NCT03677609


Locations
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United States, California
Stanford University
Stanford, California, United States, 94025
Sponsors and Collaborators
Kari Alyse Leibowitz
Investigators
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Study Director: Kari Leibowitz, MA Stanford University
Principal Investigator: Alia Crum, PhD Stanford University

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Responsible Party: Kari Alyse Leibowitz, PhD Candidate, Stanford University
ClinicalTrials.gov Identifier: NCT03677609     History of Changes
Other Study ID Numbers: 41188
First Posted: September 19, 2018    Key Record Dates
Last Update Posted: September 20, 2018
Last Verified: September 2018
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No

Additional relevant MeSH terms:
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Diabetes Mellitus
Overweight
Prediabetic State
Glucose Intolerance
Glucose Metabolism Disorders
Metabolic Diseases
Endocrine System Diseases
Body Weight
Signs and Symptoms
Hyperglycemia