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Influence of White Coat During Family Medicine Consultation: Interventional Study

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: NCT03965416
Recruitment Status : Completed
First Posted : May 29, 2019
Last Update Posted : May 29, 2019
Sponsor:
Information provided by (Responsible Party):
Leonor Marques Caetano Carreira, University of Coimbra

Brief Summary:

Introduction: The white coat is a physician attire worn since the antiquity time. Several studies in other countries have shown that it influences doctor-patient's relationship and that there is some kind of preference over what a doctor should wear. In Portugal there are few data on this subject.

Objectives: Investigate the influence of the white coat on satisfaction, confidence and empathy in relation to patients. Secondly, its impact on what patients perceive about medical knowledge, patients' opinions about medical clothing, and the level of satisfaction and comfort of physicians in consultation with or without the use of a white coat.

Methods: An interventional study with a quasi-randomized representative sample of the population attending the health centers belonging to ARS Centro, consisting of 286 participants. The investigators collaborated with 16 doctors, male and female and of different ages which usually wore white coat in their medical appointments. The investigators included the first and last patients in consultation every day for 10 consecutive days, and every other day the doctor consulted with the use of a white coat or without the use of a white coat. At the end of the consultation, a questionnaire was distributed to the patient. This questionnaire had simple questions with a Lickert scale response, the portuguese version of the scale "Trust in physician" to assess the trust in the physician, both globally and in the medical-patient's relationship and their medical competences, and the JSPPPE-VP scale to evaluate empathy. A questionnaire was also distributed to the physician in which the doctor indicated what type of attire that used on that appointment and how satisfied and comfortable was with the consultation.


Condition or disease Intervention/treatment Phase
Communication Other: White Coat Other: Without White Coat Not Applicable

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 286 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Health Services Research
Official Title: Influence of White Coat on Communication During General and Family Medicine Consultation: Interventional Study
Actual Study Start Date : November 1, 2018
Actual Primary Completion Date : February 28, 2019
Actual Study Completion Date : February 28, 2019

Arm Intervention/treatment
Experimental: Doctor with white coat
Doctor during consultation is wearing a white coat
Other: White Coat
We included the first and last patients in consultation every day for 10 consecutive days, and every other day the doctor consulted with the use of a white coat or without the use of a white coat.

Experimental: Doctor without white coat
Doctor during consultation is not wearing a white coat
Other: Without White Coat
We included the first and last patients in consultation every day for 10 consecutive days, and every other day the doctor consulted with the use of a white coat or without the use of a white coat.




Primary Outcome Measures :
  1. Patient's satisfaction: rating [ Time Frame: 30 minutes ]
    A question about patient's satisfaction with the consultation rating from 0 to 4.

  2. Trust [ Time Frame: 30 minutes ]
    The use of the "Trust in physician" scale to evaluate patient trust in the medical-patient's relationship and in their medical competences.

  3. Empathy [ Time Frame: 30 minutes ]
    Empathy in the medical-patient's relationship evaluated through the Jefferson scale.


Secondary Outcome Measures :
  1. Doctor's knowledge [ Time Frame: 30 minutes ]
    Medical knowledge perceived by the patient evaluated through a question.

  2. Doctor's satisfaction: question [ Time Frame: 30 minutes ]
    A question that evaluated the doctor's satisfaction with the consultation.

  3. Doctor's comfort: question [ Time Frame: 30 minutes ]
    A question that evaluated the doctor's comfort with the consultation.



Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • A sample of 286 patients, of both sexes, of different ages and from health centers in both urban and rural areas belonging to the ARS Center was studied.

Exclusion Criteria:

  • Age less than 18 years (in these cases the questionnaire can be answered by your companion).
  • Illiterate patients.
  • Patients whose general condition did not allow them to correctly answer the questionnaire presented.

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): NCT03965416


Locations
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Portugal
ARS Centro
Coimbra, Portugal
Sponsors and Collaborators
University of Coimbra
Investigators
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Principal Investigator: Leonor Carreira University of Coimbra
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Responsible Party: Leonor Marques Caetano Carreira, Student, University of Coimbra
ClinicalTrials.gov Identifier: NCT03965416    
Other Study ID Numbers: 2018.02
First Posted: May 29, 2019    Key Record Dates
Last Update Posted: May 29, 2019
Last Verified: May 2019
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
Keywords provided by Leonor Marques Caetano Carreira, University of Coimbra:
White Coat
Communication
Physician - Patient Relationship
Satisfaction
Trust
Competence
Empathy
Knowledge