Ignite Creation Date:
2024-05-05 @ 7:29 PM
Last Modification Date:
2024-10-26 @ 9:50 AM
Study NCT ID:
NCT00687349
Status:
COMPLETED
Last Update Posted:
2014-09-16
First Post:
2008-05-28
Brief Title:
Improving Clinician Communication Skills ICCS
Sponsor:
University of Washington
Organization:
University of Washington
Study Overview
Official Title:
Improving Patient Outcomes in End-of-Life Care Provided by Physicians and Nurses
Status:
COMPLETED
Status Verified Date:
2014-09
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
ICCS
Brief Summary:
This research study is a randomized trial to evaluate a training program that is designed to improve the communication skills of clinicians The training program focuses on care for patients with serious illnesses and their family members and assesses effectiveness using patient and family outcomes The long term goal of this research is to improve communication skills of doctors and nurses thereby improving patient and family outcomes
Detailed Description:
Three decades of research on end-of-life care in the United States indicates that people who are dying often spend their final days with a significant burden of pain and other symptoms and receive care they would not choose Patient-clinician communication about end-of-life care is an important focus for improving patient-centered end-of-life care for three reasons 1 it is an integral component of clinician skill that affects all other aspects of end-of-life care 2 physicians and nurses in practice do not demonstrate adequate skills for communicating about end-of-life care and 3 current training in end-of-life communication is inadequate Studies have shown that clinicians can improve their communication skills with experiential training but no studies to date have shown that an intervention to improve clinician communication skill improves patient outcomes Furthermore despite widespread knowledge that end-of-life care is best delivered in an interdisciplinary context most studies do not incorporate interdisciplinary training that includes physicians and nurses
This is a randomized trial of a communication skills workshop for internal medicine residents and nurse practitioner NP students A total of 373 residents and 128 NP students from two large training programs UW and MUSC will be randomized to either the intervention or usual education The studys primary outcome measure will be the QOC scores on the communication about end-of-life care domain The QOC will be assessed by patients family members and nurses before and after the intervention time period for all trainees Secondary outcome measures are patient symptoms and patient- family - and nurse-assessed QEOLC scores Outcome measures will be collected for 5 patients and family members per trainee before the intervention period and 5 patients and family members per trainee after the intervention period Process measures for both residents and NP students will include pre- and post-intervention assessment of knowledge attitudes and behavior regarding communication using standardized patient assessment as well as self-assessment and faculty assessment
This is a randomized trial of a communication skills workshop for internal medicine residents and nurse practitioner NP students A total of 373 residents and 128 NP students from two large training programs UW and MUSC will be randomized to either the intervention or usual education The studys primary outcome measure will be the QOC scores on the communication about end-of-life care domain The QOC will be assessed by patients family members and nurses before and after the intervention time period for all trainees Secondary outcome measures are patient symptoms and patient- family - and nurse-assessed QEOLC scores Outcome measures will be collected for 5 patients and family members per trainee before the intervention period and 5 patients and family members per trainee after the intervention period Process measures for both residents and NP students will include pre- and post-intervention assessment of knowledge attitudes and behavior regarding communication using standardized patient assessment as well as self-assessment and faculty assessment
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None
Secondary IDs
| Secondary ID | Type | Domain | Link |
|---|---|---|---|
| R01NR009987 | NIH | None | httpsreporternihgovquickSearchR01NR009987 |