scholarly journals The Impact of Previsit Contextual Data Collection on Patient-Provider Communication and Patient Activation: Study Protocol for a Randomized Controlled Trial (Preprint)

2020 ◽  
Author(s):  
Jeana M Holt ◽  
Rachel Cusatis ◽  
Aaron Winn ◽  
Onur Asan ◽  
Charles Spanbauer ◽  
...  
Keyword(s):  
Controlled Trial ◽  
Patient Activation ◽  
Provider Communication ◽  
Patient Centered ◽  
Contextual Data ◽  
Randomized Controlled ◽  
Centered Care ◽  
Patient Provider Communication ◽  
Consumer Informatics ◽  
The Impact

BACKGROUND Patient-centered care is respectful of and responsive to individual patient preferences, needs, and values. To provide patient-centered care, clinicians need to know and incorporate patients’ context into their communication and care with patients. Patient contextual data (PCD) encompass social determinants of health and patients’ needs, values, goals, and preferences relevant to their care. PCD can be challenging to collect as a routine component of the time-limited primary care visit. OBJECTIVE This study aims to determine if patient-provider communication and patient activation are different for patient users and patient nonusers of an electronic health record (EHR)–integrated PCD tool and assess if the impact of using PCD on patient-provider communication and patient activation differs for Black and White patients. METHODS We describe a randomized controlled trial of a prospective cohort of non-Hispanic White and Black patients who receive primary care services at a midwestern academic health care system in the United States. We will evaluate whether providing PCD through a consumer informatics tool enhances patient-provider communication, as measured by the Communication Assessment Tool, and we will evaluate patient activation, as measured by the Patient Activation Measure for PCD tool users and nonusers. Furthermore, owing to racial disparities in care and communication, we seek to determine if the adoption and use of the tool might narrow the differences between patient groups. RESULTS The trial was funded in November 2017 and received local ethics review approval in February 2019. The study began recruitment in April 2019 and enrollment concluded in October 2019 with 301 participants. The analysis was completed in May 2020, and trial results are expected to be published in winter 2020. CONCLUSIONS Recently, there has been increased attention to the role of health information technology tools to enable patients to collaborate with providers through the sharing of PCD. The adoption of such tools may overcome the barriers of current EHRs by directly engaging patients to submit their contextual data. Effectively, these tools would support the EHR in providing a more holistic understanding of the patient. Research further supports that individuals who have robust digital engagement using consumer informatics tools have higher participation in treatment follow-up and self-care across populations. Therefore, it is critical to investigate interventions that elicit and share patients’ social risks and care preferences with the health care team as a mechanism to improve individualized care and reduce the gap in health outcomes. CLINICALTRIAL ClinicalTrials.gov NCT03766841; https://clinicaltrials.gov/ct2/show/NCT03766841 INTERNATIONAL REGISTERED REPORT RR1-10.2196/20309

scholarly journals The Impact of Previsit Contextual Data Collection on Patient-Provider Communication and Patient Activation: Study Protocol for a Randomized Controlled Trial

10.2196/20309 ◽  
2020 ◽  
Vol 9 (9) ◽  
pp. e20309
Author(s):  
Jeana M Holt ◽  
Rachel Cusatis ◽  
Aaron Winn ◽  
Onur Asan ◽  
Charles Spanbauer ◽  
...  
Keyword(s):  
Controlled Trial ◽  
Patient Activation ◽  
Provider Communication ◽  
Patient Centered ◽  
Contextual Data ◽  
Randomized Controlled ◽  
Centered Care ◽  
Patient Provider Communication ◽  
Consumer Informatics ◽  
The Impact

Background Patient-centered care is respectful of and responsive to individual patient preferences, needs, and values. To provide patient-centered care, clinicians need to know and incorporate patients’ context into their communication and care with patients. Patient contextual data (PCD) encompass social determinants of health and patients’ needs, values, goals, and preferences relevant to their care. PCD can be challenging to collect as a routine component of the time-limited primary care visit. Objective This study aims to determine if patient-provider communication and patient activation are different for patient users and patient nonusers of an electronic health record (EHR)–integrated PCD tool and assess if the impact of using PCD on patient-provider communication and patient activation differs for Black and White patients. Methods We describe a randomized controlled trial of a prospective cohort of non-Hispanic White and Black patients who receive primary care services at a midwestern academic health care system in the United States. We will evaluate whether providing PCD through a consumer informatics tool enhances patient-provider communication, as measured by the Communication Assessment Tool, and we will evaluate patient activation, as measured by the Patient Activation Measure for PCD tool users and nonusers. Furthermore, owing to racial disparities in care and communication, we seek to determine if the adoption and use of the tool might narrow the differences between patient groups. Results The trial was funded in November 2017 and received local ethics review approval in February 2019. The study began recruitment in April 2019 and enrollment concluded in October 2019 with 301 participants. The analysis was completed in May 2020, and trial results are expected to be published in winter 2020. Conclusions Recently, there has been increased attention to the role of health information technology tools to enable patients to collaborate with providers through the sharing of PCD. The adoption of such tools may overcome the barriers of current EHRs by directly engaging patients to submit their contextual data. Effectively, these tools would support the EHR in providing a more holistic understanding of the patient. Research further supports that individuals who have robust digital engagement using consumer informatics tools have higher participation in treatment follow-up and self-care across populations. Therefore, it is critical to investigate interventions that elicit and share patients’ social risks and care preferences with the health care team as a mechanism to improve individualized care and reduce the gap in health outcomes. Trial Registration ClinicalTrials.gov NCT03766841; https://clinicaltrials.gov/ct2/show/NCT03766841 International Registered Report Identifier (IRRID) RR1-10.2196/20309

scholarly journals A randomized controlled trial of acupuncture for osteoarthritis of the knee: Effects of patient-provider communication

2010 ◽  
Vol 62 (9) ◽  
pp. 1229-1236 ◽  
Author(s):  
Maria E. Suarez-Almazor ◽  
Carol Looney ◽  
Yanfang Liu ◽  
Vanessa Cox ◽  
Kenneth Pietz ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Controlled Trial ◽  
Osteoarthritis Of The Knee ◽  
Provider Communication ◽  
Randomized Controlled ◽  
Patient Provider Communication

scholarly journals Educational Interventions for Nursing Students to Develop Communication Skills with Patients: A Systematic Review

2020 ◽  
Vol 17 (7) ◽  
pp. 2241 ◽  
Author(s):  
Lorena Gutiérrez-Puertas ◽  
Verónica V. Márquez-Hernández ◽  
Vanesa Gutiérrez-Puertas ◽  
Genoveva Granados-Gámez ◽  
Gabriel Aguilera-Manrique
Keyword(s):  
Systematic Review ◽  
Nursing Students ◽  
Communication Skills ◽  
Controlled Trial ◽  
Experimental Studies ◽  
Educational Interventions ◽  
Patient Centered ◽  
Randomized Controlled ◽  
Quasi Experimental ◽  
The Impact

Introduction: Nursing students establish therapeutic relationships with their patients and as future nursing professionals, they should be trained to be effective communicators. The objective of this systematic review was to know the impact of educational interventions on nursing students to develop their communication skills with patients. Methods: A systematic review of literature was carried out. The following databases were consulted: CINAHL, PubMed (Ovid Medline), SCOPUS and Web of Science. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses guided this review. As for inclusion criteria, published articles in English from 2000 to 2020 were included. The methodological rigor of the included articles was evaluated with the JBI Critical Appraisal Checklist for Randomized Controlled Trial or Quasi-Experimental Studies. Changes in communication skills with the patient after the implementation of an intervention were analyzed. Results: Of the included studies in this systematic review (N = 19), two studies were randomized controlled trials, others were single group quasi-experimental studies (N = 11) and two group quasi-experimental studies (n = 6). The majority of the studies were carried out in the USA (n = 7). The most frequent educational intervention was simulation (n = 11). As for the improvement of communication skills, 13 of the 19 articles found statistically significant differences in patient-centered communication skills of nursing students. Conclusions: This systematic review provides preliminary evidence of the effectiveness of interventions used to train nursing students in patient-centered communication. Although all the interventions obtained significant results in communication skills, it has not yet been determined which methodology is more effective.

scholarly journals An Internet-Based Patient-Provider Communication System: Randomized Controlled Trial

2005 ◽  
Vol 7 (4) ◽  
pp. e47 ◽  
Author(s):  
Chen-Tan Lin ◽  
Loretta Wittevrongel ◽  
Laurie Moore ◽  
Brenda L Beaty ◽  
Stephen E Ross
Keyword(s):  
Randomized Controlled Trial ◽  
Communication System ◽  
Controlled Trial ◽  
Provider Communication ◽  
Randomized Controlled ◽  
Patient Provider Communication

Taking Collective Action to Improve Patient-Provider Communication

2013 ◽  
Vol 22 (2) ◽  
pp. 69-78 ◽  
Author(s):  
Amy Wilson-Stronks ◽  
Sarah W. Blackstone
Keyword(s):  
Augmentative And Alternative Communication ◽  
Good Practice ◽  
Active Role ◽  
Provider Communication ◽  
Alternative Communication ◽  
Patient Centered ◽  
Raising Awareness ◽  
Centered Care ◽  
Patient Provider Communication ◽  
Improve Patient

Abstract There are many reasons for speech-language pathologists (SLPs), especially those who work in the area of augmentative and alternative communication (AAC), to take an active role in improving patient-provider communication. Effective patient-provider communication is fundamental to patient-centered care and correlates strongly with better patient outcomes, as well as increased patient safety and patient satisfaction. It is not only good practice, but good economics. In this article, we introduce existing laws, standards, regulations, and guidelines that address issues related to patient-provider communication in hospitals and other medical settings and discuss how, armed with this information and supportive data, SLPs (especially those with expertise in the area of AAC), can become active in preparing their clients for future medical encounters. We also highlight a need to work collaboratively with other professionals who support communication, such as language interpreters and nurses. Finally, we advocate for SLPs raising awareness about available services, tools, and strategies that support effective communication between patients and providers during medical encounters.

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