Analyzing Challenging Clinical Discussions in Orthopaedics

Duke University

Status: Terminated

Conditions: Arthritis; Knee Osteoarthritis; Knee Arthropathy; Teach-Back Communication

Treatments: Other: Teach-Back Lesson

Study type: Interventional

Funder types: Other

Identifiers

NCT03058393

Pro00079809

Details and patient eligibility

About

The goal of this study is to analyze patient:provider communication surrounding the discussion of difficult clinical conversations such as knee replacement options. This study will also examine how using the teach-back communication technique can improve communication between patients and providers. Orthopedic residents, fellows, physician assistants, and attendings that agree to participate will be consented. Patients, who are likely to engage in a difficult clinical conversation, such as those who have a clinical indication for a Total Knee Replacement or a Partial Knee Replacement, will be recruited from participating providers clinical schedules. Patient:provider interactions will be recorded and then the providers will attend a 1 hour education lecture about how to use teach-back. After attending the lecture, additional patient:provider interactions will be recorded and analyzed via a qualitative approach. Additionally, providers will participate in a semi-structured interview to capture their perceptions of teach-back and what challenges and benefits they may derive from using it.

Enrollment: 7 patients

Sex: All

Ages: 18 to 80 years old

Volunteers: Accepts Healthy Volunteers

Inclusion and exclusion criteria

Inclusion Criteria (Patient Participants):

• Age 18 years and older
• Clinical indication for multiple treatment options

Exclusion Criteria (Patient Participants):

• Non-English speaking
• Minors or non-consenting other individuals (spouses, friends, family members, children) in the patient room during the clinical visit

Inclusion Criteria (Provider Participants)

• Age 18 years and older
• A resident, fellow, physician assistant, or attending in the Duke Department of Orthopaedic Surgery

Exclusion criterion (Provider Participants):

• Non-English speaking

Trial design

Primary purpose: Health Services Research

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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7 participants in 1 patient group

Teach-Back Group

Experimental group

Description:

A teach-back lesson will be provided to physician participants (Teach-Back Group), who are participating in challenging clinical discussions with patients

Treatment:

Other: Teach-Back Lesson