Disjunction Between Patient Narrative and Formulaic Thinking in the Doctor

The University of Texas System (UT)

Status: Unknown

Conditions: Musculoskeletal Diseases

Treatments: Other: Story checklist

Study type: Interventional

Funder types: Other

Identifiers

NCT05401981

2020-01-0115

Details and patient eligibility

About

This study is seeking whether giving or not giving a clinician a card with talking points in the form of a checklist about the patient's story affects the patients care experience or not

Full description

During an office visit, the clinician and the patient engage in dialogue and begin a relationship. This traditionally starts with the patient telling their story, which conveys why they decided to seek care. This study will determine the influence of a checklist specifically about the patient's narrative. The checklist will be used during the interview portion of the visit, to remind the clinician to stay curious about the person before them, their experience of the illness, and their explanatory model, and to help ensure that empathic opportunities are not missed.

Enrollment: 136 estimated patients

Sex: All

Ages: 18 to 89 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• New patients
• Orthopedic visit

Exclusion criteria

• Languages other than English or Spanish.
• Cognitive dysfunction precluding completion of questionnaires.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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136 participants in 2 patient groups

Standard care

No Intervention group

Description:

Clinician not given any cards about the patient's story.

Story checklist

Experimental group

Description:

Clinician given a card with talking points in the form of a checklist about the patient's story.

Treatment:

Other: Story checklist