Ideas, Concerns, Expectations. Implementing Patient-centered Communication (ICE)

University of Erlangen-Nürnberg Medical School

Status: Unknown

Conditions: Back Pain; Communication

Treatments: Other: Workshop "ICE training"

Study type: Interventional

Funder types: Other

Identifiers

NCT03711071

01COM180911

Details and patient eligibility

About

Exploring patients' ideas, concerns and expectation (ICE) is a communication tool to promote patient centredness and shared decision making during a consultation. This study evaluates whether offering ICE training to doctors can decrease overdiagnosis in the management of acute backache.

Full description

The study is a cluster randomized trial recruiting general practitioner from practices in Northern Bavaria/Germany forming a research network within the recently implemented framework of PRO PRICARE (Preventing Overdiagnosis in Primary Care).

At baseline, the intervention group (24 out of 48 doctors) will take part in a one-day training session covering theoretical background and clinical implementation of ICE communication in association with frequent consultation contents.

Primary outcome measure are referrals to physiotherapists and medical specialists such as orthopaedic surgeons, neurologists and radiologists, obtained from routinely collected practice data. Secondary outcomes are patients' and doctors' satisfaction measured via structured questionnaires and semi-structured interviews. Blinding is attempted by hiding the trial purpose and treatment allocation from the participating doctors.

Enrollment: 48 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• aged 18
• first time seeing doctor because of the defined high frequent consultation issue referring on recommendation of the National Guideline

Exclusion criteria

• not first time seeing the doctor during the recommended time of the National Guideline

Trial design

Primary purpose: Other

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Triple Blind

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48 participants in 2 patient groups

Intervention Group

Experimental group

Description:

The Intervention Group is allocated to a Workshop of communication training before data collection covering theoretical background and clinical implementation of ICE communication in association with frequent consultation contents.

Treatment:

Other: Workshop "ICE training"

Control Group

No Intervention group

Description:

This group will not get the intervention before data collection.