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Patient Perception of Physician's Compassion, Communication Skills, and Professionalism During an Outpatient Palliative Care Visit

M.D. Anderson Cancer Center logo

M.D. Anderson Cancer Center

Status

Completed

Conditions

Advanced Cancer
Malignant Neoplasms of Independent (Primary) Multiple Sites

Treatments

Behavioral: Baseline Questionnaires
Other: Videos
Behavioral: Assessment Questionnaires

Study type

Interventional

Funder types

Other

Identifiers

NCT02957565
2016-0494
NCI-2017-00621 (Registry Identifier)

Details and patient eligibility

About

The goal of this research study is to learn how patients feel about their doctors' attitudes toward supportive care and treatment options for advanced cancer patients.

Full description

If you agree to take part in this study, during an already-scheduled office visit, you will complete 5 questionnaires about your symptoms, your physical and emotional health, and your trust in the medical profession. These questionnaires should take about 17 minutes to complete.

Study Groups:

After you have completed the first 5 questionnaires, you will be randomly assigned (as in the roll of the dice) to 1 of 4 groups.

Each group will watch 2 short videos that show actors playing doctor and patient roles, discussing different cancer-related symptom treatment options. Each video is about 4 minutes long and will discuss the same content, but setting of each video will be different.

After watching the first video, you will complete 3 questionnaires about your opinions of the doctor's behavior. These questionnaires should take about 5 minutes to complete.

After you watch the second video, you will complete the same 3 questionnaires. You will also complete 2 additional questionnaires about which doctor you would rather have as your doctor and why, and your opinion about the setting of the examination room in the video. It should take about 8 minutes to complete these questionnaires.

Length of Study:

It should take about 38 minutes to watch both videos and to complete all questionnaires. Your participation on this study will be over after you have completed the last questionnaire.

Other Information:

You must attend the study visit alone. Your family members should not be in the room with you while you are participating in the study. You may request to have family members remain in the room, but they must remain silent so that they do not influence your opinions.

This is an investigational study.

Up to 120 participants will be enrolled in this study. All will take part at MD Anderson.

Enrollment

121 patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  1. Patients with the diagnosis of advanced cancer defined as locally advanced, recurrent or metastatic disease.
  2. Outpatients (either new referrals or follow ups) seen in the Supportive Care Clinic.
  3. Age >/= 18 years old
  4. English speaking
  5. Patients with normal cognitive status (Memorial Delirium Assessment Scale (MDAS) </=6/30) who are able to understand the nature and purpose of the study and have the ability to complete the consent process.

Exclusion criteria

  1. Patients who are experiencing severe symptom distress, including severe emotional distress and cognitive dysfunction, which may interfere with study participation. This will be determined by the principle investigator and/or attending physician who is caring for the patient during that visit.

Trial design

Primary purpose

Supportive Care

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Double Blind

121 participants in 4 patient groups

Video 1: No EHR - Physician A
Experimental group
Description:
Participant completes 5 questionnaires during an already-scheduled office visit. Participant then watches 2 short videos. After the first video, participant completes 3 questionnaires. After viewing the second video, participant completes 5 questionnaires.
Treatment:
Behavioral: Assessment Questionnaires
Other: Videos
Behavioral: Baseline Questionnaires
Video 1: No EHR - Physician B
Experimental group
Description:
Participant completes 5 questionnaires during an already-scheduled office visit. Participant then watches 2 short videos. After the first video, participant completes 3 questionnaires. After viewing the second video, participant completes 5 questionnaires.
Treatment:
Behavioral: Assessment Questionnaires
Other: Videos
Behavioral: Baseline Questionnaires
Video 2: With EHR - Physician A
Experimental group
Description:
Participant completes 5 questionnaires during an already-scheduled office visit. Participant then watches 2 short videos. After the first video, participant completes 3 questionnaires. After viewing the second video, participant completes 5 questionnaires.
Treatment:
Behavioral: Assessment Questionnaires
Other: Videos
Behavioral: Baseline Questionnaires
Video 2: With EHR - Physician B
Experimental group
Description:
Participant completes 5 questionnaires during an already-scheduled office visit. Participant then watches 2 short videos. After the first video, participant completes 3 questionnaires. After viewing the second video, participant completes 5 questionnaires.
Treatment:
Behavioral: Assessment Questionnaires
Other: Videos
Behavioral: Baseline Questionnaires

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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