Please select the arm or intervention descriptions that belong to the clinical trial below.
Title: Effectiveness of DECIDE in Patient-Provider Communication, Therapeutic Alliance & Care Continuation
Brief Summary: The purpose of this study is to learn more about how patients and healthcare providers interact in order to improve shared decision making. The investigators plan to test an intervention with two separate educational components-one for patients and one for providers-designed to encourage patients to ask questions and increase their level of involvement in their own care, while simultaneously training providers to be more receptive to patients' questions and concerns. Patients in the intervention group will receive three short (30-45 minute) trainings focused on developing and asking questions and will be interviewed three times over the course of the intervention to see how it has affected the quality of their care. Providers receiving the intervention will participate in three separate trainings, including a 12-hour group workshop, an additional two hour training, and six hours of individual instruction, including personalized feedback based on three audio-recorded patient visits. Previous studies looking at patient engagement and involvement in decision-making have shown that increased engagement is linked with improved outcomes, but that providers are sometimes not prepared to develop a collaborative relationship with patients. The investigators think that training both patients and providers to work together and communicate more effectively will improve quality of care and increase patient satisfaction more than interventions that focus on only one side of the clinical encounter. One of the major goals in studying patient-provider communication is to improve shared decision-making and see how it contributes to racial and ethnic disparities in mental health care, since minority patients have been shown to be less involved in care and have been shown to be perceived and treated differently by providers.


Options:
A: Arm Label: 3-9 months PPIUD intervention; Type: EXPERIMENTAL; Interventions: Device: Post-partum IUD | Arm Label: 9-15 months PPIUD intervention; Type: EXPERIMENTAL; Interventions: Device: Post-partum IUD | Intervention Type: DEVICE; Name: Post-partum IUD; Assigned to Arm(s): 3-9 months PPIUD intervention, 9-15 months PPIUD intervention
B: Arm Label: Intervention Patients & Providers; Type: EXPERIMENTAL; Interventions: Behavioral: DECIDE-PA | Arm Label: Intervention Patients, Control Providers; Type: EXPERIMENTAL; Interventions: Behavioral: DECIDE-PA | Arm Label: Control Patients, Intervention Providers; Type: NO_INTERVENTION; Interventions: N/A | Arm Label: Control Patients & Providers; Type: NO_INTERVENTION; Interventions: N/A | Arm Label: Non-Randomized Controlled Trial Patients; Type: NO_INTERVENTION; Interventions: N/A | Arm Label: Control Providers; Type: NO_INTERVENTION; Interventions: N/A | Arm Label: Intervention Providers; Type: EXPERIMENTAL; Interventions: Behavioral: DECIDE-PC | Intervention Type: BEHAVIORAL; Name: DECIDE-PA; Assigned to Arm(s): Intervention Patients & Providers, Intervention Patients, Control Providers | Intervention Type: BEHAVIORAL; Name: DECIDE-PC; Assigned to Arm(s): Intervention Providers
C: Arm Label: SCC1--high intensity supervision; Type: EXPERIMENTAL; Interventions: Behavioral: safer conception counseling | Arm Label: SCC2-- low intensity supervision; Type: EXPERIMENTAL; Interventions: Behavioral: safer conception counseling | Arm Label: Usual care family planning services; Type: NO_INTERVENTION; Interventions: N/A | Intervention Type: BEHAVIORAL; Name: safer conception counseling; Assigned to Arm(s): SCC1--high intensity supervision, SCC2-- low intensity supervision
D: Arm Label: 1; Type: EXPERIMENTAL; Interventions: Behavioral: evidence based decision aid, Behavioral: Possible reimbursement 4th IVF/ICSI cycle when necessary | Arm Label: 2; Type: NO_INTERVENTION; Interventions: N/A | Intervention Type: BEHAVIORAL; Name: evidence based decision aid; Assigned to Arm(s): 1 | Intervention Type: BEHAVIORAL; Name: Possible reimbursement 4th IVF/ICSI cycle when necessary; Assigned to Arm(s): 1

Answer: B