Development and Validation of an Orthopedic Visit Prompt List

Study Overview
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Brief Summary
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Investigators are interested to see whether patients who received a visit question prompt list before the consultation ask more questions, feel more actively involved in their healthcare, and think of their surgeon as being more empathetic.

Detailed Description
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Visiting a doctor with a musculoskeletal problem can be quite a daunting experience for patients. A visit question prompt list may help to empower patients and increase their role in active decision-making. Previous studies have shown that patient activation is correlated with a disability, pain intensity, and satisfaction with treatment. Perceived empathy is strongly associated with satisfaction among people with arm problems. A list that prompts patients to ask about things that matter to them, might improve their connection with the surgeon and their perceived empathy. The investigators are interested to see whether patients who received a visit question prompt list before the consultation ask more questions, feel more actively involved in their healthcare, and think of their surgeon as being more empathetic.

Official Title
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Development and Validation of an Orthopedic Visit Prompt List

Conditions
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Musculoskeletal Diseases

Intervention / Treatment
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* Other: Prompt list


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Adult patients (18+) Orthopedic visit Exclusion Criteria: Patients who are illiterate. Patients who do not speak English.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 89 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: All new, adult (18+ years old) patients seeing an orthopedic surgeon for a consultation will be invited to enroll. Randomization will be done through an Excel random number generator. The patients in the intervention group will review a prompt list before their visit. The research assistant will shadow the surgeon to count the amount of questions they ask during their visit. Patients in both groups will fill out a survey entailing demographics, the Decisional Conflict Scale, the JSPPE, the PAM score and a satisfaction scale at the end of the visit.
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| No Intervention: Standard care<br>will not review a prompt list before their visit. | |
| Experimental: Prompt list<br>The patients in the intervention group will review a prompt list before their visit. | Other: Prompt list<br>* The patients in the intervention group will review a prompt list before their visit.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Decisional Conflict Scale | Questionnaire assessing decision conflict | Baseline | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Jefferson Scale of Patient's Perceptions of Physician Empathy | Patient perceived of physician empathy as measured by the JSPPE | Baseline | 
| Patient Activation Measure-13 | Patient activation as measured by PAM-13 | Baseline | 
| Satisfaction scale | Questionnaire measuring to what degree patients are satisfied with the care they received. | Baseline | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Orthopedics