Writing Down Goals

Study Overview
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Brief Summary
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The women's health IPU at UT Health Austin is happy with having patients write down their goals at their first visit and then tracking those. It would be interesting to study people seeking musculoskeletal specialty care to determine whether asking patients what result of their care would be rated a success helps direct the clinician-patient interaction in a more fruitful direction compared to the usual clinical interaction.

Detailed Description
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People's stated preferences are often inconsistent with what matters most to them (their values). And they are often based on misconceptions, distress, and less effective cognitive coping strategies. For instance, a person might say My goal is to have no pain when that is not possible. Or they might say My goal is to get the shot that fixes this when there is no such shot. It may go without saying that people want: To be able to live a normal lifestyle and To be able to accomplish most of their goals. In other words, people want to be able to be themselves. They are seeking care because they are not able to be themselves or they are concerned that they may not be able to be themselves. The word health comes from an old German word meaning whole. One part of good health is correcting or alleviating pathophysiology (e.g. reading glasses). Another part of good health is evolving one's inner narrative (e.g. I'm older now and need glasses to read). The women's health IPU at UT Health Austin is happy with having patients write down their goals at their first visit and then tracking those. It would be interesting to study people seeking musculoskeletal specialty care to determine whether asking patients what result of their care would be rated a success helps direct the clinician-patient interaction in a more fruitful direction compared to the usual clinical interaction.

Official Title
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Writing Down Goals

Conditions
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Musculoskeletal Diseases

Intervention / Treatment
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* Behavioral: Writing down goals


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 participate in this study. Patients randomly will be assigned to: write down goals their goals for their medical care (intervention) or not (usual visit control group). The research assistant will ask the patient to fill out a survey entailing demographics, JSPPE, the communication effectiveness score, the PAM score and a satisfaction scale at the end of the visit. A research assistant will record the diagnosis,
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| No Intervention: Standard care<br>Will not write down goals their goals for their medical care (usual care). | |
| Experimental: Writing down goals<br>Will write down goals their goals for their medical care. | Behavioral: Writing down goals<br>* Patient will write their health goals down before the visit.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Decision conflict questionnaire | Questionnaire assessing decision conflict | Baseline | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Decision regret questionnaire | Questionnaire assessing the degree of regret of decision | Baseline | 
| 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 | 
| Guttman 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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decisional conflict, Orthopedics