Influence of a Questionnaire on Patients' Emergency Room Expectations

Study Overview
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Brief Summary
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The goal of this study is to determine whether a novel questionnaire designed to illicit patient's self-reported expectations across four domains (overall purpose of visit, medication intervention, imaging intervention and disposition) improves patient-provider communication as evaluated by an exit survey during an emergency room visit.

Official Title
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Influence of a Questionnaire on Patients' Emergency Room Expectations

Conditions
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Emergencies, Satisfaction, Patient, Expectations, Physician-Patient Relations

Intervention / Treatment
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* Other: Emergency Department Visit Expectations Questionnaire


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients who arrive through the ED main entrance (non-EMS) Patients aged 18 years and older Patients who demonstrate decision making capacity Patients who willingly consent to participate Exclusion criteria: Patients in distress (physical, emotional, or other) as determined by investigator Patients who demonstrate altered mental status or lack of capacity to consent Patients who require immediate medical intervention including diagnostic and/or treatment intervention Prisoners and patient under involuntary holds

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Health Services Research
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Expectations Questionnaire<br>Provision of expectations questionnaire and associated instructions to patient. | Other: Emergency Department Visit Expectations Questionnaire<br>* Patients presented with novel questionnaire designed to illicit patient's self-reported expectations across four domains (overall purpose of visit, medication intervention, imaging intervention and disposition) during check-in when arriving at the emergency department. Patients instructed to present the completed questionnaire to the treating provider.<br>|
| No Intervention: Control<br>Usual care (no expectations questionnaire or further instruction) | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Patient reported provider understanding of patient's visit expectations | Q: My ER provider understood my expectations for my ER visit today with agreement responses on a 5-point Likert scale (strongly disagree to strongly agree) | After patient discharge instructions given (or for patients being admitted/transferred, after admission/transfer request), up to 15 minutes after either event | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Patient reported degree to which visit expectations were met | Q: My expectations for my ER visit today were met with agreement responses on a 5-point Likert scale (strongly disagree to strongly agree) | After patient discharge instructions given (or for patients being admitted/transferred, after admission/transfer request), up to 15 minutes after either event | 
| Patient reported provider courtesy | Q: Courtesy of your provider with response options from Very Poor to Very Good | After patient discharge instructions given (or for patients being admitted/transferred, after admission/transfer request), up to 15 minutes after either event | 
| Patient reported provider listening | Q: Your provider took the time to listen to you with response options from Very Poor to Very Good | After patient discharge instructions given (or for patients being admitted/transferred, after admission/transfer request), up to 15 minutes after either event | 
| Patient reported inclusion in treatment decisions | Q: Your provider included you in decisions about your treatment with response options from Very Poor to Very Good | After patient discharge instructions given (or for patients being admitted/transferred, after admission/transfer request), up to 15 minutes after either event |