Disjunction Between Patient Narrative and Formulaic Thinking in the Doctor

Study Overview
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Brief Summary
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This study is seeking whether giving or not giving a clinician a card with talking points in the form of a checklist about the patient's story affects the patients care experience or not

Detailed Description
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During an office visit, the clinician and the patient engage in dialogue and begin a relationship. This traditionally starts with the patient telling their story, which conveys why they decided to seek care. This study will determine the influence of a checklist specifically about the patient's narrative. The checklist will be used during the interview portion of the visit, to remind the clinician to stay curious about the person before them, their experience of the illness, and their explanatory model, and to help ensure that empathic opportunities are not missed.

Official Title
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Disjunction Between Patient Narrative and Formulaic Thinking in the Doctor

Conditions
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Musculoskeletal Diseases

Intervention / Treatment
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* Other: Story checklist


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: New patients Orthopedic visit Exclusion Criteria: Languages other than English or Spanish. Cognitive dysfunction precluding completion of questionnaires.

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: Parallel Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| No Intervention: Standard care<br>Clinician not given any cards about the patient's story. | |
| Experimental: Story checklist<br>Clinician given a card with talking points in the form of a checklist about the patient's story. | Other: Story checklist<br>* The story checklist consists of a couple of questions that gives the physician something to keep in mind while visiting the patients.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Patient Experience Measure questions | Questionnaire assessing patient's experience | through study completion, an average of 6 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Perceived empathy (JSPPPE) | Patient perceived of physician empathy as measured by the JSPPPE;The scores range from 1 (Strongly Disagree) to 7 (Strongly Agree), with the total score being between 5 and 35. Higher scores represent greater empathic perception about the physician. | through study completion, an average of 6 months | 
| Guttman | Patient Satisfaction as measured by the Guttman Scale, The total score is between 0 and 7, with higher scores indicating greater satisfaction. | through study completion, an average of 6 months | 
| Guttman CEQ | Communication Effectiveness Questionnaire; The total score is the sum of all item scores (9 to 63) with higher scores representing a greater degree of perceived communication effectiveness. | through study completion, an average of 6 months | 
| PROMIS PF CAT | Patient Physical Function is measure by the PROMIS PF CAT; Higher scores indicate better physical function, with a mean of 50 for the general US population | through study completion, an average of 6 months | 
| NRS pain intensity assessment | Numeric rating scale = 11 point ordinal scale, the higher score indicates the more pain intensity | through study completion, an average of 6 months | 

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