Patient Perceptions of the Relational Empathy of Healthcare Practitioners From the Department of Emergency Medicine During the COVID-19 Pandemic

Study Overview
=================
Brief Summary
-----------------
This study investigates patients' perceptions of their doctor's or nurse's empathy during an in-person interaction with the doctor or nurse wearing personal protective equipment (PPE) compared to during a video interaction with the doctor or nurse without PPE. The goal of this research study is to learn whether patients who visit the Acute Cancer Care Center at MD Anderson believe they get better (more empathetic) care from doctors who visit them in person wearing PPE or from doctors who visit them by video call and do not wear PPE.

Detailed Description
-----------------
PRIMARY OBJECTIVE: I. To determine whether patients perceive their healthcare practitioner as more empathetic during an in-person interaction with the practitioner wearing personal protective equipment (PPE), or during a video interaction without the need for PPE. SECONDARY OBJECTIVES: I. To assess whether certain physicians perform better with video whereas others perform better in person. II. To characterize generational differences in patient perception of healthcare practitioner empathy during an in person interaction with the practitioner wearing PPE, or during a video interaction without the need for PPE. OUTLINE: After initial visit, patients are randomized to 1 of 2 groups. GROUP A (NO PPE): Patients receive standard of care via video call with treating physician. GROUP B (WEARING PPE): Patients receive standard of care in-person physician visits.

Official Title
-----------------
Patient Perceptions of the Relational Empathy of Healthcare Practitioners From the Department of Emergency Medicine During COVID-19: A Randomized, Controlled Trial Comparing In-Person Interaction With Personal Protective Equipment (PPE) Versus Video Interaction Without PPE

Conditions
-----------------
COVID-19 Infection, Hematopoietic and Lymphoid Cell Neoplasm, Malignant Solid Neoplasm

Intervention / Treatment
-----------------
* Other: Best Practice
* Procedure: Discussion
* Other: Questionnaire Administration


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: >= 18 years old Able to speak and write in English Able to understand and willing to sign a written informed consent document Willing and able to complete the study assessment(s) Exclusion Criteria: Refuses to participate Too ill to participate, in the estimation of the patient's physician

Ages Eligible for Study
-----------------
Minimum Age: 18 Years

Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
No

Study Plan
=================
How is the study designed?
-----------------

Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Group A (video call)<br>Patients receive standard of care via video call with treating physician. | Procedure: Discussion<br>* Physician conversations occur via video call<br>* Other names: Discuss;Other: Questionnaire Administration<br>* Ancillary studies<br>|
| Group B (in-person)<br>Patients receive standard of care in-person physician visits. | Other: Best Practice<br>* Physician conversations occur in-person<br>* Other names: standard therapy;Other: Questionnaire Administration<br>* Ancillary studies<br>|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Patients' perceptions of healthcare provider empathy | Univariate linear regression analysis will be used to determine the association between the approach (in-person interaction/with personal protective equipment [PPE] versus video interaction/without PPE) and the composite scores or scores for each question (for each of the two tools [the CARE Measure and the linear empathy tool]). | Through study completion, an average of 1 year |