Clinical trial NCT02927652: Psychiatric Comorbidity
Official title: Evaluating Psychiatric Comorbidity in Otolaryngology
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Otorhinolaryngologic Diseases
Lead sponsor: Duke University
Sponsor class: OTHER
First posted: 2016-10-07
Enrollment: 463
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: COHORT
Time perspective: OTHER
Sampling method: NON_PROBABILITY_SAMPLE
Study population: New patients being seen at Duke Head and Neck Surgery \& Communication Sciences (Clinic 1F) or Duke Raleigh Otolaryngology

Brief summary: The goals of this project are aimed at the following:

1. Identifying psychiatric comorbidity in patients presenting to the HNSCS clinic 1F and Duke Otolaryngology of Raleigh clinic using the validated assessment tool Brief Symptom Inventory (BSI-18) and the patient control scale. The BSI-18 is an 18 question and patient control an 8 item tool that takes about four minutes to complete.
2. Gathering data regarding patient satisfaction in new patients to the HNSCS clinics via the CG-CAHPS visit survey.
3. Examining relationships between psychiatric comorbidity and patient satisfaction.
4. Examining relationships between psychiatric comorbidity and healthcare system use.

Detailed description: Patients with multiple otolaryngology complaints experience psychosocial distress. This psychosocial distress can have an adverse effect on treatment outcomes for the primary complaint and on the overall patient experience. It can result in greater costs for more care that may not be best-directed. This has implications not only for the patients, but also for providers' quality metrics.

Data will be collected via surveys and a chart review. New patients at the Duke Clinic 1F and Duke Raleigh Otolaryngology will be asked to complete the BSI-18, patient control scale, and disease specific outcome measure upon patient intake by the clinic nurse. The CG-CAHPS Visit Survey 2.1 will be completed at the conclusion of the clinical encounter. Patient participation consists of these surveys on their initial visit only.

The PI and/or a resident will conduct a chart review of these patients looking for history of psychiatric diagnoses and/or related prescriptions. Patients who have psychiatric diagnoses and/or prescriptions in the chart will be considered to have their needs "met", in that they are receiving care. Data regarding diagnoses and prescriptions will also be entered into REDCap.

Eligibility criteria: Inclusion Criteria:

* Age 18 or older
* New patient appointment at Duke Clinic 1F or Duke Raleigh Otolaryngology
* Ability to read, write, and understand English

Exclusion Criteria:

* Less than 18 years old
* Unable to read, write, and understand English

Primary outcomes:
measure: Identification of psychiatric comorbidity
timeFrame: day 1
measure: Identification of psychiatric comorbidity
timeFrame: day 1
Secondary outcomes:
measure: Patient satisfaction of provider visitCG-CAHPS score
timeFrame: day 1
Other outcomes:
Locations:
city: Durham
country: United States
facility: Duke University Medical Center and affiliated practices
state: North Carolina
Study officials:
affiliation: Duke University
name: Seth Cohen, MD
role: PRINCIPAL_INVESTIGATOR
References: