Clinical trial NCT02799628: Positive Appraisal Improve Trust Between Patients and Therapists, and Change Treatment Effects
Official title: Positive Appraisal Improve Trust Between Patients and Therapists, and Change Treatment Effects
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Trust
Low Back Pain
Keywords: Trust
Low Back Pain
Treatment Outcome
Lead sponsor: Taoyuan General Hospital
Sponsor class: OTHER_GOV
First posted: 2016-06-15
Enrollment: 32
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: The trust between patients and medical providers is the cornerstone to obtain success treatment. To boost the trust can increase medical prescription compliance, enhance patient satisfaction, and improve the effectiveness of treatment. Otherwise, mistrust between medical providers and patients will result in ineffective treatment and excessive defensive health care. This situation may cause medical dispute and medical resources wasting problems.

Most of treatment complete in a few times of admissions and interventions. So, how to improve the trust between patients and doctors quickly became a more knotty problem. Several studies found that speech (including listening, showing compassion, and take longer to explain), reputation, clothing, offer a newer therapy were more important than age, title, and sex.

However, past researches were restricted to an unclear causal relationship. That is they can't be determined whether good doctor-patient relationship and better trust conditions create a longer visit time, better satisfaction, and good reputation, or vice versa. They also unable to clarify whether the high degree of trust result in improved treatment effects, or good relationship result from good medical outcomes.

Investigators want to design a randomized control trial by giving patients recommendation and physical therapist introductions to enhance the trust of patients to therapists. And this study may verify whether enhance trust between therapists and patients will lead to changes in treatment effectiveness.


Eligibility criteria: Inclusion Criteria:

1. First time visit to Taoyuan general hospital rehabilitation ward at 2016/07/01\~2017/12/31
2. Diagnosis with L spine spondylosis, L spine Herniated Inter-vertebral Disc, or non-acute low back muscle strain
3. Suitable for physical therapy with ( Hot packing + interference current therapy + pelvic traction + therapeutic exercise )
4. most pain score \>2

Exclusion Criteria:

1. poor of follow oral order, or patients who can't understand Chinese, including patients with aphasia or dementia
2. patient who can not received 4 weeks of physical therapy
3. other cause of low back pain which can't treatment with physical therapy, including : (Urinary tract stones, infection, rapid progression disease which need immediately operation)

Primary outcomes:
measure: Trust score by The Chinese version of the WFPTS(C-WFPTS) between intervention group and placebo group
timeFrame: The first time data collection for individual 5 mins after the intervention.
measure: Success treatment proportion between intervention group and placebo group 4 weeks after intervention
timeFrame: data collection for individual at the 0 and 4th week after clinical visit
Secondary outcomes:
measure: Trust score by The Chinese version of the WFPTS(C-WFPTS) between intervention group and placebo group
timeFrame: The second time and third time data collection after 2 weeks and 4 weeks after first clinical visit
measure: Change of pain score with The Chinese version of the Brief Pain Inventory (BPI-C) between intervention group and placebo group
timeFrame: data collection for individual at the0, 2nd and 4th week after clinical visit
measure: Change of the compression force to trigger the tenderness point from baseline
timeFrame: data collection for individual at the 0, 2nd and 4th week after clinical visit
Other outcomes:
Locations:
city: Taoyuan
country: Taiwan
facility: Taoyuan general hospital
Study officials:
affiliation: Department of Physical Medicine and Rehabilitation, Taoyuan General Hospital, Ministry of Health and Welfare, Taiwan
name: Huan-Jui Yeh
role: PRINCIPAL_INVESTIGATOR
References: