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Идёт набор NCT06647303

Improving Surgical Communication for Patients in Wisconsin

Без фазы С лечением Surgeons Surgical Procedure, Unspecified

Ориентир для пациента и семьи

Простыми словами

Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.

Что изучают
В протоколе указаны: Training on communication framework, Focus Group, Surveys.
Кому может быть актуально
Состояния в реестре: Surgeons, Surgical Procedure, Unspecified. Базовые параметры: от 18 лет · Все.
Что важно проверить
Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
Где проводится
США
Следующий шаг
Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →

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Официальное название

Better Conversations for Better Informed Consent: A Pilot Study to Automate Surgeon Training and Evaluate Patient-Reported Outcomes

Обзор

The purpose of this study is to evaluate a new training program to support communication between surgeons and their patients. The goal of the training program is to help patients get the information they need to make treatment decisions that are right for them. Participants will complete surveys, attend a focus group, or receive training on Better Conversations, depending on the type of participant.

Подробное описание

Observational research shows that surgeons translate informed consent and shared decision-making standards into an overly complicated technical explanation of the patient's disease and treatment, and an overly simplified narrative that surgery will "fix" the patient's problem. They omit critical information about the goals and downsides of surgery and struggle to actualize the patient's role in medical decisions, while unintentionally concealing professional expertise. "Better Conversations" is a novel communication framework designed to address these problems. With this framework, surgeons provide context about clinical norms, clearly establish the goals of surgery, and comprehensively delineate the downsides of surgery as experienced by the patient to generate a deliberative space for patients to consider whether surgery is right for them. This paradigm-shifting framework meets the legal and ethical standards for informed consent, supports deliberation, and allows patients to anticipate and prepare for the experience of surgery.

The present study supports optimization of surgeon training and study procedures (Phase II) that is needed before large scale testing and dissemination (Phase III). Although this intervention is evidence based, collaborative efforts are needed to ultimately test and disseminate a major clinical shift. The long-term goal is for every surgeon to use Better Conversations with every patient, every time. The present study has two main objectives: 1) To make the education program scalable with automated assessment and feedback to surgeons using audio recordings from their clinical conversations, and 2) to evaluate patient and family reported outcome measures regarding surgeon communication.

Вмешательства

  • Поведенческое Training on communication framework
    Surgeons will receive training on the Better Conversations framework
  • Другое Focus Group
    Participants will attend a focus group to discuss the survey instruments used in this study which will help with future study design
  • Другое Surveys
    Participants will complete surveys regarding the surgeon's communication skills

Первичные конечные точки

  • Effect of automated training program [Срок оценки: Up to 4 years]
  • Compare effectiveness of specialist-delivered training versus automated training on participant-reported measures of surgeon communication [Срок оценки: Up to 4 years]

Критерии участия

Критерии включения

Surgeons:

  • Surgeons from University of Wisconsin - Madison Department of Surgery who have an outpatient surgical clinic and treat adult patients at UW Health

Surgical candidates:

  • Age 18 or older
  • Present to an enrolled surgeon's clinic with a surgical problem
  • Decision making ability
  • Speak English

Stakeholders:

  • Must have previous experience with surgery (within 10 years)
  • Speak English

Критерии исключения

Surgeons:

  • Solely treat minors (under age 18)

Surgical candidates:

  • Lacking decision making capacity
  • Unable to speak English

Stakeholders:

  • Unable to speak English

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Да

Дизайн исследования

Распределение
Нерандомизированное
Модель
Параллельные группы
Маскирование
Открытое
Основная цель
Организация здравоохранения

Центры проведения

США · 1 центр
  • University of Wisconsin — Madison

Идентификаторы

NCT: NCT06647303 · 2024-1354 · A539750 · Protocol Version 4/17/2025

Первоисточники (государственные реестры)

Открыть это исследование на ClinicalTrials.gov ↗