Provider Skill Building for Engagement and Communication in Healthcare - Hypertension Management

Официальное название

Provider Skill Building for Engagement and Communication in Healthcare - Hypertension Management (REACH - Hypertension)

Обзор

Brief Summary: The study has three main goals: The first goal is to make a skills training program that improves how doctors talk with, listen to, and work with patients. The second goal is to make sure the process of collecting data and completing the program can be done. The third goal is to make sure the skills training program is feasible and acceptable for doctors. Study Activities: * Doctors will first complete a questionnaire and have their patients' appointments audio-recorded. * Then they will go through the training program. * After finishing the program, doctors will have more patient appointments audio-recorded. * Then the doctors will complete questionnaires again and have an interview with the study team.

Вмешательства

• Другое REACH - Hypertension
  The intervention is a skills training program for doctors that includes 3 self-paced on-line learning modules and 3 coaching sessions (one in-person and 2 virtual).

Первичные конечные точки

• Feasibility of the intervention as measured by Clinician enrollment [Срок оценки: Baseline (pre-intervention), within 6 weeks post-intervention, and 12-16 weeks post-intervention]
• Feasibility of the intervention as measured by Patient enrollment [Срок оценки: Baseline (pre-intervention), within 6 weeks post-intervention, and 12-16 weeks post-intervention]
• Feasibility of the intervention as measured by number of participants with completion of analyzable audio-recorded encounters [Срок оценки: Baseline (pre-intervention), within 6 weeks post-intervention, and 12-16 weeks post-intervention]
• Feasibility of the intervention as measured by the number of participants with intervention completion [Срок оценки: Baseline (pre-intervention), within 6 weeks post-intervention, and 12-16 weeks post-intervention]
• Feasibility of the intervention as measured by the number of participants with survey completion [Срок оценки: Baseline (pre-intervention), within 6 weeks post-intervention, and 12-16 weeks post-intervention]
• Feasibility of the intervention as measured by the number of participants with usable electronic health record (EHR) data [Срок оценки: Baseline (pre-intervention), within 6 weeks post-intervention, and 12-16 weeks post-intervention]
• Change in patient-centeredness as measured by Roter interaction analysis system (RIAS) [Срок оценки: Baseline (pre-intervention), within 6 weeks post-intervention, and 12-16 weeks post-intervention]
• Change in systolic blood pressure [Срок оценки: Baseline - [spanning 6 months pre-intervention for all patients of the enrolled clinicians] to end point - [spanning 6 months post-intervention for all patients of the enrolled clinicians]]

Вторичные конечные точки (8)

• Change in diastolic blood pressure [Срок оценки: Baseline - [spanning 6 months pre-intervention for all patients of the enrolled clinicians] to end point - [spanning 6 months post-intervention for all patients of the enrolled clinicians]]
• Change in hypertension control as defined by Healthcare Effectiveness Data and Information Set (HEDIS) criteria [Срок оценки: Baseline - [spanning 6 months pre-intervention for all patients of the enrolled clinicians] to end point - [spanning 6 months post-intervention for all patients of the enrolled clinicians].]
• Change in treatment intensification [Срок оценки: Baseline - [spanning 6 months pre-intervention for all patients of the enrolled clinicians] to end point - [spanning 6 months post-intervention for all patients of the enrolled clinicians]]
• Change in verbal dominance as measured by Roter interaction analysis system (RIAS) [Срок оценки: Baseline (pre-intervention), within 6 weeks post-intervention, and 12-16 weeks post-intervention]
• Change in story questions as measured by Roter interaction analysis system (RIAS) [Срок оценки: Baseline (pre-intervention), within 6 weeks post-intervention, and 12-16 weeks post-intervention]
• Change in partnering behaviors as measured by Roter interaction analysis system (RIAS) [Срок оценки: Baseline (pre-intervention), within 6 weeks post-intervention, and 12-16 weeks post-intervention]
• Change in emotional statements as measured by Roter interaction analysis system (RIAS) [Срок оценки: Baseline (pre-intervention), within 6 weeks post-intervention, and 12-16 weeks post-intervention]
• Change in encounter duration as measured by Roter interaction analysis system (RIAS) [Срок оценки: Baseline (pre-intervention), within 6 weeks post-intervention, and 12-16 weeks post-intervention]

Критерии участия

Критерии включения

• Doctor Cohort: Independently practicing physicians (MD, DO, PA, or NP)
• Doctor Cohort: Responsible for a panel of primary care adult patients in the Duke Primary Care clinic
• Patient Cohort: Receiving primary care from an enrolled DPC clinician at the enrolled DPC clinic
• Patient Cohort: Age at least 18 years
• Patient Cohort: Diagnosis of hypertension based on EHR ICD coding
• Patient Cohort: Able to complete a primary care encounter without an interpreter
• Patient Cohort: Able to use the study tablet for consent, data collection, and audio-recording a clinical encounter
• Patient Cohort, post-intervention: Not previously enrolled at any other timepoint
• EHR Cohort: Non-urgent patient encounters for enrolled clinicians 6 months pre intervention to 6 months post intervention completion

Критерии исключения

• Doctor Cohort: Not an independently practicing physician (MD, DO, PA, or NP) at the enrolled Duke Primary Care clinic
• Patient Cohort: Previously enrolled at any other timepoint
• EHR Cohort: Urgent patient encounters

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

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Нерандомизированное

Модель

Параллельные группы

Маскирование

Открытое

Основная цель

Другое

Центры проведения

США · 1 центр

• Duke Primary Care South Durham — Durham

Идентификаторы

NCT: NCT07147075 · Pro00115680 · R34HL174728

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

Открыть это исследование на ClinicalTrials.gov ↗