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Disjunction Between Patient Narrative and Formulaic Thinking in the Doctor

Disjunction Between Patient Narrative and Formulaic Thinking in the Doctor

Status
Withdrawn
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT05401981
Enrollment
0
Registered
2022-06-02
Start date
2026-01-01
Completion date
2026-12-01
Last updated
2025-07-31

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Musculoskeletal Diseases

Keywords

Orthopedics

Brief summary

This study is seeking whether giving or not giving a clinician a card with talking points in the form of a checklist about the patient's story affects the patients care experience or not

Detailed description

During an office visit, the clinician and the patient engage in dialogue and begin a relationship. This traditionally starts with the patient telling their story, which conveys why they decided to seek care. This study will determine the influence of a checklist specifically about the patient's narrative. The checklist will be used during the interview portion of the visit, to remind the clinician to stay curious about the person before them, their experience of the illness, and their explanatory model, and to help ensure that empathic opportunities are not missed.

Interventions

OTHERStory checklist

The story checklist consists of a couple of questions that gives the physician something to keep in mind while visiting the patients.

Sponsors

University of Texas at Austin
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)

Masking description

Participants will randomly be assigned to 2 groups of intervention (The clinician receives the check list) and control (The clinician doesn't receive a checklist). After the visit patients will answer to questionnaires .

Intervention model description

Parallel Assignment

Eligibility

Sex/Gender
ALL
Age
18 Years to 89 Years
Healthy volunteers
No

Inclusion criteria

* New patients * Orthopedic visit

Exclusion criteria

* Languages other than English or Spanish. * Cognitive dysfunction precluding completion of questionnaires.

Design outcomes

Primary

MeasureTime frameDescription
Patient Experience Measure questionsthrough study completion, an average of 6 monthsQuestionnaire assessing patient's experience

Secondary

MeasureTime frameDescription
Perceived empathy (JSPPPE)through study completion, an average of 6 monthsPatient perceived of physician empathy as measured by the JSPPPE;The scores range from 1 (Strongly Disagree) to 7 (Strongly Agree), with the total score being between 5 and 35. Higher scores represent greater empathic perception about the physician.
Guttmanthrough study completion, an average of 6 monthsPatient Satisfaction as measured by the Guttman Scale, The total score is between 0 and 7, with higher scores indicating greater satisfaction.
Guttman CEQthrough study completion, an average of 6 monthsCommunication Effectiveness Questionnaire; The total score is the sum of all item scores (9 to 63) with higher scores representing a greater degree of perceived communication effectiveness.
PROMIS PF CATthrough study completion, an average of 6 monthsPatient Physical Function is measure by the PROMIS PF CAT; Higher scores indicate better physical function, with a mean of 50 for the general US population
NRS pain intensity assessmentthrough study completion, an average of 6 monthsNumeric rating scale = 11 point ordinal scale, the higher score indicates the more pain intensity

Countries

United States

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026