Communication Research, Physician-Patient Relations
Conditions
Brief summary
The investigators developed a brief set of subjective health measures designed to feel more relevant to patients seeking musculoskeletal specialty care, presented the scores to patients and clinicians using an easy-to-understand visual display, and measured whether or not this process harmed patient experience.
Detailed description
Musculoskeletal patient-reported outcome measures (PROMs; measures of levels of discomfort and incapability) were originally designed as tools for clinical research as were other self-reported measures of the subjective aspects of illness such as mental health measures. PROMs and mental health measures are increasingly used in clinical practice with individual patients. A few areas for improvement are noted in the use of questionnaires in musculoskeletal specialty care, including relevancy, understandability, and their confusing use in heath strategies. The investigators sought to assess the impact of an enhanced and more personalized self-reported health measurement strategy to address some of these opportunities by developing a brief set of items addressing levels of discomfort, incapability, mental, and social health designed to feel relevant to musculoskeletal specialty care and resulting in an easy-to-understand display that can be a communication tool for patients and clinicians.
Interventions
BEHAVIORALRelevant Patient Reported Outcome Measures (PROMs)
Depending on the participant's complaint: Hip disability and osteoarthritis outcome score JR (HOOS JR), Knee disability and osteoarthritis outcome score JR (KOOS JR), Quick Disabilities of the Arm, Shoulder, and Hand, Quick Disabilities of the Arm, Shoulder, and Hand (QUICKDASH), Patient Health Questionnaire 9 (PHQ-9), General Anxiety Disorder-7 (GAD7), Patient Self-Efficacy Questionnaire (PSEQ-2), Patient-Reported Outcomes Measurement Information System (PROMIS Global 10)
OTHERMy Whole Health Map
Short visual map of responses to 10 questions of subjective measures.
Sponsors
University of Texas at Austin
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
18 Years to 89 Years
Healthy volunteers
Yes
Inclusion criteria
* All new and return patients * English and Spanish speakers
Exclusion criteria
* Cognitive deficiency precluding PROM completion * Language other than English or Spanish
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| CollaboRATE survey | Immediately after the intervention | Quality of shared decision-making (Numerical scale from 1-27; Higher scores equal better outcome) |
| Jefferson Scale Patient Perceptions of Physician Empathy (JSPPPE) | Immediately after the intervention | Patient perceived clinician empathy (Numerical scale from 1-35; Higher scores equal better outcome) |
Countries
United States
Outcome results
None listed