Het effect van interventies ophet gesprek over behandelbeperkingen advanced care planning Treatment restrictions
Conditions
Interventions
Patients will receive a digital information brochure and conversational aid.
Doctors will be trained with simulated patients and an e-learning module.
Sponsors
Universitair Medisch Centrum Utrecht
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: All new patients or known patients (>18 years) with whom potential treatment restrictions have not been discussed, that are scheduled for a visit at the internal medicine outpatient clinic are eligible for inclusion. Moreover, internal medicine residents and internists who did not participate in the treatment restrictions communication training before will be asked to participate in this study.
Exclusion criteria
Exclusion criteria: Patients with insufficient Dutch language ability in order to be able to complete the patient information files and questionnaires, inability to give informed consent and patients with whom treatment restrictions have been discussed previously will be excluded.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary study outcome is patient satisfaction about the conversation with their doctor, the received information and the patient-doctor relationship. This will be measured with three questions on satisfaction using a 11-point Likert scale. Moreover, the doctor-patient relationship will be further assessed with the Patient Doctor Relationship questionnaire (PDRQ-9), and doctors will receive a questionnaire that wil assess satisfaction as well. | — |
Secondary
| Measure | Time frame |
|---|---|
| Quantitative analysis: decisional conflict (Decisional Evaluation Scale), shared decision-making (SDM-9-Doc), gender differences in previously mentioned outcomes Qualitative analysis: quality of the conversation on treatment restrictions, gender differences in communication styles regarding the conversation on treatment restrictions | — |
Countries
Netherlands
Outcome results
None listed