Space and Interaction Trial: Room Design and Patient-physician Interaction

NCT00806559 | Completed DMC

• 1 other identifier: 07-000135
• Study Type: interventional
• Target: 60
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this study is to improve the clinical encounter through the design of the clinical environment. We will conduct a randomized controlled trial to measure the extent to which a newly designed clinical room, compared to a traditional room, affects the patient-physician interaction. We will judge this outcome by (a) videotaping encounters; and (b) conducting post-visit surveys with patients and an interview with physicians. We will use both qualitative and quantitative tools, including a validated and widely used interaction coding system on the videotapes, to draw inferences from these data.

Conditions

Internal Medicine Patients; Participating Staff

Keywords

effects clinical space; follow-up appointments

Outcome Measures

Primary Outcomes (2)

• Patient and Clinician Interaction variables (duration of the encounter, patient sense of control in encounter, patient's ability to access information from the computer monitor and the quality of the verbal and non-verbal interaction).

  Immediately post clinical visit (survey)

• Patient experience of the clinical encounter. The following variables will be measured: patient satisfaction with the room, patient satisfaction with the encounter and the quality of the relationship.

  Immediately post visit

Study Arms (2)

Usual room

ACTIVE COMPARATOR

Patients in this arm will see their clinician in the usual clinical exam room

Other: Control room

Re-designed room

EXPERIMENTAL

Patients assigned to this arm will see the physician in a redesigned clinical exam room

Other: Re-designed room

Interventions

Re-designed room OTHER

In the redesigned room patients and clinicians are sitting at a single table in a different configuration compared to the usual clinical exam room, with the doctor at the computer and two chairs for the patient and family/friends.

Re-designed room

Control room OTHER

This is the usual clinical room for a clinical visit, with physician at desk and chairs along the wall for patient/family.

Usual room

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may not qualify if:

• ) Not able to give informed consent.

Sponsors & Collaborators

• Mayo Clinic: lead
• Steelcase: collaborator

Study Sites (1)

Mayo Clinic

Rochester, Minnesota, 55905, United States

Location

Related Publications (1)

• Almquist JR, Kelly C, Bromberg J, Bryant SC, Christianson TH, Montori VM. Consultation room design and the clinical encounter: the space and interaction randomized trial. HERD. 2009 Fall;3(1):41-78. doi: 10.1177/193758670900300106.

  PMID: 21165880 DERIVED

Study Officials

• Victor M. Montori, M.D., MSc

  Mayo Clinic

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER

Study Record Dates

• First Submitted: December 10, 2008
• First Posted: December 11, 2008
• Study Start: July 1, 2007
• Primary Completion: April 1, 2008
• Study Completion: April 1, 2008
• Last Updated: December 14, 2011

Record last verified: 2011-12

Locations

US (1)