Clinician-patient Interaction During Addiction Consultation

NCT01769651 | Unknown DMC

• 1 other identifier: CLiPID01
• Study Type: observational
• Target: 16
• Locations: 1 country
• Sites: 1

Brief Summary

Accurately predicting the risk factors of patients' suffering a drug overdose plays a crucial role in effective prevention of drug overdose. In order to investigate possible risk factors for drug overdose, the NHS Fife Research \& Development Office funded this project to be carried out by a group of researchers based in the University of St Andrews, in collaboration with the NHS Fife Addiction Services. To improve our understanding of drug misusers' risk of suffering a drug overdose, the investigators focus on the factors that are associated with the aspects of the addiction consultation process (e.g. verbal and non-verbal behaviours of clinicians and patients). The investigators are particularly interested in how clinicians recognize and manage patients' emotional concerns during consultations. Based on the empirical evidence in the area of patient-centred consultation, the investigators hypothesize that successful management of patient emotional distress is positively correlated with improved healthcare outcomes including patient's feeling more emotionally valued and satisfied with the consultation. The investigators also hypothesize, according to the research findings on the relationship between facial expressions and suicidal reattempt, that some non-verbal behaviours during consultation (e.g. patient's 'looking down' activity) are related to patient's risk of suffering a drug overdose. After obtaining informed consent from clinicians and patients, the investigators will video record a patient's first consultation session with a key worker within the NHS Fife Addition Services. The investigators expect to collect a minimum of 16 consultations (about eight clinicians with two patients per staff member) for this one-year pilot study. A validated coding scheme will be modified to code patients' expressions of emotional distress and clinicians' responses. Additional survey method will be also employed to collect demographic information and patient satisfaction. The investigators hope the findings of the study will improve our understanding of drug overdose risk factors and contribute to the development of drug overdose prevention programmes.

Conditions

Drug Dependency

Keywords

drug user patients; addiction nurses; overdose risk

Outcome Measures

Primary Outcomes (1)

• Number of days patients injected non-prescribed drugs

  The primary outcome measure of the study is patient risk of suffering a drug overdose, measured by the number of days patients injected non-prescribed drugs, recorded on the Treatment Outcomes Profile Questionnaire, one month after the recorded consultation.

  one month after the video recorded consultation

Secondary Outcomes (1)

• Patient Satisfaction

  an expected average of 30 minutes after recorded consultation

Study Arms (1)

Drug service users

Those patients who receive Methadone replacement therapy as part of their treatment plan. In addition, those drug user patients who have a first consultation session with their Addiction Nurses.

Other: methadone replacement therapy

Interventions

methadone replacement therapy OTHER

Patients are prescribed Methadone as part of their treatment plan, having been assessed as having opioid dependence syndrome and requiring pharmacological substitution therapy. A bio-psychosocial approach is taken in the treatment management of individuals.

Drug service users

Eligibility Criteria

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

Study Population

All drug user patients refered to the NHS Fife Addiction Services by a Fife wide triage contact point, patient GPs or Consultant, who are to have a first session with their Addiction Nurses, are identified as potential patient participants.

You may qualify if:

• Drug service users in NHS Fife Addiction Services
• Have a first session with their Addiction Nurses
• English is first language

You may not qualify if:

• Mental health problems

Sponsors & Collaborators

• University of St Andrews: lead
• NHS Fife: collaborator

Study Sites (1)

School of Medicine, University of St Andrews

St Andrews, Fife, Scotland, KY16 9TF, United Kingdom

Location

Related Publications (3)

• Archinard M, Haynal-Reymond V, Heller M. Doctor's and patients' facial expressions and suicide reattempt risk assessment. J Psychiatr Res. 2000 May-Jun;34(3):261-2. doi: 10.1016/s0022-3956(00)00011-x. No abstract available.

  PMID: 10960300 BACKGROUND

• Stewart MA. Effective physician-patient communication and health outcomes: a review. CMAJ. 1995 May 1;152(9):1423-33.

  PMID: 7728691 BACKGROUND

• Zimmermann C, Del Piccolo L, Bensing J, Bergvik S, De Haes H, Eide H, Fletcher I, Goss C, Heaven C, Humphris G, Kim YM, Langewitz W, Meeuwesen L, Nuebling M, Rimondini M, Salmon P, van Dulmen S, Wissow L, Zandbelt L, Finset A. Coding patient emotional cues and concerns in medical consultations: the Verona coding definitions of emotional sequences (VR-CoDES). Patient Educ Couns. 2011 Feb;82(2):141-8. doi: 10.1016/j.pec.2010.03.017. Epub 2010 Apr 28.

  PMID: 20430562 BACKGROUND

MeSH Terms

Conditions

Substance-Related Disorders

Condition Hierarchy (Ancestors)

Chemically-Induced Disorders; Mental Disorders

Study Officials

• Gerry M Humphris, PhD

  University of St Andrews

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Yuefang Zhou, PhD

CONTACT

00441334461866; yz10@st-andrews.ac.uk

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: CROSS SECTIONAL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Chair of Health Psychology

Study Record Dates

• First Submitted: January 10, 2013
• First Posted: January 17, 2013
• Study Start: March 1, 2015
• Primary Completion: September 1, 2015
• Study Completion: December 1, 2015
• Last Updated: February 18, 2015

Record last verified: 2015-02

Locations

GB (1)