Basic Care Revisited_Communication for Patient Participation

NCT02401919 | Unknown

• 1 other identifier: 520002003
• Study Type: interventional
• Target: 175
• Locations: 1 country
• Sites: 2

Brief Summary

COMMUNICATION - Feasibility and effectiveness 'Tell-us Cards' in hospital patients

• Objective - To investigate the feasibility and effectiveness of 'Tell-us Cards' on patient participation in basic care in hospital settings.
• Design - Cluster randomised controlled early trial design (Phase 2B, MRC Framework). Patients of two surgical and two medical wards (n=140) will be included in this study. Before and after the introduction of the intervention, assessments will take place in patients and nurses at these wards.
• Intervention - The 'Tell-us card' is a tool to elicit patients preferences and needs in basic care. Patients are invited to write down their specific questions and concerns. The cards are handed out to patients admitted to the hospital (daily). Patients and informal caregivers are invited to use the cards to state their preferences. Nurses are instructed to use the cards as a tool in their dialogue with the patient in making care plans, during ward rounds or for discharge information sessions.
• Comparison - Usual care
• Primary outcome - Patient perception of participation in care (Individualized Care Scale (ICS)
• Secondary - Use and content of the 'Tell-us Cards' actions taken by nurses as a consequence of what patients 'tell them' by means of the 'Tell-us Cards', Quality from the Patients' perspective (QPP), EQ-5D, and CQ satisfaction with communication \& care in general

Conditions

Communication; Patient Participation

Keywords

Nursing; Hospital; Communication; Patient Participation; Individualised Care

Outcome Measures

Primary Outcomes (2)

• Change in the Individualised Care Scale score

  Patients will receive a questionnaire at discharge

  For patients at baseline and 4 months after the start start of the implementation proces

• Change in Quality of Care Scale score

  Patients will receive a questionnaire at discharge

  At baseline and 4 months after the start start of the implementation proces

Secondary Outcomes (2)

• Process analysis 'Content of the Tell-us Card'

  3 months (after finalising implementation)

• Process analysis 'follow-up activities on content of Tell-us Card'

  3 months (after finalising implementation)

Study Arms (2)

Tell-us Card Intervention

EXPERIMENTAL

Patients in the experimental arm will receive a Tell-us Card on a daily basis during their stay in the hospital. With this card patients are invited to state what is important to them for that day or before discharge from the ward.

Behavioral: Tell-us Card

Care as usual

NO INTERVENTION

In the control arm, patients will receive care as usual.

Interventions

Tell-us Card BEHAVIORAL

Patients will be invited on a daily basis, during their stay in the hospital, to state what is important for them at that moment or before discharge

Tell-us Card Intervention

Eligibility Criteria

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

You may qualify if:

• Speaking the Dutch language

You may not qualify if:

• No serious cognitive impairments

Sponsors & Collaborators

• Radboud University Medical Center: lead
• Jeroen Bosch Ziekenhuis: collaborator

Study Sites (2)

Radboud university medical center

Nijmegen, Gelderland, 6525EZ, Netherlands

RECRUITING

Jeroen Bosch Ziekenhuis

's-Hertogenbosch, North Brabant, 5223GZ, Netherlands

RECRUITING

Related Publications (3)

• Jangland E, Carlsson M, Lundgren E, Gunningberg L. The impact of an intervention to improve patient participation in a surgical care unit: a quasi-experimental study. Int J Nurs Stud. 2012 May;49(5):528-38. doi: 10.1016/j.ijnurstu.2011.10.024. Epub 2011 Nov 20.

  PMID: 22104043 BACKGROUND

• Suhonen R, Schmidt LA, Katajisto J, Berg A, Idvall E, Kalafati M, Land L, Lemonidou C, Valimaki M, Leino-Kilpi H. Cross-cultural validity of the Individualised Care Scale - a Rasch model analysis. J Clin Nurs. 2013 Mar;22(5-6):648-60. doi: 10.1111/j.1365-2702.2012.04238.x. Epub 2012 Aug 9.

  PMID: 22882146 BACKGROUND

• Suhonen R, Gustafsson ML, Katajisto J, Valimaki M, Leino-Kilpi H. Nurses' perceptions of individualized care. J Adv Nurs. 2010 May;66(5):1035-46. doi: 10.1111/j.1365-2648.2009.05256.x. Epub 2010 Mar 9.

  PMID: 20337793 BACKGROUND

MeSH Terms

Conditions

Communication; Patient Participation

Condition Hierarchy (Ancestors)

Behavior; Patient Acceptance of Health Care; Treatment Adherence and Compliance; Health Behavior

Study Officials

• Ria Nijhuis-van der Sande, PhD

  Radboud University Medical Center

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Maud Heinen, PhD

CONTACT

+31 (0)24 3619750; Maud.Heinen@radboudumc.nl

Getty Huisman-deWaal, PhD

CONTACT

+31 (0)24 3619750; Getty.Huisman-dewaal@Radboudumc.nl

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: March 11, 2015
• First Posted: March 30, 2015
• Study Start: May 1, 2014
• Primary Completion: December 1, 2015
• Study Completion: May 1, 2019
• Last Updated: March 30, 2015

Record last verified: 2015-03

Locations

NL (2)