Physician Attire and Appreciation of Physician Communication in Postpartum Women

NCT03403660 | Completed

• 1 other identifier: IRB 17-0096
• Study Type: interventional
• Target: 178
• Locations: 1 country
• Sites: 1

Brief Summary

Wearing white coat during hospital rounds has been associated with increased risk of colonization and transmission of resistant pathogens. On the other hand, studies have shown that physicians' attire affects patients' confidence in their physician and the patient-physician relationship. The results of these studies were highly dependent on the practice setting, with no data in postpartum patients. The objective is to test the hypothesis that not wearing a white coat during physician postpartum rounds impact patient-physician communication scores.

Conditions

Patient Satisfaction

Keywords

Attire; White coat; Patient physician communication

Outcome Measures

Primary Outcomes (1)

• Patient - physician communication score

  Obtained from the three Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) questions.

  24 to 120 hours

Secondary Outcomes (4)

• Hospital rating scores

  24 to 120 hours

• Recommending the hospital to friends and family

  24 to 120 hours

• Physician attire rating score

  24 to 120 hours

• White coat use

  24 to 120 hours

Study Arms (2)

non white coat rounding

EXPERIMENTAL

The postpartum physician rounding in this group will be performed wearing white coat.

Other: non White coat

White coat rounding

PLACEBO COMPARATOR

The postpartum physician rounding in this group will be performed not wearing white coat.

Other: non White coat

Interventions

non White coat OTHER

Postpartum patients are randomized to either arm of the study (white coat or standard scrub suit only) by location. All the obstetric physicians associated with patient's postpartum care should use or not use white coat in every single encounter with patient.

White coat rounding; non white coat rounding

Eligibility Criteria

• Age: 18 Years - 50 Years
• Sex: female
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Maternal age ≥ 18 years and \<50 years
• Patient admitted to postpartum floor at University of Texas Medical Branch (UTMB)
• Patient care managed by obstetric physicians during the postpartum period.

You may not qualify if:

• Patient admitted to ICU
• Delivery resulting in stillbirth Patient not fluent in Spanish and/or English

Sponsors & Collaborators

• The University of Texas Medical Branch, Galveston: lead

Study Sites (1)

Universty of Texas Medical Branch

Galveston, Texas, 77550, United States

Location

MeSH Terms

Conditions

Patient Satisfaction

Condition Hierarchy (Ancestors)

Treatment Adherence and Compliance; Health Behavior; Behavior

Study Officials

• Mauricio La Rosa, MD

  University of Texas

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: Women are randomly assigned to having their postpartum physician team wear a white coat (WC) or not (no-WC) during rounds.

Study Record Dates

• First Submitted: December 20, 2017
• First Posted: January 18, 2018
• Study Start: May 1, 2017
• Primary Completion: June 16, 2017
• Study Completion: June 16, 2017
• Last Updated: February 5, 2018

Record last verified: 2018-01

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)