Stanford Clinics Physician Mindset Training

NCT03677609 | Completed

• 1 other identifier: 41188
• Study Type: interventional
• Target: 78,128
• Locations: 1 country
• Sites: 1

Brief Summary

Mindsets play an important role in motivating and shaping health behavior and outcomes. For example, when patients have the mindset that a treatment will work, they are more likely to adhere to treatment medications and the treatment itself becomes more effective as a result of this mindset. Providers have an opportunity to shape important patient mindsets as part of clinical care, and these mindsets may influence patients' adherence to medication, screening and vaccination recommendations, and diet, exercise, and treatment recommendations that can help patients manage chronic illness. To help care teams capitalize on the potential of leveraging mindsets in medicine and improve patient health behavior and outcomes, we developed and implemented the Medicine Plus Mindset Training as part of Primary Care 2.0. Built on more than two decades of research, this training program (a) Informs Primary Care teams about the power of patient mindsets in shaping treatment outcomes (b) Provides care teams with a language and framework to identify which patient mindsets may be at play (i.e. patient mindsets about illness, treatment, their body, and the provider/care team) and (c) Equips care teams with skills and techniques to effectively shape patient mindsets to improve health outcomes. By motivating care teams to recognize patient mindsets that may be hindering health behavior change (such as "this illness is a catastrophe") or medication adherence (such as "this medication is going to cause side effects"), care teams become better equipped to help their patients adopt more useful mindsets (such as "this treatment will work," "this illness is manageable," "my body is capable," and "I am in good hands").

Conditions

Diabetes; Diabetes Mellitus; Hypertension; Pre Diabetes; Overweight and Obesity

Outcome Measures

Primary Outcomes (5)

• Physician Wellbeing Questionnaire

  Assessing physician wellbeing, including burnout and job satisfaction using self-report Questionnaire developed and validated at Stanford Healthcare

  3 months after the training

• Patient health: Diabetes control: Hemoglobin A1C

  Disease status for patients with diabetes measured via patient Hemoglobin A1C

  3-6 months post intervention

• Patient health: Hypertension control: blood pressure

  Disease status for patients with hypertension measured via patient systolic blood pressure

  3-6 months post intervention

• Patient health: Pre-Diabetes status: Fasting Blood Sugar

  Disease status for patients with pre-diabetes measured via fasting blood sugar

  3-6 months post intervention

• Patient adherence: Vaccine and screening recommendations

  Patient adherence to recommended vaccines and screenings

  1-6 months post visit.

Secondary Outcomes (6)

• Physician satisfaction survey

  Immediately post-training

• Physician use of mindset skills survey

  1, 3, 6, and 12 months post-training

• Physician Wellbeing Questionnaire

  Immediately after the training

• Physician Wellbeing Questionnaire

  6 months after the training

• Physician Wellbeing Questionnaire

  12 months after the training

Study Arms (2)

Intervention

EXPERIMENTAL

Physicians will receive a training or trainings to improve their communication and interaction with patients. The primary trainings will involve teaching physicians how to understand and leverage patient psychology as part of clinical care. Impact on patient health will then be assessed.

Behavioral: Mindset & Communication Training

Control

NO INTERVENTION

Interventions

Mindset & Communication Training BEHAVIORAL

The mindset training is a two-hour, live training, with a one-hour follow-up one month later, that teaches care providers to recognize, shape, and leverage patient mindsets in healthcare.

Intervention

Eligibility Criteria

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

You may qualify if:

• Patients will be screened and included if they have diabetes, hypertension, or pre-diabetes

Sponsors & Collaborators

• Kari Alyse Leibowitz: lead

Study Sites (1)

Stanford University

Stanford, California, 94025, United States

Location

MeSH Terms

Conditions

Diabetes Mellitus; Hypertension; Glucose Intolerance; Overweight; Obesity

Condition Hierarchy (Ancestors)

Glucose Metabolism Disorders; Metabolic Diseases; Nutritional and Metabolic Diseases; Endocrine System Diseases; Vascular Diseases; Cardiovascular Diseases; Hyperglycemia; Overnutrition; Nutrition Disorders; Body Weight; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Kari Leibowitz, MA

  Stanford University

  STUDY DIRECTOR

• Alia Crum, PhD

  Stanford University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: PhD Candidate

Study Record Dates

• First Submitted: September 14, 2018
• First Posted: September 19, 2018
• Study Start: January 4, 2018
• Primary Completion: October 1, 2020
• Study Completion: October 1, 2020
• Last Updated: June 4, 2021

Record last verified: 2021-06

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)