Attitudinal Measures Survey With HISLAC Physicians (SURVEY ONLY)

NCT03962192 | Completed

• 1 other identifier: RG_13-251
• Study Type: interventional
• Target: 72
• Locations: 1 country
• Sites: 1

Brief Summary

HiSLAC is an independent, professionally-led study which will evaluate a key component of NHS England's policy drive for 7-day services: the intensity of specialist-led care of emergency medical admissions, with a particular focus on weekend provision. This research is important for patients and for NHS strategy because it offers a unique opportunity to evaluate the impact of the transition to seven-day working, and to understand factors likely to impede or enhance the effectiveness of this change in practice. In addition to examining the impact on patient-centred outcomes, the project will also undertake a health economics analysis of the impact of increasing specialist provision across the NHS. HiSLAC will therefore provide useful information across the NHS about the cost-effectiveness of investing in consultant and other specialist staffing in implementing the drive to 7-day service provision. In this survey instrument, physician characteristics and psychological attitudes have been shown to influence medical decisions. This study aims to describe the influence of several patient characteristics and reviewer characteristics and attitudes on the physician's overall case note review care quality judgement using an analytical method called multi-level modelling.

Conditions

Attitude; Risk-Taking

Outcome Measures

Primary Outcomes (3)

• Need For Cognition (NFC) Scale (5 items on 6 point Likert)

  Assessing the individual's tendency to engage in and enjoy activities that require thinking. Minimum score is 1 and the maximum is 6 (other than for items 3 and 4 which are each reverse scored; i.e. 6 is the lowest score and 1 is the highest score possible) There is no moral distinction about which score is better; they are measures of attitudinal predispositions individuals have in a respective scenario. It is then our remit to parse this information in light of the context, the nature of the participants and the overall aims and boundaries of reviewing case notes. (e.g. a higher value (thus preferring more complex situations) on 'I would prefer complex to simple problems' does not necessarily indicate a 'good' response but more that they are compelled by difficult and complex problems. There are no subscales to consider; items are equally weighted contributing to the distinction between low and high NFC i.e. top half or the bottom half of all possible scores.

  3 weeks from survey commencement

• Personal Need for Structure (PNS) Scale (12 items on 6 point Likert)

  Assessing preferences for "structure and clarity in most situations, with ambiguity and grey areas proving troublesome and annoying." Minimum score is 1 and the maximum is 6 (other than for items 2, 5, 6 and 11 which are each reverse scored; i.e. 6 is the lowest score and 1 is the highest score possible) There is no moral distinction about which score is better; they are measures of attitudinal predispositions individuals have. Investigators then parse this information in light of the context, the nature of the participants and the overall aims and boundaries of reviewing case notes. (e.g. a higher value (thus preferring more complex situations) on 'I enjoy having a structured mode of life.' does not necessarily indicate a 'good' response but more that they desire more structure in their work. There are no subscales to consider for PNS; items are equally weighted contributing to the distinction between low and high PNS i.e. in the top half or the bottom half of all possible scores.

  3 weeks from survey commencement

• Anxiety due to uncertainty Scale (ADTU) (5 items on 6 point Likert)

  One subscale (total=4) of 'Revised Physician's reactions to uncertainty scale' assessing physicians" affective reactions to uncertainty. Minimum score is 1 and the maximum is 6 (other than for items 2, 5, 6 and 11 which are each reverse scored; i.e. 6 is the lowest score and 1 is the highest score possible) There is no moral distinction about which score is better; they are measures of attitudinal predispositions individuals have. It is then our remit to parse this information in light of the case note review context. (e.g. a higher value (thus preferring more complex situations) on 'I am quite comfortable with the uncertainty in patient care' does not necessarily indicate a 'better' response but more that they are more comfortable with uncertainty in their clinical work. ADTU is a subscale of the a larger instrument; items are equally weighted contributing to the distinction between low and high ADTU i.e. in the top half or the bottom half of all possible scores.

  3 weeks from survey commencement

Study Arms (1)

Survey tools

EXPERIMENTAL

Survey instruments are shared with reviewers.

Other: Attitudinal measures

Interventions

Attitudinal measures OTHER

A collection of 3 distinct attitudinal instruments comprise this survey.

Survey tools

Eligibility Criteria

• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• case note reviewer involved in the HiSLAC study (including those partly reviewing their apportioned cases.)

You may not qualify if:

• participants not involved at the outset or at any point during the HiSLAC case note reviews

Sponsors & Collaborators

• University of Birmingham: lead

Study Sites (1)

Institute of Applied Health Research, University of Birmingham

Birmingham, B19 1HR, United Kingdom

Location

Related Links

• HiSLAC Study website

MeSH Terms

Conditions

Behavior; Risk-Taking

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: An attitudinal survey will be completed by approximately 80 case note reviewers within the HiSLAC project

Study Record Dates

• First Submitted: May 3, 2019
• First Posted: May 23, 2019
• Study Start: April 30, 2019
• Primary Completion: March 3, 2020
• Study Completion: April 30, 2020
• Last Updated: November 5, 2020

Record last verified: 2019-04

Data Sharing

• IPD Sharing: Will not share

Locations

GB (1)