Tracking Device Guided Feedback to Enhance Patient Physician Interaction

NCT04004806 | Completed DMC

• 1 other identifier: 18-782
• Study Type: interventional
• Target: 239
• Locations: 1 country
• Sites: 1

Brief Summary

A prospective cohort study aimed to determine the impact of increased physician patient interaction on physician well being and patient satisfaction. It involves recording time spent by physicians at the patient's bedside using tracking devices and providing feedback emails encouraging them to spend more time. The data will be analyzed to see if bedside time correlates with patient satisfaction scores. The study has 3 phases - 1. Observational phase for 3 months: Only involves recording baseline physician bedside time using tracking devices. 2. Interventional phase for 6 months involves generating percentile scores for physician bedside time and providing feedback through emails and texts. 3. Post intervention phase for 3 months to evaluate the impact of intervention on daily practice of physicians.

Conditions

Physician Patient Relation; Burnout, Professional

Outcome Measures

Primary Outcomes (1)

• Time spent at bedside

  total number of minutes spent by each participant at a patient's bedside divided by the total number of patients

  through study completion, one year

Secondary Outcomes (2)

• Physician burnout scores

  through study completion, one year

• HCAHPS Patient satisfaction scores

  through study completion, one year

Study Arms (3)

Pre-Intervention

NO INTERVENTION

Phase 1 (Observational phase): All residents and staff physicians rotating through the inpatient medicine services during the first three (3) months, who agreed to be a part of the study, will be provided with Hill Rom tracking devices to quantify the time spent at the patient's bedside by each member as part of the daily practice.

Intervention

EXPERIMENTAL

Phase 2 (Intervention phase): The interventional phase will be six (6) months duration. During this period, the recorded time spent by the individual study participants at the patient's bedside will be compared to their respective peers, and percentile scores will be generated. Based on these percentile scores, the study participants will receive emails notifying them of the results. Participants whose scores fall in the lower 50th percentile will be encouraged to increase patient interaction times. Participants with scores in the top 50th percentile will receive congratulatory emails to encourage them to keep up the performance.

Device: Hill Rom tracking device

Post-Intervention

NO INTERVENTION

Phase 3: (Post Intervention observation phase): The final phase of the study will be again three (3) months. The intervention of feedback emails and text pages will be discontinued and the study participants will only be monitored to see if the past intervention made an impact on their daily clinical practice in terms of time spent with the patients.

Interventions

Hill Rom tracking device DEVICE

Location tracking devices from Hill Rom company.

Also known as: Feedback emails and text pages

Intervention

Eligibility Criteria

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

You may qualify if:

• Cleveland Clinic Main Campus Internal Medicine resident or staff physician

You may not qualify if:

• Below the age of 18

Sponsors & Collaborators

• The Cleveland Clinic: lead
• Accreditation Council for Graduate Medical Education: collaborator

Study Sites (1)

Cleveland Clinic Main Campus

Cleveland, Ohio, 44195, United States

Location

MeSH Terms

Conditions

Burnout, Professional

Condition Hierarchy (Ancestors)

Occupational Stress; Occupational Diseases; Burnout, Psychological; Stress, Psychological; Behavioral Symptoms; Behavior

Study Officials

• Andrei Brateanu, MD

  The Cleveland Clinic

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: CARE PROVIDER
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Internal Medicine Residency Associate Program Director

Study Record Dates

• First Submitted: June 26, 2019
• First Posted: July 2, 2019
• Study Start: September 2, 2019
• Primary Completion: November 30, 2020
• Study Completion: November 30, 2020
• Last Updated: January 6, 2021

Record last verified: 2021-01

Locations

US (1)