NCT05479110

Brief Summary

Clinical reasoning is an important cognitive process in medical decision making. In recent years, medical education advocates holistic medicine, but systematic learning is rare in school education.Therefore, this study used an empathy experience course to conduct a case-oriented clinical reasoning training course to improve the empathy and clinical reasoning skills of pre-clinical students in occupational therapy through four sessions.

Trial Health

43
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
30

participants targeted

Target at below P25 for not_applicable

Timeline
Completed

Started Aug 2022

Geographic Reach
1 country

1 active site

Status
unknown

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

June 21, 2022

Completed
1 month until next milestone

First Posted

Study publicly available on registry

July 29, 2022

Completed
3 days until next milestone

Study Start

First participant enrolled

August 1, 2022

Completed
1.3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 30, 2023

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

November 30, 2023

Completed
Last Updated

July 29, 2022

Status Verified

June 1, 2022

Enrollment Period

1.3 years

First QC Date

June 21, 2022

Last Update Submit

July 28, 2022

Conditions

Students

Outcome Measures

Primary Outcomes (2)

  • Chinese version of the Jefferson Scale of Empathy-Health Profession Students

    A total of 20 questions were used to self-assess participants' empathy status and were scored using a 7-point Likert scale. The content covered three sections, including 10 questions on the perspective taking section, 8 questions on the compassionate care section, and 2 questions on standing in the patient's shoes.

    Change from Baseline at 2 weeks

  • The Self-Assessment of Clinical Reflection and Reasoning

    A 26-item, five-point Likert scale was used to self-assess clinical reasoning skills, including strongly disagree, disagree, unsure, agree, and strongly agree.

    Change from Baseline at 2 weeks

Secondary Outcomes (1)

  • Satisfaction Questionnaire

    up to 2 weeks

Study Arms (2)

Experimental group

EXPERIMENTAL

The experimental group was given four 3-hour training sessions over 2 weeks, which included group instruction on empathy experience, clinical reasoning, and functional therapy case-oriented learning.

Behavioral: Empathy experience courses and case-base clinical reasoning

Control group

ACTIVE COMPARATOR

The control group was given case studies(text).

Other: case studies

Interventions

Empathy experience courses and case-base clinical reasoningBEHAVIORAL

Four 3-hour training sessions over 2 weeks, which included group instruction on empathy experience, clinical reasoning, and functional therapy case-oriented learning.

Experimental group
case studiesOTHER

active control: case studies(text)

Control group

Eligibility Criteria

Age20 Years - 65 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Occupational therapy students from National Taiwan University, Kaohsiung Medical University, Sun Yat-sen Medical University, National Cheng Kung University, Chang Gung University, IShou University, Fu Jen Catholic University, and Asia University who have completed their major credits and will be interning in a clinical hospital.
  • Must be at least 20 years old and under 65 years old.

You may not qualify if:

  • Those who are unable to attend the whole course.
  • Those who have not completed their school credits and are unable to go to the clinical hospital for internship.
  • Those who do not speak Chinese or English as their native language.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Taipei Medical University Shuang Ho Hospital

New Taipei City, Taiwan

Location

Related Publications (11)

  • Addy TM, Hafler J, Galerneau F. Faculty Development for Fostering Clinical Reasoning Skills in Early Medical Students Using a Modified Bayesian Approach. Teach Learn Med. 2016 Oct-Dec;28(4):415-423. doi: 10.1080/10401334.2016.1186551. Epub 2016 Jun 9.

    PMID: 27283028BACKGROUND

  • Cooper N, Bartlett M, Gay S, Hammond A, Lillicrap M, Matthan J, Singh M; UK Clinical Reasoning in Medical Education (CReME) consensus statement group. Consensus statement on the content of clinical reasoning curricula in undergraduate medical education. Med Teach. 2021 Feb;43(2):152-159. doi: 10.1080/0142159X.2020.1842343. Epub 2020 Nov 18.

    PMID: 33205693BACKGROUND

  • Daniel M, Rencic J, Durning SJ, Holmboe E, Santen SA, Lang V, Ratcliffe T, Gordon D, Heist B, Lubarsky S, Estrada CA, Ballard T, Artino AR Jr, Sergio Da Silva A, Cleary T, Stojan J, Gruppen LD. Clinical Reasoning Assessment Methods: A Scoping Review and Practical Guidance. Acad Med. 2019 Jun;94(6):902-912. doi: 10.1097/ACM.0000000000002618.

    PMID: 30720527BACKGROUND

  • Duca NS, Glod S. Bridging the Gap Between the Classroom and the Clerkship: A Clinical Reasoning Curriculum for Third-Year Medical Students. MedEdPORTAL. 2019 Jan 25;15:10800. doi: 10.15766/mep_2374-8265.10800.

    PMID: 31139730BACKGROUND

  • Huhn K, Gilliland SJ, Black LL, Wainwright SF, Christensen N. Clinical Reasoning in Physical Therapy: A Concept Analysis. Phys Ther. 2019 Apr 1;99(4):440-456. doi: 10.1093/ptj/pzy148.

    PMID: 30496522BACKGROUND

  • Jamieson M, Krupa T, O'Riordan A, O'Connor D, Paterson M, Ball C, Wilcox S. Developing empathy as a foundation of client-centred practice: evaluation of a university curriculum initiative. Can J Occup Ther. 2006 Apr;73(2):76-85. doi: 10.2182/cjot.05.0008.

    PMID: 16680911BACKGROUND

  • Min Simpkins AA, Koch B, Spear-Ellinwood K, St John P. A developmental assessment of clinical reasoning in preclinical medical education. Med Educ Online. 2019 Dec;24(1):1591257. doi: 10.1080/10872981.2019.1591257.

    PMID: 30935299BACKGROUND

  • Posel N, Mcgee JB, Fleiszer DM. Twelve tips to support the development of clinical reasoning skills using virtual patient cases. Med Teach. 2015;37(9):813-8. doi: 10.3109/0142159X.2014.993951. Epub 2014 Dec 19.

    PMID: 25523009BACKGROUND

  • Svalastog AL, Donev D, Jahren Kristoffersen N, Gajovic S. Concepts and definitions of health and health-related values in the knowledge landscapes of the digital society. Croat Med J. 2017 Dec 31;58(6):431-435. doi: 10.3325/cmj.2017.58.431. No abstract available.

    PMID: 29308835BACKGROUND

  • Ten Cate O. Competency-Based Postgraduate Medical Education: Past, Present and Future. GMS J Med Educ. 2017 Nov 15;34(5):Doc69. doi: 10.3205/zma001146. eCollection 2017.

    PMID: 29226237BACKGROUND

  • Wenham J, Best M, Kissane DW. Systematic review of medical education on spirituality. Intern Med J. 2021 Nov;51(11):1781-1790. doi: 10.1111/imj.15421.

    PMID: 34142417BACKGROUND

Study Officials

  • Hanyun Hsiao

    Taipei Medical University, Taiwan, R.O.C.

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Hanyun Hsiao, master

CONTACT

+8862249008810252@s.tmu.edu.tw

Study Design

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

Study Record Dates

First Submitted

June 21, 2022

First Posted

July 29, 2022

Study Start

August 1, 2022

Primary Completion

November 30, 2023

Study Completion

November 30, 2023

Last Updated

July 29, 2022

Record last verified: 2022-06

Data Sharing

IPD Sharing
Will not share

Locations

TW(1)