Coaching Language to Improve Endoscopy Training Quality

NCT05674500 | Completed

• 1 other identifier: STU-2021-0829
• Study Type: interventional
• Target: 25
• Locations: 1 country
• Sites: 1

Brief Summary

The goal of this randomized control study is to determine if the use of standardized coaching language by faculty trainers for teaching colonoscopy is associated with improved colonoscopy performance. The main questions it aims to answer are:

• If the use of standardized coaching language is effective in improving colonoscopy training?
• If the use of standardized coaching language influences the clarity of instructions by the faculty trainers during colonoscopy teaching Participants will take part in simulated colonoscopy teaching encounter using a virtual reality simulator for 1 hour in 2 different sessions 2 weeks apart. Researchers will compare 2 groups of faculty trainers to to see if the standardized coaching language effects the colonoscopy training quality.

Conditions

Education, Medical; Colonoscopy

Keywords

Faculty; Fellows; Simulation

Outcome Measures

Primary Outcomes (2)

• Change in colonoscopy performance

  The de-identified video-recording of the simulated colonoscopy will be assessed by blinded external rater. This will be done using the Gastrointestinal Endoscopy Competency Assessment Tool (GiECAT) which is a colonoscopy assessment tool with strong validity evidence. For the GiECAT, 6 global rating items on supervision scale (measuring from 1 to 5) and 5 checklist items which are applicable to simulated procedures (i.e., no patients involved) will be used. Since it is a competency based tool with a checklist, there is no maximum score, but instead is a rating scale. To ensure blinding, only the trainee's gloved hands will be seen, and the videos used for assessment of colonoscopy performance will not have sound to control for any effects the faculty instruction may have on the ratings of performance.

  Change from Baseline colonoscopy performance at 2 weeks

• Change in colonoscopy performance

  The de-identified video-recording of the simulated colonoscopy will be assessed by blinded external rater. This will be done using another colonoscopy assessment form with strong validity evidence - 8 'Procedure' items from the Joint Advisory Group on GI Endoscopy (JAG) Colonoscopy Direct Observation of Procedural Skills (DOPS) form. This is a supervision-based scale (measuring from 1 to 4). Since this is also a competency based tool with a checklist, it has a rating scale with no maximum score. To ensure blinding, only the trainee's gloved hands will be seen, and the videos used for assessment of colonoscopy performance will not have sound to control for any effects the faculty instruction may have on the ratings of performance.

  Change from Baseline colonoscopy performance at 2 weeks

Secondary Outcomes (9)

• Change in 'Red-out' time

  Change from baseline time in red-out at 2 weeks

• Change in time to cecum

  Change from baseline time to cecum at 2 weeks

• Change in Cognitive load

  Change from Baseline cognitive load at 2 weeks

• Change in Cognitive load

  Change from Baseline cognitive load at 2 weeks

• Change in Cognitive load

  Change from Baseline cognitive load at 2 weeks

Study Arms (2)

Training Group

EXPERIMENTAL

Faculty participants will participate in educational training designed to teach them standardized coaching language for endoscopy instruction and strategies to promote effective communication during an endoscopy teaching. It will be comprised of: 1. A 15-minute-long training video demonstrating the use of recommended coaching language for endoscopy instruction (e.g., recommended 14 standard terms, need to refer to the screen when directing a trainee as opposed to their hands, use of a clockface analogy) and communication best practices (e.g., checking to ensure understanding, avoidance of cognitive overload, task deconstruction) 2. The faculty will be given a small (10x10 cm) flash card with the recommended 14 standard terms which they can access during the second simulated encounter. To control for any potential effect of the presence of the card on the trainee during teaching, each faculty be given an identical card with 14 random words on it to hold during the first encounter

Other: Educational Training on standardized coaching language

Control Group

ACTIVE COMPARATOR

Faculty participants will take part in 'dummy' educational training comprised of: 1. A 15-minute-long 'dummy' colonoscopy training video which outlines how to set goals ahead of an endoscopy training session. The video will not discuss standardized coaching language and/or communication best practices 2. This group will also be provided a small (10x10cm) flash card but with random words on it (identical to the first simulated colonoscopy teaching encounter).

Other: Educational Training on goal setting

Interventions

Educational Training on standardized coaching language OTHER

The faculty trainer participants in training groups will watch a 15-min long video between the two simulated endoscopy teaching encounters. The video link will be emailed to them 1 week before the second simulated encounter, and they can watch it in their own time. The training video will demonstrate the use of recommended coaching language for endoscopy instruction (e.g., recommended 14 standard terms, need to refer to the screen when directing a trainee as opposed to their hands, use of a clockface analogy) and communication best practices (e.g., checking to ensure understanding, avoidance of cognitive overload, task deconstruction).

Training Group

Educational Training on goal setting OTHER

The faculty trainer participants in the control groups will watch a 15-min long video between the two simulated endoscopy teaching encounters. The video link will be emailed to them 1 week before the second simulated encounter, and they can watch it in their own time. The video will be a 'dummy' colonoscopy training video which outlines how to set goals ahead of an endoscopy training session. The video will not discuss standardized coaching language and/or communication best practices.

Control Group

Eligibility Criteria

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

You may qualify if:

• Faculty members who are endoscopy trainers in either pediatric or adult gastroenterology division at University of Texas Southwestern Medical Center or Children's Medical Center, Dallas
• Fellow trainees in pediatric or adult gastroenterology division at University of Texas Southwestern Medical Center or Children's Medical Center, Dallas

You may not qualify if:

• Advanced endoscopy fellows
• Fellows beyond Post-Graduate Year-6 (PGY-6)

Sponsors & Collaborators

• University of Texas Southwestern Medical Center: lead
• The Hospital for Sick Children: collaborator

Study Sites (1)

UTSW

Dallas, Texas, 75390, United States

Location

Related Publications (20)

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Related Links

• NASA-Task Load Index (TLX) scale
• Joint Advisory Group on GI Endoscopy. Course Finder, JAG Endoscopy Training System
• Canadian Association of Gastroenterology. Skills Enhancement for Endoscopy Program

Study Officials

• Aayush Gabrani, MD

  University of Texas

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate Professor

Study Record Dates

• First Submitted: December 9, 2022
• First Posted: January 6, 2023
• Study Start: March 23, 2022
• Primary Completion: May 30, 2023
• Study Completion: June 30, 2023
• Last Updated: August 29, 2023

Record last verified: 2023-08

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)