CHATT: A Study to Improve Physician-Youth Communication and Medical Decision Making
Study Details
Study Description
Brief Summary
The goal of this study is improving patient-centered communication for young people with advanced heart disease.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
N/A |
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Experimental: We Chatt communication tool
|
Behavioral: We Chatt communication tool
This arm involves the collaborative completion of a 2-page communication preferences document between a primary physician and an adolescent/young adult patient. Physicians will participate in a 1-hour training led by study principal investigator featuring didactic, multimedia, and experiential-based learning to support the facilitation of the WE CHATT intervention with patients.
|
| Placebo Comparator: Usual care
|
Behavioral: Usual/standard care
Usual/standard care will be provided. Physicians randomized to the control arm will not receive training in the WE CHATT communication intervention.
|
Outcome Measures
Primary Outcome Measures
- Physician overall satisfaction with the We Chatt intervention based on the post clinician survey [2 weeks (after intervention)]
Satisfaction will be based on the answers for 12 questions in which clinician's select from a likert scale from strongly disagree (1) -Strongly agree (5). The scores ranging from 12-60; higher scores indicate greater satisfaction.
- Patient/Caregiver overall satisfaction with the We Chatt intervention based on the parent/caregiver survey [2 weeks (after intervention)]
Parent/Caregiver will complete 12 questions in which participants select from a likert scale from Strongly disagree (1) -Strongly agree (5). The scores ranging from 12-60; higher scores indicate greater satisfaction.
- Patient overall satisfaction with the We Chatt intervention based on the patient survey [2 weeks (after intervention)]
Patients will complete 12 questions in which participants select from a likert scale from Strongly disagree (1) -Strongly agree (5). The scores ranging from 12-60; higher scores indicate greater satisfaction.
Secondary Outcome Measures
- Physician satisfaction with the We Chatt intervention from physicians based on the post clinician survey [2 weeks (after intervention)]
Physicians will answer 1 question on a scale from 0-10 (with 0 being worst and 10 being best)
- Parent/Caregiver satisfaction with the We Chatt intervention based on the parent/caregiver survey [2 weeks (after intervention)]
Parent/Caregiver will answer 1 question on a scale from 0-10 (with 0 being worst and 10 being best)
- Patient satisfaction with the We Chatt intervention based on the patient survey [2 weeks (after intervention)]
Patients will answer 1 question on a scale from 0-10 (with 0 being worst and 10 being best)
- Time (measured in minutes) to complete We Chatt the Intervention by clinicians [30 minutes (approximately)]
Number of minutes to complete the intervention will be collected on clinician survey.
Eligibility Criteria
Criteria
Physician Inclusion Criteria:
-
Physician participants will be recruited from the Division of Pediatric Cardiology at the University of Michigan. All physicians with dedicated clinical effort will be eligible.
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Eligible physicians must anticipate remaining on staff >1 year
Patient/Caregiver Inclusion Criteria:
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Patients 12-24 years old with heart failure symptoms meeting criteria for New York Heart Association (NYHA) Class II - IV heart failure
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One parent/caregiver of patient participants meeting inclusion criteria will also be eligible
Physician Exclusion Criteria:
- Not a physician at University of Michigan in the Division of Pediatric Cardiology
Patient/Caregiver Exclusion Criteria:
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Patients with significant cognitive/developmental delay with potential to impact study participation will be excluded from the study due to the focus on physician-youth communication.
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Parents and parent/caregivers that are non-English speaking will be excluded from this pilot study.
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | University of Michigan | Ann Arbor | Michigan | United States | 48109 |
Sponsors and Collaborators
- University of Michigan
- National Heart, Lung, and Blood Institute (NHLBI)
Investigators
- Principal Investigator: Melissa Cousino, PhD, University of Michigan
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- HUM00231699
- 5K23HL145096-04