Writing Down Goals

Sponsor
University of Texas at Austin (Other)
Overall Status
Not yet recruiting
CT.gov ID
NCT04932993
Collaborator
(none)
128
2
2

Study Details

Study Description

Brief Summary

The women's health IPU at UT Health Austin is happy with having patients write down their goals at their first visit and then tracking those. It would be interesting to study people seeking musculoskeletal specialty care to determine whether asking patients what result of their care would be rated a success helps direct the clinician-patient interaction in a more fruitful direction compared to the usual clinical interaction.

Condition or Disease Intervention/Treatment Phase
  • Behavioral: Writing down goals
N/A

Detailed Description

People's stated preferences are often inconsistent with what matters most to them (their values). And they are often based on misconceptions, distress, and less effective cognitive coping strategies. For instance, a person might say "My goal is to have no pain" when that is not possible. Or they might say "My goal is to get the shot that fixes this" when there is no such shot. It may go without saying that people want: "To be able to live a normal lifestyle" and "To be able to accomplish most of their goals." In other words, people want to be able to be themselves. They are seeking care because they are not able to be themselves or they are concerned that they may not be able to be themselves. The word health comes from an old German word meaning "whole."

One part of good health is correcting or alleviating pathophysiology (e.g. reading glasses). Another part of good health is evolving one's inner narrative (e.g. "I'm older now and need glasses to read").

The women's health IPU at UT Health Austin is happy with having patients write down their goals at their first visit and then tracking those. It would be interesting to study people seeking musculoskeletal specialty care to determine whether asking patients what result of their care would be rated a success helps direct the clinician-patient interaction in a more fruitful direction compared to the usual clinical interaction.

Study Design

Study Type:
Interventional
Anticipated Enrollment :
128 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Intervention Model Description:
All new, adult (18+ years old) patients seeing an orthopedic surgeon for a consultation will be invited to participate in this study. Patients randomly will be assigned to: write down goals their goals for their medical care (intervention) or not (usual visit control group). The research assistant will ask the patient to fill out a survey entailing demographics, JSPPE, the communication effectiveness score, the PAM score and a satisfaction scale at the end of the visit. A research assistant will record the diagnosis,All new, adult (18+ years old) patients seeing an orthopedic surgeon for a consultation will be invited to participate in this study. Patients randomly will be assigned to: write down goals their goals for their medical care (intervention) or not (usual visit control group). The research assistant will ask the patient to fill out a survey entailing demographics, JSPPE, the communication effectiveness score, the PAM score and a satisfaction scale at the end of the visit. A research assistant will record the diagnosis,
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
Writing Down Goals
Anticipated Study Start Date :
Sep 1, 2021
Anticipated Primary Completion Date :
Oct 1, 2021
Anticipated Study Completion Date :
Nov 1, 2021

Arms and Interventions

Arm Intervention/Treatment
No Intervention: Standard care

Will not write down goals their goals for their medical care (usual care).

Experimental: Writing down goals

Will write down goals their goals for their medical care.

Behavioral: Writing down goals
Patient will write their health goals down before the visit.

Outcome Measures

Primary Outcome Measures

  1. Decision conflict questionnaire [Baseline]

    Questionnaire assessing decision conflict

Secondary Outcome Measures

  1. Decision regret questionnaire [Baseline]

    Questionnaire assessing the degree of regret of decision

  2. Jefferson Scale of Patient's Perceptions of Physician Empathy [Baseline]

    Patient perceived of physician empathy as measured by the JSPPE

  3. Patient Activation Measure-13 [Baseline]

    Patient activation as measured by PAM-13

  4. Guttman Satisfaction scale [Baseline]

    Questionnaire measuring to what degree patients are satisfied with the care they received.

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years to 89 Years
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria:
  • Adult patients (18+)

  • Orthopedic visit

Exclusion Criteria:
  • Patients who are illiterate.

  • Patients who do not speak English.

Contacts and Locations

Locations

No locations specified.

Sponsors and Collaborators

  • University of Texas at Austin

Investigators

  • Principal Investigator: David Ring, MD, PhD, Professor of Surgery, Dell Medical School at The University of Texas at Austin

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
David Ring, David Ring, MD, PhD Associate Dean for Comprehensive Care, Professor of Surgery and Psychiatry, University of Texas at Austin
ClinicalTrials.gov Identifier:
NCT04932993
Other Study ID Numbers:
  • 2019-07-0089
First Posted:
Jun 21, 2021
Last Update Posted:
Jun 21, 2021
Last Verified:
Jun 1, 2021
Individual Participant Data (IPD) Sharing Statement:
No
Plan to Share IPD:
No
Studies a U.S. FDA-regulated Drug Product:
No
Studies a U.S. FDA-regulated Device Product:
No
Keywords provided by David Ring, David Ring, MD, PhD Associate Dean for Comprehensive Care, Professor of Surgery and Psychiatry, University of Texas at Austin
Additional relevant MeSH terms:

Study Results

No Results Posted as of Jun 21, 2021