Analyzing Challenging Clinical Discussions in Orthopaedics
| Status: | Terminated |
|---|---|
| Conditions: | Arthritis, Arthritis, Arthritis, Osteoarthritis (OA), Orthopedic |
| Therapuetic Areas: | Rheumatology, Orthopedics / Podiatry |
| Healthy: | No |
| Age Range: | 18 - 80 |
| Updated: | 11/30/2018 |
| Start Date: | April 17, 2017 |
| End Date: | November 7, 2018 |
Effectiveness of Teach-back in Orthopedic Treatment Decision Discussions
The goal of this study is to analyze patient:provider communication surrounding the
discussion of difficult clinical conversations such as knee replacement options. This study
will also examine how using the teach-back communication technique can improve communication
between patients and providers. Orthopedic residents, fellows, physician assistants, and
attendings that agree to participate will be consented. Patients, who are likely to engage in
a difficult clinical conversation, such as those who have a clinical indication for a Total
Knee Replacement or a Partial Knee Replacement, will be recruited from participating
providers clinical schedules. Patient:provider interactions will be recorded and then the
providers will attend a 1 hour education lecture about how to use teach-back. After attending
the lecture, additional patient:provider interactions will be recorded and analyzed via a
qualitative approach. Additionally, providers will participate in a semi-structured interview
to capture their perceptions of teach-back and what challenges and benefits they may derive
from using it.
discussion of difficult clinical conversations such as knee replacement options. This study
will also examine how using the teach-back communication technique can improve communication
between patients and providers. Orthopedic residents, fellows, physician assistants, and
attendings that agree to participate will be consented. Patients, who are likely to engage in
a difficult clinical conversation, such as those who have a clinical indication for a Total
Knee Replacement or a Partial Knee Replacement, will be recruited from participating
providers clinical schedules. Patient:provider interactions will be recorded and then the
providers will attend a 1 hour education lecture about how to use teach-back. After attending
the lecture, additional patient:provider interactions will be recorded and analyzed via a
qualitative approach. Additionally, providers will participate in a semi-structured interview
to capture their perceptions of teach-back and what challenges and benefits they may derive
from using it.
Inclusion Criteria (Patient Participants):
- Age 18 years and older
- Clinical indication for multiple treatment options
Exclusion Criteria (Patient Participants):
- Non-English speaking
- Minors or non-consenting other individuals (spouses, friends, family members,
children) in the patient room during the clinical visit
Inclusion Criteria (Provider Participants)
- Age 18 years and older
- A resident, fellow, physician assistant, or attending in the Duke Department of
Orthopaedic Surgery
Exclusion criterion (Provider Participants):
• Non-English speaking
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