Bonding Bundle for Physician-Patient Relationships

Recruiting at 1 trial location

Overseen By Karen E Fowler, MPH

Age: 18+

Sex: Any

Trial Phase: Academic

Sponsor: University of Michigan

Disqualifiers: Cognitively impaired, Unable to consent, others

No Placebo Group All trial participants will receive the active study treatment (no placebo)

Compensation: Varies

Number of Visits: Unknown

3624 Participants Needed

Trial Summary

Will I have to stop taking my current medications?

The trial information does not specify whether patients need to stop taking their current medications.

What data supports the effectiveness of the M-Well Bonding Bundle treatment?

The research on patient education and provider engagement, such as the myJointReplacement.ca project, shows that integrating patient and provider perspectives can improve knowledge and practice alignment, which may suggest that similar approaches in the M-Well Bonding Bundle could enhance physician-patient relationships. ^{1 2 3 4 5}

What is the purpose of this trial?

The goal of this clinical trial is to learn more about the interaction between a patient in the hospital and their treating doctor. A good relationship between patients and their doctors can help improve patient care. Doctors will be asked to use strategies to improve their interactions with patients in the hospital. The main questions it aims to answer are: * Will using the intervention strategies improve doctors' empathy towards their patients? * Will using the intervention strategies lead to improved scores in patient views of doctors' empathy? There will be 2 study arms. One group of doctors will be asked to use the intervention strategies. The other group of doctors will provide care as they would normally. Researchers will compare the doctors in the intervention arm to those in the control arm. Doctors are the primary subjects for this study. The doctors in both study arms will be asked to do the following: 1. Allow study staff to observe the interaction between them and their patients. 2. Complete a brief survey at the end of their 2-week work rotation. Doctors who are in the intervention arm will be asked to use suggested strategies when visiting with patients in the hospital. Patients are secondary subjects for this study. Patients of participating doctors may be asked to do the following: 1. Allow study staff to observe the interaction between them and their doctors. 2. Complete a brief survey after meeting with their doctor.

Research Team

Sanjay Saint, MD

Principal Investigator

University of Michigan

Eligibility Criteria

This trial is for attending physicians treating hospitalized medical patients and their adult patients who can consent. It excludes surgical attendings, residents, those with cognitive impairments, or non-English speakers.

Inclusion Criteria

Patient of an enrolled physician in the study

Attending physicians caring for hospitalized medical patients

I am an adult currently in the hospital.

Exclusion Criteria

Residents

Cognitively impaired

Surgical attendings

Timeline

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Intervention

Doctors in the intervention arm use suggested strategies to improve interactions with patients during their 2-week work rotation.

2 weeks

Daily interactions during hospital rounds

Control

Doctors in the control arm conduct rounds as usual without using intervention strategies.

2 weeks

Daily interactions during hospital rounds

Follow-up

Participants are monitored for the effectiveness of the intervention through surveys and interviews.

2-4 weeks

Treatment Details

Interventions

• M-Well Bonding Bundle

Trial Overview The study tests 'Bonding Bundle' strategies to see if they improve doctor empathy and patient perceptions of this empathy. Doctors will either use these strategies or continue standard care, and both doctors and patients will be surveyed.

Participant Groups

Group I: Bonding Bundle Intervention Experimental Treatment 1 Intervention

Doctors in the intervention arm will be asked to use suggested approaches while meeting with their hospitalized patients. The goal of these strategies is to improve the relationship and interactions between patients and physicians.

Group II: Control Active Control 1 Intervention

Doctors in the control arm will be asked to visit with their patients as they would normally.

Who Is Running the Clinical Trial?

University of Michigan

Lead Sponsor

Trials

1,891

Recruited

6,458,000+

Agency for Healthcare Research and Quality (AHRQ)

Collaborator

Trials

415

Recruited

6,777,000+

Findings from Research

In a study observing 18 family medicine practices over 4 to 12 weeks, it was found that providers who personally selected and maintained a small number of patient education materials used them more effectively than those relying on a larger, shared library.

The research highlighted that provider involvement and familiarity with educational materials are crucial for their effective use, suggesting that a tailored approach to patient education may enhance communication and patient understanding.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

The organization and distribution of patient education materials in family medicine practices. McVea, KL., Venugopal, M., Crabtree, BF., et al.[2007]

The MyJointReplacement.ca website effectively integrates patient and provider perspectives on joint replacement care, leading to increased knowledge among over 80% of surveyed patients.

A significant majority of providers (80%) indicated they would align their practices with the website's findings, suggesting that the site reflects best practices in joint replacement care.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Patient education as a strategy for provider education and engagement: a case study using myJointReplacement.ca. Saryeddine, T., Levy, C., Davis, A., et al.[2019]

Well-constructed practice guidelines can significantly enhance the quality of care and reduce costs by addressing issues of overuse, yet current investment in developing these guidelines is minimal.

To effectively implement these guidelines, practitioners may need incentives such as reimbursement rewards, performance data publication, and liability recognition to encourage adherence and improve quality outcomes.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Improving quality of care with practice guidelines. Chassin, MR.[2007]

Improving patient adherence to treatment can be achieved through practical interventions such as enhancing patient education about their regimens and simplifying treatment plans to reduce costs and complexity.

Building strong provider-patient relationships and involving patients in their treatment decisions through contracts and incentives can significantly boost compliance rates.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Strategies for enhancing patient compliance. Becker, MH., Maiman, LA.[2022]

Disseminating research findings to healthcare providers, particularly physicians, often results in only modest changes in their behavior, which is crucial for improving patient care.

Effective strategies for promoting behavior change include face-to-face interactions, active involvement of learners, repetition of messages, and leveraging opinion leaders, highlighting the need for more research on healthcare providers' motivations and decision-making processes.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Dissemination of effectiveness and outcomes research. Kanouse, DE., Kallich, JD., Kahan, JP.[2019]

References

1. United States pubmed.ncbi.nlm.nih.gov

The organization and distribution of patient education materials in family medicine practices. [2007]

2. Canada pubmed.ncbi.nlm.nih.gov

Patient education as a strategy for provider education and engagement: a case study using myJointReplacement.ca. [2019]

3. United States pubmed.ncbi.nlm.nih.gov

Improving quality of care with practice guidelines. [2007]

4. Netherlands pubmed.ncbi.nlm.nih.gov

Strategies for enhancing patient compliance. [2022]

5. Ireland pubmed.ncbi.nlm.nih.gov

Dissemination of effectiveness and outcomes research. [2019]