Influence of a Questionnaire on Patients' Emergency Room Expectations

The goal of this study is to determine whether a novel questionnaire designed to illicit patient's self-reported expectations across four domains (overall purpose of visit, medication intervention, imaging intervention and disposition) improves patient-provider communication as evaluated by an exit survey during an emergency room visit.

Study Overview

• Status: Completed
• Conditions: Emergencies; Satisfaction, Patient; Physician-Patient Relations; Expectations
• Intervention / Treatment: Other: Emergency Department Visit Expectations Questionnaire

• Study Type: Interventional
• Enrollment (Actual): 308
• Phase: Not Applicable

Contacts and Locations

Study Locations

• United States
  • Florida
    • Orange Park, Florida, United States, 32073
      • Orange Park Medical Center

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult; Older Adult
• Accepts Healthy Volunteers: Yes

Description

Inclusion Criteria:

• Patients who arrive through the ED main entrance (non-EMS)
• Patients aged 18 years and older
• Patients who demonstrate decision making capacity
• Patients who willingly consent to participate

Exclusion criteria:

• Patients in distress (physical, emotional, or other) as determined by investigator
• Patients who demonstrate altered mental status or lack of capacity to consent
• Patients who require immediate medical intervention including diagnostic and/or treatment intervention
• Prisoners and patient under involuntary holds

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Health Services Research
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: None (Open Label)

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Expectations Questionnaire; Provision of expectations questionnaire and associated instructions to patient.	Other: Emergency Department Visit Expectations Questionnaire; Patients presented with novel questionnaire designed to illicit patient's self-reported expectations across four domains (overall purpose of visit, medication intervention, imaging intervention and disposition) during check-in when arriving at the emergency department. Patients instructed to present the completed questionnaire to the treating provider.
No Intervention: Control; Usual care (no expectations questionnaire or further instruction)

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Patient reported provider understanding of patient's visit expectations	Q: "My ER provider understood my expectations for my ER visit today" with agreement responses on a 5-point Likert scale (strongly disagree to strongly agree)	After patient discharge instructions given (or for patients being admitted/transferred, after admission/transfer request), up to 15 minutes after either event

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Patient reported degree to which visit expectations were met	Q: "My expectations for my ER visit today were met" with agreement responses on a 5-point Likert scale (strongly disagree to strongly agree)	After patient discharge instructions given (or for patients being admitted/transferred, after admission/transfer request), up to 15 minutes after either event
Patient reported provider courtesy	Q: "Courtesy of your provider" with response options from Very Poor to Very Good	After patient discharge instructions given (or for patients being admitted/transferred, after admission/transfer request), up to 15 minutes after either event
Patient reported provider listening	Q: "Your provider took the time to listen to you" with response options from Very Poor to Very Good	After patient discharge instructions given (or for patients being admitted/transferred, after admission/transfer request), up to 15 minutes after either event
Patient reported inclusion in treatment decisions	Q: "Your provider included you in decisions about your treatment" with response options from Very Poor to Very Good	After patient discharge instructions given (or for patients being admitted/transferred, after admission/transfer request), up to 15 minutes after either event

Collaborators and Investigators

• Sponsor: Orange Park Medical Center

Study record dates

Study Major Dates

• Study Start (Actual): January 31, 2022
• Primary Completion (Actual): October 17, 2022
• Study Completion (Actual): October 17, 2022

Study Registration Dates

• First Submitted: January 12, 2022
• First Submitted That Met QC Criteria: May 30, 2023
• First Posted (Actual): May 31, 2023

Study Record Updates

• Last Update Posted (Actual): May 31, 2023
• Last Update Submitted That Met QC Criteria: May 30, 2023
• Last Verified: May 1, 2023

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Pathologic Processes; Disease Attributes; Emergencies
• Other Study ID Numbers: Expectations

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: UNDECIDED

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No