Denne side blev automatisk oversat, og nøjagtigheden af ​​oversættelsen er ikke garanteret. Der henvises til engelsk version for en kildetekst.

Positive Appraisal Improve Trust Between Patients and Therapists, and Change Treatment Effects

24. september 2018 opdateret af: Taoyuan General Hospital

The trust between patients and medical providers is the cornerstone to obtain success treatment. To boost the trust can increase medical prescription compliance, enhance patient satisfaction, and improve the effectiveness of treatment. Otherwise, mistrust between medical providers and patients will result in ineffective treatment and excessive defensive health care. This situation may cause medical dispute and medical resources wasting problems.

Most of treatment complete in a few times of admissions and interventions. So, how to improve the trust between patients and doctors quickly became a more knotty problem. Several studies found that speech (including listening, showing compassion, and take longer to explain), reputation, clothing, offer a newer therapy were more important than age, title, and sex.

However, past researches were restricted to an unclear causal relationship. That is they can't be determined whether good doctor-patient relationship and better trust conditions create a longer visit time, better satisfaction, and good reputation, or vice versa. They also unable to clarify whether the high degree of trust result in improved treatment effects, or good relationship result from good medical outcomes.

Investigators want to design a randomized control trial by giving patients recommendation and physical therapist introductions to enhance the trust of patients to therapists. And this study may verify whether enhance trust between therapists and patients will lead to changes in treatment effectiveness.

Studieoversigt

Status

Afsluttet

Betingelser

Intervention / Behandling

Undersøgelsestype

Interventionel

Tilmelding (Faktiske)

32

Fase

  • Ikke anvendelig

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiesteder

  • Taiwan
      • Taoyuan, Taiwan, 33004
        • TaoYuan General Hospital

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

18 år og ældre (Voksen, Ældre voksen)

Tager imod sunde frivillige

Ingen

Køn, der er berettiget til at studere

Alle

Beskrivelse

Inclusion Criteria:

  1. First time visit to Taoyuan general hospital rehabilitation ward at 2016/07/01~2017/12/31
  2. Diagnosis with L spine spondylosis, L spine Herniated Inter-vertebral Disc, or non-acute low back muscle strain
  3. Suitable for physical therapy with ( Hot packing + interference current therapy + pelvic traction + therapeutic exercise )
  4. most pain score >2

Exclusion Criteria:

  1. poor of follow oral order, or patients who can't understand Chinese, including patients with aphasia or dementia
  2. patient who can not received 4 weeks of physical therapy
  3. other cause of low back pain which can't treatment with physical therapy, including : (Urinary tract stones, infection, rapid progression disease which need immediately operation)

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Behandling
  • Tildeling: Randomiseret
  • Interventionel model: Parallel tildeling
  • Maskning: Firedobbelt

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Aktiv komparator: intervention
  1. Give the physical therapy of low back pain educational video + therapist introduction and recommendation video, at the first time of clinic visit.
  2. Physical therapy with hot packing + interference current therapy + pelvic traction + therapeutic exercise, 3 times per week for 4 weeks.
Adfærdsmæssigt: intervention
intervention with recommendation and therapist introduction
Andet: placebo
low back pain education, and physical therapy 3 times per week
Placebo komparator: placebo
  1. Give the physical therapy of low back pain educational video, at the first time of clinic visit.
  2. Physical therapy with hot packing + interference current therapy + pelvic traction + therapeutic exercise, 3 times per week for 4 weeks.
Andet: placebo
low back pain education, and physical therapy 3 times per week

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Trust score by The Chinese version of the WFPTS(C-WFPTS) between intervention group and placebo group
Tidsramme: The first time data collection for individual 5 mins after the intervention.
The first time data collection for individual 5 mins after the intervention.
Success treatment proportion between intervention group and placebo group 4 weeks after intervention
Tidsramme: data collection for individual at the 0 and 4th week after clinical visit

Success treatment is defined as the most pain score decrease from baseline more than 2 degree.

( Pain score change from baseline by Visual Analogue Scale after 4 weeks)
data collection for individual at the 0 and 4th week after clinical visit

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Trust score by The Chinese version of the WFPTS(C-WFPTS) between intervention group and placebo group
Tidsramme: The second time and third time data collection after 2 weeks and 4 weeks after first clinical visit
The second time and third time data collection after 2 weeks and 4 weeks after first clinical visit
Change of pain score with The Chinese version of the Brief Pain Inventory (BPI-C) between intervention group and placebo group
Tidsramme: data collection for individual at the0, 2nd and 4th week after clinical visit
Pain score change from baseline
data collection for individual at the0, 2nd and 4th week after clinical visit
Change of the compression force to trigger the tenderness point from baseline
Tidsramme: data collection for individual at the 0, 2nd and 4th week after clinical visit
The compression force was measured by IMADA digital force gauge (kgf) In each data collection point(0 , 2nd and 4th week) , we arrange 3 times test and use the average as the measure value.
data collection for individual at the 0, 2nd and 4th week after clinical visit

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

Taoyuan General Hospital

Efterforskere

  • Ledende efterforsker: Huan-Jui Yeh, Department of Physical Medicine and Rehabilitation, Taoyuan General Hospital, Ministry of Health and Welfare, Taiwan

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart

1. juli 2016

Primær færdiggørelse (Faktiske)

30. juni 2017

Studieafslutning (Faktiske)

30. juni 2017

Datoer for studieregistrering

Først indsendt

5. juni 2016

Først indsendt, der opfyldte QC-kriterier

9. juni 2016

Først opslået (Skøn)

15. juni 2016

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

26. september 2018

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

24. september 2018

Sidst verificeret

1. september 2018

Mere information

Begreber relateret til denne undersøgelse

Nøgleord

Yderligere relevante MeSH-vilkår

Andre undersøgelses-id-numre

  • TYGH104046

Plan for individuelle deltagerdata (IPD)

Planlægger du at dele individuelle deltagerdata (IPD)?

INGEN

Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .

Kliniske forsøg med Lændesmerter

Kliniske forsøg med intervention

Søg i lignende forsøg

Sponsorer og samarbejdspartnere

Medicinske tilstande

Narkotikainterventioner

CROs by country

CROs in Brazil

Betingelser

Sjældne sygdomme

Narkotikainterventioner

Kosttilskud

Sponsor / samarbejdspartnere

Placeringer

Abonner