Positive Appraisal Improve Trust Between Patients and Therapists, and Change Treatment Effects
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.
調査の概要
研究の種類
入学 (実際)
段階
- 適用できない
連絡先と場所
研究場所
-
-
-
Taoyuan、台湾、33004
- TaoYuan General Hospital
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-
参加基準
適格基準
就学可能な年齢
健康ボランティアの受け入れ
受講資格のある性別
説明
Inclusion Criteria:
- First time visit to Taoyuan general hospital rehabilitation ward at 2016/07/01~2017/12/31
- Diagnosis with L spine spondylosis, L spine Herniated Inter-vertebral Disc, or non-acute low back muscle strain
- Suitable for physical therapy with ( Hot packing + interference current therapy + pelvic traction + therapeutic exercise )
- most pain score >2
Exclusion Criteria:
- poor of follow oral order, or patients who can't understand Chinese, including patients with aphasia or dementia
- patient who can not received 4 weeks of physical therapy
- 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)
研究計画
研究はどのように設計されていますか？
デザインの詳細
- 主な目的：処理
- 割り当て：ランダム化
- 介入モデル：並列代入
- マスキング：4倍
武器と介入
参加者グループ / アーム |
介入・治療 |
|---|---|
|
アクティブコンパレータ：intervention
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intervention with recommendation and therapist introduction
low back pain education, and physical therapy 3 times per week
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|
プラセボコンパレーター：placebo
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low back pain education, and physical therapy 3 times per week
|
この研究は何を測定していますか？
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Trust score by The Chinese version of the WFPTS(C-WFPTS) between intervention group and placebo group
時間枠：The first time data collection for individual 5 mins after the intervention.
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The first time data collection for individual 5 mins after the intervention.
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|
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Success treatment proportion between intervention group and placebo group 4 weeks after intervention
時間枠：data collection for individual at the 0 and 4th week after clinical visit
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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
|
二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Trust score by The Chinese version of the WFPTS(C-WFPTS) between intervention group and placebo group
時間枠：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
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|
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Change of pain score with The Chinese version of the Brief Pain Inventory (BPI-C) between intervention group and placebo group
時間枠：data collection for individual at the0, 2nd and 4th week after clinical visit
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Pain score change from baseline
|
data collection for individual at the0, 2nd and 4th week after clinical visit
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Change of the compression force to trigger the tenderness point from baseline
時間枠：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.
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data collection for individual at the 0, 2nd and 4th week after clinical visit
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協力者と研究者
スポンサー
捜査官
- 主任研究者：Huan-Jui Yeh、Department of Physical Medicine and Rehabilitation, Taoyuan General Hospital, Ministry of Health and Welfare, Taiwan
研究記録日
主要日程の研究
研究開始
一次修了 (実際)
研究の完了 (実際)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (見積もり)
学習記録の更新
投稿された最後の更新 (実際)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
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