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

24. september 2018 oppdatert av: 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.

Studieoversikt

Status

Fullført

Forhold

Intervensjon / Behandling

Studietype

Intervensjonell

Registrering (Faktiske)

32

Fase

  • Ikke aktuelt

Kontakter og plasseringer

Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.

Studiesteder

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

Deltakelseskriterier

Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.

Kvalifikasjonskriterier

Alder som er kvalifisert for studier

18 år og eldre (Voksen, Eldre voksen)

Tar imot friske frivillige

Nei

Kjønn som er kvalifisert for studier

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

Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.

Hvordan er studiet utformet?

Designdetaljer

  • Primært formål: Behandling
  • Tildeling: Randomisert
  • Intervensjonsmodell: Parallell tildeling
  • Masking: Firemannsrom

Våpen og intervensjoner

Deltakergruppe / Arm
Intervensjon / 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.
Atferdsmessig: intervention
intervention with recommendation and therapist introduction
Annen: 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.
Annen: placebo
low back pain education, and physical therapy 3 times per week

Hva måler studien?

Primære resultatmål

Resultatmål
Tiltaksbeskrivelse
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
Tiltaksbeskrivelse
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

Samarbeidspartnere og etterforskere

Det er her du vil finne personer og organisasjoner som er involvert i denne studien.

Sponsor

Taoyuan General Hospital

Etterforskere

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

Studierekorddatoer

Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.

Studer hoveddatoer

Studiestart

1. juli 2016

Primær fullføring (Faktiske)

30. juni 2017

Studiet fullført (Faktiske)

30. juni 2017

Datoer for studieregistrering

Først innsendt

5. juni 2016

Først innsendt som oppfylte QC-kriteriene

9. juni 2016

Først lagt ut (Anslag)

15. juni 2016

Oppdateringer av studieposter

Sist oppdatering lagt ut (Faktiske)

26. september 2018

Siste oppdatering sendt inn som oppfylte QC-kriteriene

24. september 2018

Sist bekreftet

1. september 2018

Mer informasjon

Begreper knyttet til denne studien

Nøkkelord

Ytterligere relevante MeSH-vilkår

Andre studie-ID-numre

  • TYGH104046

Plan for individuelle deltakerdata (IPD)

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NEI

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