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

24 september 2018 uppdaterad 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.

Studieöversikt

Status

Avslutad

Betingelser

Intervention / Behandling

Studietyp

Interventionell

Inskrivning (Faktisk)

32

Fas

  • Inte tillämpbar

Kontakter och platser

Det här avsnittet innehåller kontaktuppgifter för dem som genomför studien och information om var denna studie genomförs.

Studieorter

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

Deltagandekriterier

Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.

Urvalskriterier

Åldrar som är berättigade till studier

18 år och äldre (Vuxen, Äldre vuxen)

Tar emot friska volontärer

Nej

Kön som är behöriga för studier

Allt

Beskrivning

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

Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.

Hur är studien utformad?

Designdetaljer

  • Primärt syfte: Behandling
  • Tilldelning: Randomiserad
  • Interventionsmodell: Parallellt uppdrag
  • Maskning: Fyrdubbla

Vapen och interventioner

Deltagargrupp / 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.
Beteende: intervention
intervention with recommendation and therapist introduction
Övrig: placebo
low back pain education, and physical therapy 3 times per week
Placebo-jämförare: 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.
Övrig: placebo
low back pain education, and physical therapy 3 times per week

Vad mäter studien?

Primära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Trust score by The Chinese version of the WFPTS(C-WFPTS) between intervention group and placebo group
Tidsram: 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
Tidsram: 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

Sekundära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Trust score by The Chinese version of the WFPTS(C-WFPTS) between intervention group and placebo group
Tidsram: 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
Tidsram: 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
Tidsram: 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

Samarbetspartners och utredare

Det är här du hittar personer och organisationer som är involverade i denna studie.

Sponsor

Taoyuan General Hospital

Utredare

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

Studieavstämningsdatum

Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.

Studera stora datum

Studiestart

1 juli 2016

Primärt slutförande (Faktisk)

30 juni 2017

Avslutad studie (Faktisk)

30 juni 2017

Studieregistreringsdatum

Först inskickad

5 juni 2016

Först inskickad som uppfyllde QC-kriterierna

9 juni 2016

Första postat (Uppskatta)

15 juni 2016

Uppdateringar av studier

Senaste uppdatering publicerad (Faktisk)

26 september 2018

Senaste inskickade uppdateringen som uppfyllde QC-kriterierna

24 september 2018

Senast verifierad

1 september 2018

Mer information

Termer relaterade till denna studie

Nyckelord

Ytterligare relevanta MeSH-villkor

Andra studie-ID-nummer

  • TYGH104046

Plan för individuella deltagardata (IPD)

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NEJ

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