Supporting Patient Provider Communication in Paediatric Care (SiSom)
Supporting Patient Provider Communication for Children With Cancer and Congenital Heart Disease
Children with Cancer or congenital heart disease (CHD) experience complex, physical, psychosocial and behavioural symptoms and problems due to the illness, treatment, and medical procedures. To help children cope with their problems and prevent psychological distress, the investigators developed SiSom, a support system to help children with cancer or CHD report their symptoms and problems in an age-adjusted manner on a touch-pad, portable computer.
This quasi-experimental study with 202 children age 7-12 with CHD or cancer will test the following hypotheses: When children use SiSom to report their symptoms and problems, and this information is provided to their clinicians in their outpatient consultations:
- Children and parents will experience less anxiety.
- Children and parents will be more satisfied with the outpatient visit.
- There will be greater congruence between children's reported symptoms and problems and those addressed by their clinicians as evidenced in documented patient care.
To better understand the mechanisms by which these effects may occur, the investigators will also explore:
- Differences between control and experimental groups in patient-provider communication in terms of instrumental and affective behaviour, participation, initiative and person addressed;
- The relationships among outcomes of patient-provider communication, congruence between patients' reported symptoms and those addressed by their clinicians and children's and parents' anxiety and satisfaction; and how these relationships differ between treatment and control conditions.
Finally, the investigators will investigate time requirements, ease of use and usefulness of SiSom by children and clinicians.
For analyses the investigators will use inferential statistics and qualitative analyses of the video-taped consultation sessions. This study will contribute to improving patient-centred care for a particularly vulnerable population, and to a better understanding of the triadic communication and interactions among child-parent and clinician.
研究概览
研究类型
注册 (实际的)
阶段
- 不适用
联系人和位置
学习地点
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Oslo、挪威、0027
- Rikshospitalet-Radiumhospitalet
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参与标准
资格标准
适合学习的年龄
接受健康志愿者
有资格学习的性别
描述
Inclusion Criteria:
- Between 7 and 12 years.
- Ethnic norwegian.
- Undergoing treatment for cancer or diagnosed with a congenital heart disease.
Exclusion Criteria:
- Receiving or have received radiation the brain as this may affect their abilities to use SiSom and communicate during consultations.
- Syndromes, mental retardation, developmental disorders, language disorders, or cognitive disorders that affect their ability to report symptoms or communicate during consultations.
- Other ethnic origin.
学习计划
研究是如何设计的?
设计细节
- 主要用途:支持治疗
- 分配:非随机化
- 介入模型:并行分配
- 屏蔽:无(打开标签)
武器和干预
参与者组/臂 |
干预/治疗 |
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实验性的:1
Patients uses the symptom assessment tool SiSom.
A summary of their reported symptoms are printed out and given to the pediatrician and nurse before the consultation.
The consultation is videotaped.
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SiSom is a symptom assessment tool designed to help the child report disease specific problems.The child also report the severity of their problems.
After using the tool a report is printed and given to the clinician.
其他名称:
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无干预:2
The control group do not use the symptom assessment tool "SiSom" before the consultation.
The control group receives usual care and the consultation is videoptaped.
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研究衡量的是什么?
主要结果指标
结果测量 |
大体时间 |
---|---|
Patient-provider communication
大体时间:Single measure, video recording of medical consultation lasting approximately one hour
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Single measure, video recording of medical consultation lasting approximately one hour
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次要结果测量
结果测量 |
大体时间 |
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Patient-provider communication
大体时间:Single measure, video recording of medical consultation lasting approximately one hour
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Single measure, video recording of medical consultation lasting approximately one hour
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Time requirements, ease of use
大体时间:Single measure, after collection of all patient data
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Single measure, after collection of all patient data
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Congruence between children's reported symptoms and problems and those addressed by their clinicians as evidenced in documented patient care.
大体时间:Single measure, ten minutes post intervention
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Single measure, ten minutes post intervention
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State anxiety
大体时间:10 minutes pre and 10 minutes post intervention
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10 minutes pre and 10 minutes post intervention
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合作者和调查者
调查人员
- 首席研究员:Cornelia M Ruland, PhD、Oslo University Hospital
出版物和有用的链接
一般刊物
- Vatne TM, Finset A, Ornes K, Ruland CM. Application of the verona coding definitions of emotional sequences (VR-CoDES) on a pediatric data set. Patient Educ Couns. 2010 Sep;80(3):399-404. doi: 10.1016/j.pec.2010.06.026.
- Ruland CM, Starren J, Vatne TM. Participatory design with children in the development of a support system for patient-centered care in pediatric oncology. J Biomed Inform. 2008 Aug;41(4):624-35. doi: 10.1016/j.jbi.2007.10.004. Epub 2007 Nov 13.
- Ruland CM, Slaughter L, Starren J, Vatne TM, Moe EY. Children's contributions to designing a communication tool for children with cancer. Stud Health Technol Inform. 2007;129(Pt 2):977-82.
- Slaughter LA, Ruland CM, Vatne TM. Constructing an effective information architecture for a pediatric cancer symptom assessment tool. AMIA Annu Symp Proc. 2006;2006:1102.
- Ruland CM, Slaughter L, Starren J, Vatne TM. Children as design partners in the development of a support system for children with cancer. Stud Health Technol Inform. 2006;122:80-5.
- Vatne TM, Ruland CM, Ornes K, Finset A. Children's expressions of negative emotions and adults' responses during routine cardiac consultations. J Pediatr Psychol. 2012 Mar;37(2):232-40. doi: 10.1093/jpepsy/jsr074. Epub 2011 Sep 9.
- Vatne TM, Slaugther L, Ruland CM. How children with cancer communicate and think about symptoms. J Pediatr Oncol Nurs. 2010 Jan-Feb;27(1):24-32. doi: 10.1177/1043454209349358. Epub 2009 Oct 15.
研究记录日期
研究主要日期
学习开始
初级完成 (实际的)
研究完成 (实际的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (估计)
研究记录更新
最后更新发布 (实际的)
上次提交的符合 QC 标准的更新
最后验证
更多信息
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