Better clinical communication in hospital - a study of the effect of a Norwegian version of the "Four habits Approach to Effective Clinical Communication" in Akershus University Hospital
| ISRCTN | ISRCTN22153332 |
|---|---|
| DOI | https://doi.org/10.1186/ISRCTN22153332 |
| Secondary identifying numbers | Helse Øst RHF (Regional Authorities for Hospital Care, Eastern Norway) 2007 - 015 |
- Submission date
- 23/04/2007
- Registration date
- 12/06/2007
- Last edited
- 21/12/2011
- Recruitment status
- No longer recruiting
- Overall study status
- Completed
- Condition category
- Other
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Plain English summary of protocol
Not provided at time of registration
Contact information
Prof Pål Gulbrandsen
Scientific
Scientific
Helse Øst Health Services Research Centre
Mail drawer 95
Akershus University Hospital
Lørenskog
1478
Norway
| Phone | +47 (0)67 929461 |
|---|---|
| pal.gulbrandsen@ahus.no |
Study information
| Study design | Randomised controlled trial. |
|---|---|
| Primary study design | Interventional |
| Secondary study design | Randomised controlled trial |
| Study setting(s) | Hospital |
| Study type | Diagnostic |
| Scientific title | |
| Study acronym | 4HN |
| Study objectives | The Four Habits Model describes the four patterns of behaviour used by clinicians during medical interviews (Frankel and Stein, 2001). Hypothesis: A 20-hour intensive course in effective clinical communication according to the "Four Habits" approach will significantly alter the communication skills of participating physicians. Frankel and Stein, Getting the most out of the clinical encounter: the four habits model, J Med Pract Manage, 2001 Jan-Feb;16(4):184-91 |
| Ethics approval(s) | The Regional Ethics Committee for Medical Research of East Norway gave approval on the 13th April 2007 (ref: 1.2007.356) |
| Health condition(s) or problem(s) studied | Clinical communication |
| Intervention | Participating physicians are given a 20-hour intensive course in clinical communication using the "Four habits" approach. 40 physicians will attend the training course in June 2007, and the other 40 physicians will attend the course in January 2008. For all physicians, two consultations/meetings will be recorded before the June course, four consultations/meetings will be recorded between the June and the January courses, and two consultations/meetings will be recorded after the January course for evaluation. |
| Intervention type | Other |
| Primary outcome measure | The videotaped consultations/meetings were assessed using the Four Habits Coding Scheme (Krupat et al, 2006). Krupat E, Frankel R, Stein T, Irish J. The Four Habits Coding Scheme: validation of an instrument to assess clinicians communication behavior. Pat Educ Couns 2006; 62: 38-45. |
| Secondary outcome measures | 1. Change in Habit 1 through 4 behaviours according to which habit the physicians particularly commit themselves to improve (physicians may want to implement all habits, but are prompted to give priority to one of them) 2. Changes in Habits in 20% of physicians with the lowest scores 3. Changes in Habits across age groups, gender, specialties, seniors/juniors 4. Change in physician communication specific self-efficacy 5. Change in patient satisfaction |
| Overall study start date | 13/04/2007 |
| Completion date | 31/03/2010 |
Eligibility
| Participant type(s) | Patient |
|---|---|
| Age group | Adult |
| Sex | Both |
| Target number of participants | 64 physicians (512 consultations) |
| Key inclusion criteria | Physicians under 60 years doing full or part-time clinical work in somatic departments of Akershus University Hospital. Altogether 8 real consultations or meetings with patients/relatives of patients per physician are recruited consecutively. |
| Key exclusion criteria | None for physicians. For consultations: 1. Anticipated consultation duration less than 5 minutes 2. Consultations or meetings with patients or relatives where they are in a particularly vulnerable situation and where videotaping would be inappropriate (e.g. when conveying serious messages) |
| Date of first enrolment | 13/04/2007 |
| Date of final enrolment | 31/03/2010 |
Locations
Countries of recruitment
- Norway
Study participating centre
Helse Øst Health Services Research Centre
Lørenskog
1478
Norway
1478
Norway
Sponsor information
Regional Authorities for Hospital Care, Eastern Norway (Helse Øst RHF)
Government
Government
PO Box 404
Hamar
2301
Norway
| Phone | +47 (0)62 585500 |
|---|---|
| postmottak@helse-ost.no | |
| Website | http://www.helse-ost.no |
"ROR" |
https://ror.org/02qx2s478 |
Funders
Funder type
Government
Regional Authorities for Hospital Care, Eastern Norway (Helse Øst RHF) (ref: 2007 - 015)
No information available
Results and Publications
| Intention to publish date | |
|---|---|
| Individual participant data (IPD) Intention to share | No |
| IPD sharing plan summary | Not provided at time of registration |
| Publication and dissemination plan | Not provided at time of registration |
| IPD sharing plan |
Study outputs
| Output type | Details | Date created | Date added | Peer reviewed? | Patient-facing? |
|---|---|---|---|---|---|
| Results article | results of substudy on self-efficacy among doctors in hospitals after a course in clinical communication | 19/11/2009 | Yes | No | |
| Results article | results on confirmation of informed consent by SMS | 01/02/2010 | Yes | No | |
| Results article | results | 01/08/2011 | Yes | No |
