Condition category
Not Applicable
Date applied
29/10/2008
Date assigned
20/11/2008
Last edited
20/11/2008
Prospective/Retrospective
Retrospectively registered
Overall trial status
Completed
Recruitment status
No longer recruiting

Plain English Summary

Not provided at time of registration

Trial website

Contact information

Type

Scientific

Primary contact

Dr Jana Juenger

ORCID ID

Contact details

Innere Medizin II
Universitätsklinikum Heidelberg
Im Neuenheimer Feld 410
Heidelberg
69120
Germany
+48 (0)6221 563 8872
jana.juenger@med.uni-heidelberg.de

Additional identifiers

EudraCT number

ClinicalTrials.gov number

Protocol/serial number

N/A

Study information

Scientific title

A randomised controlled trial to enhance the physician-patient relationship in inpatient care by a communication training and supervision

Acronym

APKIT

Study hypothesis

1. Patient satisfaction can be enhanced by systematic communication training for physicians: patient satisfaction within the intervention group is higher after the physicians have completed their training than before the training. Patient satisfaction within the control group will not differ between pre- and post-evaluation.
2. The subjective competence assessment of communication skills of the physicians in the intervention group increases significantly after having completed the communication training
3. The improvement of communication and interaction skills of the intervention group can be shown by performance in a multi-station exercise (MSE)
4. The improvement of communication skills of the intervention group can also be shown in daily physician-patient interaction (through video analysis)
5. The communication training influences patient adherence after discharge: patients seen by physicians of the intervention group show higher adherence levels after the physicians have been trained than before

Ethics approval

The local medical ethics committee (Landesarztekammer Baden-Wurttemberg [Germany] Körperschaft des Offentlichen Rechts Ethik-kommission) granted approval on the 27th August 2008 (ref: 2008-086-f)

Study design

Randomised controlled trial (single centred, single blinded)

Primary study design

Interventional

Secondary study design

Randomised controlled trial

Trial setting

Not specified

Trial type

Treatment

Patient information sheet

Not available in web format, please use the contact details below to request a patient information sheet

Condition

Physician-patient communication

Intervention

Intervention group:
Three-day communication and interaction skills training including role play with standardised patients and supervised ward rounds in between, and a final evaluation with an MSE (multi-station exercise).

Control group:
Waiting-list control group receiving the same literature as the intervention group. Out of ethical reasons the control group will be given the same intervention after data acquisition is completed.

Joint/Scientific Sponsor Details:
SLK Hospital Heilbronn (Germany)
c/o Dr Urs Riemann
Am Gesundbrunnen 20
74078 Heilbronn
Germany
Website: http://www.slk-kliniken.de/Klinikum-am-Gesundbrunnen.701.0.html

University Hospital Heidelberg (Germany)
c/o Dr Jobst-Hendrik Schultz
MME Bern
Im Neuenheimer Feld 410
69120 Heidelberg
Germany
Website: http://www.klinikum.uni-heidelberg.de/Klinik-fuer-Psychosomatische-und-Allgemeine-Klinische-Medizin.87.0.html

Joint/Scientific Contact Details:
Professor Wolf Langewitz
Universitätsspital Basel
Psychosomatik
Hebelstr.2
CH-4031 Basel
Switzerland

Intervention type

Other

Phase

Not Specified

Drug names

Primary outcome measures

Patient satisfaction measured by a modified version of the Picker Questionnaire before (t1) and after (t3) the intervention group is trained.

Timepoints:
t1: two months before the training
t2: intervention (training period, communication and interaction training)
t3: two months after the training

Secondary outcome measures

Physicians:
Communication and interaction skills:
1. Measured by self-rating before (t1) and after training (t3)
2. Measured by performance in a multi-station exercise (MSE) directly after training (t2)
3. Measured by video analysis using the Roter Interaction Process Analysis System (RIAS), before (t1) and after training (t3)

Patients:
Adherence measured through a 4-item assessment by general practitioners (GP) providing follow-up care using the Visual Analogue Scale (0 = not at all adhered to 10 = totally adhered) (t3).

Timepoints:
t1: two months before the training
t2: intervention (training period, communication and interaction training)
t3: two months after the training

Overall trial start date

30/10/2008

Overall trial end date

30/03/2009

Reason abandoned

Eligibility

Participant inclusion criteria

Patients:
1. Given consent
2. Receiving in-patient treatment at the Hospital SLK Heilbronn (Germany)
3. Sufficient German language skills
4. Sufficient literacy
5. Aged from 30 - 85 years, either sex

Physicians:
1. Given consent
2. Employed by the Hospital SLK Heilbronn (Germany)
3. Currently working shifts in the Department of Internal Medicine
4. Aged from 26 - 50 years, either sex

Participant type

Patient

Age group

Adult

Gender

Both

Target number of participants

Physicians: 42; patients: 700

Participant exclusion criteria

Patients or physicians declined consent.

Recruitment start date

30/10/2008

Recruitment end date

30/03/2009

Locations

Countries of recruitment

Germany

Trial participating centre

Innere Medizin II
Heidelberg
69120
Germany

Sponsor information

Organisation

German Health Insurance Company AOK (Bundesgeschäftsstelle AOK Krankenkasse) (Germany)

Sponsor details

c/o Dr Schillinger
kortrijkerstr. 1
Bonn
53177
Germany

Sponsor type

Government

Website

http://www.aok-bv.de/

Funders

Funder type

Government

Funder name

German Health Insurance Company AOK (Bundesgeschäftsstelle AOK Krankenkasse) (Germany)

Alternative name(s)

Funding Body Type

Funding Body Subtype

Location

Results and Publications

Publication and dissemination plan

Not provided at time of registration

Intention to publish date

Participant level data

Not provided at time of registration

Results - basic reporting

Publication summary

Publication citations

Additional files

Editorial Notes