Status:
COMPLETED
Improving Clinician Communication Skills (ICCS)
Lead Sponsor:
University of Washington
Collaborating Sponsors:
National Institute of Nursing Research (NINR)
Conditions:
Advanced Cancer
Chronic Obstructive Pulmonary Disease (COPD)
Eligibility:
All Genders
18+ years
Phase:
PHASE3
Brief Summary
This research study is a randomized trial to evaluate a training program that is designed to improve the communication skills of clinicians. The training program focuses on care for patients with seri...
Detailed Description
Three decades of research on end-of-life care in the United States indicates that people who are dying often spend their final days with a significant burden of pain and other symptoms and receive car...
Eligibility Criteria
Inclusion
- Physician:
- all internal medicine residents at either University of Washington (UW)or the Medical University of South Carolina
- who have a clinical rotation allowing implementation of the intervention.
- NP Student:
- All NP Students at UW or MUSC
- in programs that train them to work with the following patient types:
- Adult patents with Cancer or other chronic, life-limiting illnesses
- Older Adults
- Adults Primary Care Patients
- Patient:
- One or more of the following diagnostic criteria:
- Advanced Cancer;
- Chronic obstructive pulmonary disease (COPD) with FEV1 values \< 35% predicted and/or oxygen dependent;
- Restrictive lung disease with a TLC \< 50% predicted;
- Congestive heart failure with an ejection fraction \<30% or functional deficits matching New York Heart Association Class III or IV heart failure;
- End stage liver disease including Child's Class C cirrhosis, MELD score ≥ 18, a variceal bleed, refractory ascites, or spontaneous bacterial peritonitis (SBP);
- a Charlson Comorbidity Score point value ≥6;
- in-patients with a University HealthSystem Consortium (UHC) Risk of Mortality score of major or extreme;
- OR hospitalized patients ≥ 80 years.
- Family:
- The ability to speak English well enough to be able to complete the study procedures
- AND no significant dementia or delirium that would limit the family member's ability to complete instruments.
- Nurse-evaluators:
- are working in the hospital or clinic with the resident or NP student enrolled in the study.
Exclusion
- less than 18 years,
- significant dementia, delirium, or psychosis;
- the inability to speak English well enough to be able to complete the study procedures.
Key Trial Info
Start Date :
April 1 2007
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
March 1 2013
Estimated Enrollment :
6086 Patients enrolled
Trial Details
Trial ID
NCT00687349
Start Date
April 1 2007
End Date
March 1 2013
Last Update
September 16 2014
Active Locations (4)
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1
Medical University of South Carolina
Charleston, South Carolina, United States, 29425
2
University of Washington; Harborview Medical Center
Seattle, Washington, United States, 98104
3
Veteran's Affairs Puget Sound HCS
Seattle, Washington, United States, 98108
4
University of Washington; UW Medical Center
Seattle, Washington, United States, 98195