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Does information structuring improve recall of discharge information? A cluster randomized clinical trial
- Source :
- PLoS ONE, Vol 16, Iss 10 (2021), PLoS ONE, PLoS ONE, Vol 16, Iss 10, p e0257656 (2021), PLoS ONE, 16(October):e0257656. Public Library of Science
- Publication Year :
- 2021
- Publisher :
- Public Library of Science, 2021.
-
Abstract
- Objectives The impact of the quality of discharge communication between physicians and their patients is critical on patients’ health outcomes. Nevertheless, low recall of information given to patients at discharge from emergency departments (EDs) is a well-documented problem. Therefore, we investigated the outcomes and related benefits of two different communication strategies: Physicians were instructed to either use empathy (E) or information structuring (S) skills hypothesizing superior recall by patients in the S group. Methods For the direct comparison of two communication strategies at discharge, physicians were cluster-randomized to an E or a S skills training. Feasibility was measured by training completion rates. Outcomes were measured in patients immediately after discharge, after 7, and 30 days. Primary outcome was patients’ immediate recall of discharge information. Secondary outcomes were feasibility of training implementation, patients’ adherence to recommendations and satisfaction, as well as the patient-physician relationship. Results Of 117 eligible physicians, 80 (68.4%) completed the training. Out of 256 patients randomized to one of the two training groups (E: 146 and S: 119) 196 completed the post-discharge assessment. Patients’ immediate recall of discharge information was superior in patients in the S-group vs. E-group. Patients in the S-group adhered to more recommendations within 30 days (p = .002), and were more likely to recommend the physician to family and friends (p = .021). No differences were found on other assessed outcome domains. Conclusions and practice Implications Immediate recall and subsequent adherence to recommendations were higher in the S group. Feasibility was shown by a 69.6% completion rate of trainings. Thus, trainings of discharge information structuring are feasible and improve patients’ recall, and may therefore improve quality of care in the ED.
- Subjects :
- Male
Critical Care and Emergency Medicine
Health Care Providers
Social Sciences
Aftercare
Mnemonic
law.invention
0302 clinical medicine
Sociology
Randomized controlled trial
law
Completion rate
Medicine and Health Sciences
Psychology
Medicine
Medical Personnel
030212 general & internal medicine
Randomized Controlled Trials as Topic
media_common
Verbal Communication
Multidisciplinary
Communication
Middle Aged
Patient Discharge
3. Good health
Professions
Patient Satisfaction
030220 oncology & carcinogenesis
Female
Emergency Service, Hospital
Research Article
Adult
medicine.medical_specialty
Drug Research and Development
Patients
media_common.quotation_subject
Science
Pain
Empathy
Research and Analysis Methods
Disease cluster
03 medical and health sciences
Nonverbal communication
Signs and Symptoms
Physicians
Humans
Clinical Trials
In patient
Pharmacology
Behavior
Physician-Patient Relations
Recall
Verbal Behavior
business.industry
Biology and Life Sciences
Communication in Health Care
Communications
Randomized Controlled Trials
Abdominal Pain
Health Care
People and Places
Mental Recall
Physical therapy
Population Groupings
Clinical Medicine
business
Subjects
Details
- ISSN :
- 19326203
- Database :
- OpenAIRE
- Journal :
- PLoS ONE, Vol 16, Iss 10 (2021), PLoS ONE, PLoS ONE, Vol 16, Iss 10, p e0257656 (2021), PLoS ONE, 16(October):e0257656. Public Library of Science
- Accession number :
- edsair.doi.dedup.....371a936a1faaac135382b2c04d8a4af1
- Full Text :
- https://doi.org/10.5451/unibas-ep86070