Does information structuring improve recall of discharge information? A cluster randomized clinical trial.
Abdominal Pain
/ epidemiology
Adult
Aftercare
/ standards
Communication
Emergency Service, Hospital
/ standards
Female
Humans
Male
Mental Recall
/ physiology
Middle Aged
Patient Discharge
/ standards
Patient Satisfaction
/ statistics & numerical data
Physician-Patient Relations
Randomized Controlled Trials as Topic
Journal
PloS one
ISSN: 1932-6203
Titre abrégé: PLoS One
Pays: United States
ID NLM: 101285081
Informations de publication
Date de publication:
2021
2021
Historique:
received:
16
08
2020
accepted:
29
07
2021
entrez:
18
10
2021
pubmed:
19
10
2021
medline:
27
11
2021
Statut:
epublish
Résumé
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. 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. 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. 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.
Identifiants
pubmed: 34662341
doi: 10.1371/journal.pone.0257656
pii: PONE-D-20-21645
pmc: PMC8523048
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
e0257656Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
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