Related Experiment Video
Updated: Nov 11, 2025
06:28
E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
8.6K
Engaging Patients to Ask More Questions: What's the Best Way? A Pragmatic Randomized Controlled Trial
Allison K Roe1, Sara L Eppler1, Lauren M Shapiro1
1Department of Orthopaedic Surgery, VOICES Health Policy Research Center, Stanford University, Redwood City, CA.
The Journal of Hand Surgery
|March 29, 2021
Summary
A hand-specific Question Prompt List (QPL) did not improve patient involvement in care compared to generic questions. This study found no significant difference in perceived involvement for patients with common hand conditions.
Area of Science:
- Orthopedics
- Patient-centered care
- Health services research
Background:
- Patient involvement in care is crucial for treatment decisions, especially for common hand conditions.
- Various methods are explored to enhance patient participation in healthcare decisions.
Purpose of the Study:
- To evaluate if a hand-specific Question Prompt List (QPL) enhances perceived patient involvement in care compared to generic questions.
- To assess the impact of tailored versus general questions on patient decision-making in hand surgery.
Main Methods:
- A prospective, randomized controlled trial involving 126 patients with common hand conditions.
- Patients were randomized to receive either a 35-item hand-specific QPL or 3 generic questions before surgeon consultation.
- Perceived Involvement in Care Scale (PICS) was used as the primary outcome measure.
Main Results:
- The mean PICS score for the generic questions group (AskShareKnow) was 8.3 (±2.2).
- The mean PICS score for the hand-specific QPL group was 7.5 (±2.8).
- The difference in PICS scores between the two groups was not clinically significant.
Conclusions:
- A hand-specific Question Prompt List does not significantly increase perceived patient involvement in care for common hand conditions.
- Generic questions appear as effective as detailed, condition-specific question lists in promoting patient involvement.
Related Concept Videos
01:11Blinding
3.6K
Blinding is a commonly used method of not telling participants which treatment a subject is receiving. Blinding is a critical part of a randomized control trial or RCT. It reduces the bias that affects the results. In an RCT, blinding is used in the form of a placebo. A placebo effect occurs when untreated subjects falsely believe they have received the treatment and report improved symptoms. A placebo or a dummy treatment is administered to subjects to negate the bias caused by such an effect.
3.6K
01:16Clinical Trials
10.0K
Clinical trials are prospective experimental studies conducted on humans to determine the safety and efficacy of treatments, drugs, diet methods, and medical devices. Using statistics in clinical trials enables researchers to derive reasonable and accurate conclusions from the collected data, allowing them to make wise decisions in uncertain situations. In medical research, statistical methods are crucial for preventing errors and bias.
There are four phases in a clinical trial. A phase one...
There are four phases in a clinical trial. A phase one...
10.0K
01:15Bioavailability Study Design: Healthy Subjects Versus Patients
58
Bioavailability studies are essential for evaluating a drug's therapeutic efficacy and understanding its absorption patterns under various physiological conditions. Conducting such studies on target patient populations provides more relevant data by simulating real-world disease states. However, practical challenges often necessitate the use of young, healthy adult volunteers as study subjects.Patients may exhibit altered drug absorption patterns due to the effects of the disease itself,...
58
02:07Blind Procedures
12.5K
Ideally, the people who observe and record the children’s behavior are unaware of who was assigned to the experimental or control group, in order to control for experimenter bias. Experimenter bias refers to the possibility that a researcher’s expectations might skew the results of the study. Remember, conducting an experiment requires a lot of planning, and the people involved in the research project have a vested interest in supporting their hypotheses. If the observers knew which...
12.5K
01:23Types of Biopharmaceutical Studies: Controlled and Non-Controlled Approaches
244
Biopharmaceutical studies constitute a vital field aiming to enhance drug delivery methods and refine therapeutic approaches, drawing upon diverse interdisciplinary knowledge. In research methodologies, the choice between controlled and non-controlled studies significantly influences the study's reliability and accuracy.
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
244
01:11Clinical Trials: Overview
4.1K
Clinical development focuses on how the drug will interact with the human body and encompasses four key phases of clinical trials, each serving a specific purpose in assessing the safety and effectiveness of new drugs. These phases overlap and build upon one another. Phase I involves a small group of healthy volunteers (typically 20-80 individuals) or, in cases where significant toxicity is expected, patients with the targeted disease, such as cancer or AIDS. The volunteers are tested for...
4.1K