Does information structuring improve recall of discharge information? A cluster randomized clinical trial.

<h4>Objectives</h4>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 proble...

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Autores principales:	Victoria Siegrist, Rui Mata, Wolf Langewitz, Heike Gerger, Stephan Furger, Ralph Hertwig, Roland Bingisser
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/128e86a591fd49c78ef1cdf145cc0636
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spelling	oai:doaj.org-article:128e86a591fd49c78ef1cdf145cc06362021-12-02T20:16:50ZDoes information structuring improve recall of discharge information? A cluster randomized clinical trial.1932-620310.1371/journal.pone.0257656https://doaj.org/article/128e86a591fd49c78ef1cdf145cc06362021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0257656https://doaj.org/toc/1932-6203<h4>Objectives</h4>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.<h4>Methods</h4>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.<h4>Results</h4>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.<h4>Conclusions and practice implications</h4>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.Victoria SiegristRui MataWolf LangewitzHeike GergerStephan FurgerRalph HertwigRoland BingisserPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 10, p e0257656 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Victoria Siegrist Rui Mata Wolf Langewitz Heike Gerger Stephan Furger Ralph Hertwig Roland Bingisser Does information structuring improve recall of discharge information? A cluster randomized clinical trial.
description	<h4>Objectives</h4>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.<h4>Methods</h4>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.<h4>Results</h4>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.<h4>Conclusions and practice implications</h4>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.
format	article
author	Victoria Siegrist Rui Mata Wolf Langewitz Heike Gerger Stephan Furger Ralph Hertwig Roland Bingisser
author_facet	Victoria Siegrist Rui Mata Wolf Langewitz Heike Gerger Stephan Furger Ralph Hertwig Roland Bingisser
author_sort	Victoria Siegrist
title	Does information structuring improve recall of discharge information? A cluster randomized clinical trial.
title_short	Does information structuring improve recall of discharge information? A cluster randomized clinical trial.
title_full	Does information structuring improve recall of discharge information? A cluster randomized clinical trial.
title_fullStr	Does information structuring improve recall of discharge information? A cluster randomized clinical trial.
title_full_unstemmed	Does information structuring improve recall of discharge information? A cluster randomized clinical trial.
title_sort	does information structuring improve recall of discharge information? a cluster randomized clinical trial.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/128e86a591fd49c78ef1cdf145cc0636
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Does information structuring improve recall of discharge information? A cluster randomized clinical trial.

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