The Effect of Feedback Regarding Coping Strategies and Illness Behavior on Hand Surgery Patient Satisfaction and Communication: a Randomized Controlled Trial

Overview

Journal Hand (N Y)

Publisher Sage Publications

Specialties General Surgery
Orthopedics

Date 2015 Sep 3

PMID 26330786

Citations 4

Authors

Jos J Mellema

Casey M OConnor

Celeste L Overbeek

Michiel G Hageman

David Ring

Affiliations

Soon will be listed here.

Abstract

Background: Patients and surgeons can feel uncomfortable discussing coping strategies, psychological distress, and stressful circumstances. It has been suggested that patient-reported outcome measures (PROMs) facilitate the discussion of factors associated with increased symptoms and disability. This study assessed the effect of providing feedback to patients regarding their coping strategy and illness behavior on patient satisfaction and patient-physician communication in orthopedic surgery.

Methods: In a prospective study, 136 orthopedic patients were randomly assigned to either receive feedback about the Patient-Reported Outcomes Measurement Information System (PROMIS) Pain Interference computer-adaptive test (CAT) prior to the visit with the hand surgeon or not. The primary outcome was patient satisfaction with the consultation and secondary outcomes involved patient-physician communication. Bivariate and multivariable analyses were performed to determine the influence of the feedback on patient satisfaction and communication.

Results: There was no significant difference in patient satisfaction between patients who received feedback and patients who did not (P = 0.70). Feedback was associated with more frequent discussion of coping strategies (P = 0.045) in bivariate analysis but was not independently associated: in multivariable analysis, only PROMIS Pain Interference CAT and age were identified as independent predictors (odds ratio (OR) 1.1; 95 % confidence interval (CI) 1.0-1.1, P = 0.013, and OR 0.97, 95 % CI 0.94-0.99, P = 0.032, respectively). No factors were associated with discussion of stressors. Discussion of circumstances was independently associated with increased PROMIS Pain Interference CAT, marital status, and work status.

Conclusion: We found that feedback regarding coping strategies and illness behavior using the PROMIS Pain Interference CAT did not affect patient satisfaction. Although feedback was associated with increased discussion of illness behavior in bivariate analysis, less effective coping strategies and personal factors (age, marital status, and work status) were more important factors.

Citing Articles

Routine provision of feedback from patient-reported outcome measurements to healthcare providers and patients in clinical practice.

Gibbons C, Porter I, Goncalves-Bradley D, Stoilov S, Ricci-Cabello I, Tsangaris E Cochrane Database Syst Rev. 2021; 10:CD011589.

PMID: 34637526 PMC: 8509115. DOI: 10.1002/14651858.CD011589.pub2.

What Are the Priming and Ceiling Effects of One Experience Measure on Another?.

Al Salman A, Kopp B, Thomas J, Ring D, Fatehi A J Patient Exp. 2021; 7(6):1755-1759.

PMID: 33457640 PMC: 7786675. DOI: 10.1177/2374373520951670.

Reporting and utilization of Patient-Reported Outcomes Measurement Information System® (PROMIS®) measures in orthopedic research and practice: a systematic review.

Horn M, Reinke E, Couce L, Reeve B, Ledbetter L, George S J Orthop Surg Res. 2020; 15(1):553.

PMID: 33228699 PMC: 7684926. DOI: 10.1186/s13018-020-02068-9.

Item banking and computer-adaptive testing in clinical trials: Standing in sight of the PROMISed land.

Smith A, Hanbury A, Retzler J Contemp Clin Trials Commun. 2018; 13:005-5.

PMID: 30582066 PMC: 6299156. DOI: 10.1016/j.conctc.2018.11.005.

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