Improving Communication and Healthcare Outcomes for Patients With Communication Disabilities

Completed · Not applicable

Conditions studied: Communication Disabilities

In brief

In the United States, 14% of all adults report a speech, language, voice, and/or hearing disability (collectively known as communication disabilities, CD). Patients with CD, experience inequities in receipt of and access to high-quality healthcare services, including primary care. Poor patient-provider communication is a significant contributor to these disparities. When healthcare providers use evidence-based communication strategies, patients with CD have improved communication outcomes and satisfaction. Unfortunately, providers rarely use the strategies in practice. The objective of this study is to compare the effectiveness and implementation of two interventions to increase primary care providers' use of communication strategies, improving the quality of their communication with patients with CD. Using a stepped-wedge study design and guided by the RE-AIM framework, we will compare a healthcare team-directed intervention (training) to a healthcare team-directed intervention + patient-directed intervention (patient-prompt list). In the healthcare team-directed intervention, the team will receive training on evidence-based communication strategies for patients with CD. In the patient-directed intervention, patients with CD will complete a "patient prompt" list that elicits strategies that they prefer the healthcare team to use during their visit. The primary aim of the study is to compare the effectiveness of the interventions on patient-reported experience in primary care practices across 4 healthcare systems using a stepped-wedge randomized controlled trial. Hypothesis 1: Patients with CD will report a higher quality of health, more positive experience, and greater self-efficacy when they use the patient-directed tool (intervention A+B) as compared to patients with CD in the healthcare team education-only phase (intervention A). Hypothesis 2. Providers will use more patient-centered communication and strategies with the patient-directed intervention. The second aim is to examine the adoption, implementation, and short-term sustainability of the interventions.

Key facts

Study ID

NCT04697212

Run by

University of Colorado, Denver

People needed

687

Starts

2021-12-13

Expected to finish

2024-02-28

Last updated by the study team

2025-11-20

Who can join

Age: 18 and older. Sex: any. Healthy volunteers: accepted.

You may qualify if…

• Patient participants: Individuals with a communication disability who receive care at participating study sites
• Healthcare team participants: Healthcare staff and providers at participating study sites

You may not qualify if…

• Patient participants: Individuals without a communication disability
• Healthcare team participants: Individuals who do not work at participating study sites

Where it is running

• Denver Health — Denver, Colorado, United States
• UCHealth Primary Care - Lone Tree — Lone Tree, Colorado, United States
• University of Illinois Chicago — Chicago, Illinois, United States
• Michigan Medicine — Ann Arbor, Michigan, United States
• Mayo Clinic — Rochester, Minnesota, United States

Full record on ClinicalTrials.gov

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