search  
 


Home

Who are we?

Why
register?


Signup for
registration


Online registration

Log in to register
your trial


Search a trial

NRT en CCMO

Contact

NEDERLANDS





MetaRegister
van CCT (UK)


ISRCTN-Register
van CCT (UK)


Professional physician-claimant communication during work disability assessments.


- candidate number7932
- NTR NumberNTR2287
- ISRCTNISRCTN wordt niet meer aangevraagd.
- Date ISRCTN created
- date ISRCTN requested
- Date Registered NTR14-apr-2010
- Secondary IDsWC2006-113 Scientific committee of the EMGO Institute for Health and Care Research
- Public TitleProfessional physician-claimant communication during work disability assessments.
- Scientific TitleThe efficacy of a communication skills training course for social insurance physicians who assess medical work disability.
- ACRONYM
- hypothesisMedical work disability assessments require that social insurance physicians have specific communication skills. For this, Dutch social insurance physicians are trained in their professional education. However, no specialised, evidence-based communication skills training course is available for them. Therefore, this study aimed to systematically develop such a course to improve social insurance physicians’ communication skills and communication behaviour during medical disability assessments with claimants, and to evaluate the efficacy of this course.

With regard to social insurance physicians’ communication with claimants during medical work disability assessment interviews:
1. The first aim is to determine if physicians’ knowledge and competence increase as a result of the communication skills training course ‘Professional Claimant Communication’;
2. The second is to explore if determinants of physicians’ communication behaviour (i.e. attitudes, social influence, self-efficacy, intentions, self-perceived barriers, and self-perceived skills) change as a result of the communication skills training course ‘Professional Claimant Communication’;
3. The third aim is to evaluate social insurance physicians’ opinions about the methods and content of the communication skills training course ‘Professional Claimant Communication’, and to provide suggestions for improvement.
- Healt Condition(s) or Problem(s) studiedWork disability from a medical perspective, Physician-patient communication
- Inclusion criteriaSocial insurance physicians, working for the Dutch Institute for Employee Benefit Schemes (UWV), and performing face-to-face assessment interviews.
- Exclusion criteriaSocial insurance physicians performing staff/executive functions.
- mec approval receivedyes
- multicenter trialno
- randomisedyes
- masking/blindingSingle
- controlActive
- groupParallel
- Type2 or more arms, randomized
- Studytypeintervention
- planned startdate 15-dec-2009
- planned closingdate11-jul-2010
- Target number of participants40
- InterventionsThe intervention group receives the two-day training course ‘Professional Claimant Communication’ aimed at teaching physicians to:
1. Be aware of their own assumptions in the preparation and introduction of the disability assessment interview;
2. Efficiently collect information from claimants by improving communication skills (e.g. adequately showing empathy, summarising in plain simple language);
3. Properly finish the assessment by sharing the conclusion while staying in contact with the claimant. Active teaching strategies are used mostly, such as practicing skills in role play and group discussion.

The control group is a waiting list control condition. Physicians in this condition receive no training during the study. After the study is finished/measurements are completed, participants in the control condition are invited to take part in the training course ‘Professional Claimant Communication’.
- Primary outcome1. Knowledge about communication in medical disability assessment interviews (questionnaire with true or false questions);
2. Competence concerning communication in medical disability assessment interviews (questionnaire with open questions concerning a written casuistry example).
- Secondary outcome1. Determinants of physicians’ communication behaviour, i.e. attitudes, social influence, self-efficacy, intentions, self-perceived barriers, and self-perceived skills, all with regard to physician-claimant communication during medical disability assessments (questionnaire with 10-point scale items);
2. Physicians’ evaluation of the training methods and the course’s contents (questionnaire with 10-point scale items).
- TimepointsAll measures are performed with questionnaires, when possible based on existing questionnaires.
1. Questionnaire 1: Knowledge, determinants of behaviour, background demographic characteristics (takes approximately 15 minutes);
2. Questionnaire 2: Knowledge, determinants of behaviour, competence, evaluation (takes approximately 60 minutes).
Both questionnaires were pilot tested before use.

1. Intervention group, before training ‘Professional Claimant Communication’ (PCC): Questionnaire 1;
2. Intervention group, after training PCC: Questionnaire 2;
3. Control group (before training PCC): Questionnaire 1 and approximately one week later Questionnaire 2.
- Trial web sitehttp://www.emgo.nl/projects/project/index.asp?id=782&page=1; www.kcvg.nl
- statusinclusion stopped: follow-up
- CONTACT FOR PUBLIC QUERIESMsc. H.J. Rijssen, van
- CONTACT for SCIENTIFIC QUERIESDr. MBA A.J.M. Schellart
- Sponsor/Initiator VU University Medical Center, EMGO+ Institute, VU University Medical Center, Department of Public and Occupational Health, Dutch Research Center for Insurance Medicine AMC-UWV-VUmc, UWV, TNO Quality of Life (Work and Employment)
- Funding
(Source(s) of Monetary or Material Support)
Stichting Instituut GAK (SIG)
- PublicationsN/A
- Brief summaryMedical work disability assessments require that social insurance physicians have specific communication skills. For this, Dutch social insurance physicians are trained in their professional education. However, no specialised, evidence-based communication skills training course is available for them. Therefore, this study aimed to evaluate the efficacy of the systematically developed communication skills training course ‘Professional Claimant Communication’. With regard to social insurance physicians’ communication with claimants during medical work disability assessment interviews:
1. The first aim is to determine if physicians’ knowledge and competence increase as a result of this course;
2. The second aim is to explore if determinants of physicians’ communication behaviour (i.e. attitudes, social influence, self-efficacy, intentions, self-perceived barriers, and self-perceived skills) change as a result of this course;
3. The third aim is to evaluate social insurance physicians’ opinions about the methods and content of the communication skills training course, and to provide suggestions for improvement.

Social insurance physicians are randomly assigned to an experimental condition or a waiting list control condition. Only Dutch social insurance physicians, working for the Dutch Institute for Employee Benefit Schemes (UWV), and performing face-to-face assessment interviews, were allowed to participate.
Participants in the experimental condition complete a questionnaire before they attend the training course and one afterwards. Participants in the waiting list control condition complete the same two questionnaires with a week in between, without taking part in the training course at that moment. After the measurements were completed, these participants did take part in the training course. The training course covers all three phases of the medical disability assessment interview: preparation and introduction of the assessment interview, collection of information in the assessment interview, and explaining conclusions. Both instrumental communication skills and affective communication skills are included in the course. Because of the active teaching methods in the training course, a maximum of 12 participants per group was established. Therefore, the training course will be given four times.
- Main changes (audit trail)
- RECORD14-apr-2010 - 8-okt-2010


  • Indien u gegevens wilt toevoegen of veranderen, kunt u een mail sturen naar nederlands@trialregister.nl