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This exploratory cross sectional cohort study will evaluate the feasibility and fidelity of using an innovative strategy, the Patient Motivational Dialogue (PMD)/PMDPlus that will intentionally motivate and encourage the patient toward self-advocacy for their Health Care Professional's (HCP's) hand hygeine (HH) adherence.
This study will be implemented with two volunteer innovation champion physicians, one in radiation oncology and one in the chemotherapy oncology clinic. If other physicians begin to use the PMD/ PMDPlus in their clinics, the initiation will be considered a positive indication of feasibility and fidelity.
New patients will be enrolled in the study starting September 2016 until the sample size reaches 30 patients per clinic (n=60). Each patient will be followed in each clinic visit longitudinal through March 2017 or until discharged from the clinic treatment depending on which comes first. PMD will be administered in the first clinic visit followed by the PMDPlus each visit thereafter to ensure an adequate treatment dose. The PMD is estimated to take about two minutes of the initial clinic visit and the PMDPlus is estimated to take about one minute of the follow-up clinic visit.
The following steps will be taken based on the innovation decision model:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Hand Hygiene education | Other |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| PMD | Other | A script used to train the physician to engage with the patient in the topic of hand hygiene compliance used on the initial visit. |
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| Measure | Description | Time Frame |
|---|---|---|
| The Impact of Patient Motivational Dialogue (PMD) on Patient Self-advocacy for Hand Hygiene | At the last clinic visit, the PI or research assistant will ask the patient this nominal question: "Have you ever ask your physician or your HCP to clean their hands during your visits here?" If yes, describe the circumstances. If no, describe why not. Verbal responses will be recorded. | At treatment completion, an average of 4-6 months |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Patti G Grota | University of Texas Health at San Antonio | Principal Investigator |
| Tony Eng, MD | University of Texas Health at San Antonio | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Cancer Therapy & Research Center at UTHSCSA | San Antonio | Texas | 78229 | United States |
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Subjects will be included from two oncology clinics, one in radiation oncology and one in chemotherapy oncology
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| PMDPlus | Other | A script used to train the physician to engage with the patient in the topic of hand hygiene compliance on follow up visits |
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