N/A
N=2,901
The Provider Awareness and Cultural Dexterity Toolkit for Surgeons Trial
Resident Knowledge and Attitudes Regarding Cross-cultural Care · Interpersonal and Communication Skills in Patient-clinician Encounters · Patient-reported Satisfaction With Resident Physicians Involved in Their Care · Patients' Clinical Health Outcomes After Surgery
Bottom Line
View on ClinicalTrials.gov: NCT03576495 ↗Enrolled (actual)
2,901
Serious AEs
0.0%
Results posted
Jun 2024
Primary outcome: Primary: Change in Residents' Questionnaire Scores Measuring Knowledge From Pre- to Post-PACTS Curriculum — 74.3; 71.7 score on a scale — p=0.2422
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- PACTS curriculum (Other); Standard Residency Curriculum (Other)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- Brigham and Women's Hospital
- Primary completion
- Jun 2022
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Change in Residents' Questionnaire Scores Measuring Knowledge From Pre- to Post-PACTS Curriculum |
74.3; 71.7 | 0.2422 |
| PRIMARY Change in Residents' Cross Cultural Care Survey Scores From Pre- to Post-PACTS Curriculum |
88.2; 88.2 | 1.000 |
| PRIMARY Change in Residents' Questionnaire Scores Regarding Self-Assessed Skills From Pre- to Post-PACTS Curriculum |
85.0; 84.1 | 0.6295 |
| PRIMARY Change in Residents' Questionnaire Scores Regarding Their Beliefs From Pre- to Post-PACTS Curriculum |
92.4; 89.9 | 0.0199 sig |
| PRIMARY Objective Structured Clinical Examination Scores |
60.9; 63.1; 58.6; 64.8 | 0.2665 |
| SECONDARY Patients' Self-reported Satisfaction Scores |
72.06; 75.25; 53.48; 51.56; 77.94; 82.7 | 0.5079 |
| SECONDARY Median Hospital Length of Stay for Patient Participants |
8.85; 14.16 | 0.0028 sig |
Summary
This study is designed to test the impact of a new curriculum, called Provider Awareness Cultural Dexterity Toolkit for Surgeons (PACTS), on surgical residents' cross-cultural knowledge, attitudes, and skills surrounding the care of patients from diverse cultural backgrounds, as well as clinical and patient-reported health outcomes for patients treated by surgical residents undergoing this training.
Eligibility Criteria
*Eligibility Criteria for Residents:
Inclusion Criteria
- All residents in the general surgery program at Johns Hopkins University, Brigham and Women's Hospital, Brown University, Eastern Virginia Medical School, Massachusetts General Hospital, Beth Israel Deaconess Medical Center, Howard University, and Washington University in St. Louis.
Exclusion Criteria
- Non-surgical residents at Johns Hopkins University, Brigham and Women's Hospital, Brown University, Eastern Virginia Medical School, Massachusetts General Hospital, Beth Israel Deaconess Medical Center, Howard University, and Washington University in St. Louis.
*Eligibility Criteria for Patients:
Inclusion Criteria
- Admitted to surgical service under the care of a participating resident;
- Able to recognize resident as the main care provider from a photo;
- Able to consent as determined by a cognitive screen for capacity to give informed consent
- Fluent in English or Spanish.
Exclusion Criteria
- Admitted to Intensive Care;
- Mentally impaired and/or not oriented to person/time/ place.
Data sourced from ClinicalTrials.gov (NCT03576495). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.