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CompletedNCT03403660Updated Feb 5, 2018

Physician Attire and Appreciation of Physician Communication in Postpartum Women

An interventional study of non White coat in Patient Satisfaction, sponsored by The University of Texas Medical Branch, Galveston. Completed at 1 site in United States. Open to female participants aged 18 Years to 50 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2018-02-05.

Sponsored by The University of Texas Medical Branch, Galveston · Not applicable, Interventional, and Other

From the registry’s dates

  • Registered 7 months after the study started (first participant enrolled May 2017, registered Dec 2017).
Phase
Not applicable
Study type
Interventional
Enrollment
178
Allocation
Randomized
Ages
18 Years to 50 Years
Sex
Female
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 198 studies in Patient Satisfaction with a site in United States — 30 open to participants now, 35 under way, none of them phase 3. Patient Satisfaction · United States.

Enrollment
42nd of 162
178 · median 100
Started
2017
with 4 others
No phase
137 of 198
23 open now
Registered
78th of 198
by date

Among the 198 studies in Patient Satisfaction with a site in United States, this one is the 42nd largest by enrollment of the 162 interventional ones that give a count, is one of 5 that started in 2017, is one of 137 with no phase, and was the 78th registered.

Patient Satisfaction

877 studies on the registry are indexed under Patient Satisfaction; 202 are open to participants now.

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Open to participants now

30 of the 198 studies in Patient Satisfaction with a site in United States are open now. Recruiting first, the newest first:

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All 30 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 99 Patient Satisfaction studies recruiting now, 61 (62%) set no upper age limit and 30 (30%) stop at 75 or younger; 14 take children under 18; 26 take healthy volunteers.

This study: 18 Years to 50 Years · female · healthy volunteers too.

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02

Study summary

Wearing white coat during hospital rounds has been associated with increased risk of colonization and transmission of resistant pathogens. On the other hand, studies have shown that physicians' attire affects patients' confidence in their physician and the patient-physician relationship. The results of these studies were highly dependent on the practice setting, with no data in postpartum patients.

The objective is to test the hypothesis that not wearing a white coat during physician postpartum rounds impact patient-physician communication scores.

Read the detailed description

Patient satisfaction is an important measure of quality of care. One of the most important variables in patients satisfaction scores is the physician communication skills. There have been several studies evaluating different strategies to improve the patient perceptions of patient - physician communication including delayed physician rounds, improvement of handoff strategies, and family centered rounds. Additionally, research has shown that patients develop a first impression of their physician based on the physician's verbal and nonverbal communication, including the clothing and cleanliness. Patient - physician communication scores not only have an impact on patient care, but are also now linked to Medicare reimbursements.

White coats have been widely used in the medical profession, however some physicians believe that this can be a nonverbal barrier to patient's interaction. Prior studies on the impact of physician attire have reported conflicting results. In a survey published by Cha et al, obstetric and gynecologic patients seen in the outpatient clinic preferred that the resident use white coats. Another study showed that patients favor the use of white coat in the Internal Medicine outpatient clinic which may favorably influence trust and confidence in the medical encounter.

No randomized controlled trial has been published on the impact of the use of white coat on patient - physician communication scores in the postpartum patients. This trial's primary outcome is to evaluate the impact of physician attire (specifically wearing white coat) during postpartum rounds on "patient - physician communication" scores.

This study is a randomized controlled trial performed in postpartum patients to evaluate the impact of not wearing white coat during rounds on "patient - physician communication" scores.

03

Conditions studied

  • Patient Satisfaction

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Keywords

  • Attire
  • White coat
  • Patient physician communication
04

Who can participate

Ages eligible
18 Years to 50 Years
Sexes eligible
Female
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Maternal age ≥ 18 years and \<50 years
  • Patient admitted to postpartum floor at University of Texas Medical Branch (UTMB)
  • Patient care managed by obstetric physicians during the postpartum period.

Exclusion criteria

Exclusion Criteria:

  • Patient admitted to ICU
  • Delivery resulting in stillbirth Patient not fluent in Spanish and/or English
05

Study design

Phase
Not applicable
Primary purpose
Other
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
178 participants (actual)

Study arms

  • Experimental
    non white coat rounding

    The postpartum physician rounding in this group will be performed wearing white coat.

    Other: non White coat

  • Placebo comparator
    White coat rounding

    The postpartum physician rounding in this group will be performed not wearing white coat.

    Other: non White coat

Interventions

  • Othernon White coat

    Postpartum patients are randomized to either arm of the study (white coat or standard scrub suit only) by location. All the obstetric physicians associated with patient's postpartum care should use or not use white coat in every single encounter with patient.

06

What researchers measure

Primary outcomes

  1. Patient - physician communication score

    Obtained from the three Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) questions.

    Time frame: 24 to 120 hours

Secondary outcomes

  1. Hospital rating scores

    Obtained from one question of the HCAHPS survey

    Time frame: 24 to 120 hours

  2. Recommending the hospital to friends and family

    Obtained from one question of the HCAHPS survey

    Time frame: 24 to 120 hours

  3. Physician attire rating score

    Rated from 1 to 4

    Time frame: 24 to 120 hours

  4. White coat use

    Patient answer if she remember or not if their physician were using white coat.

    Time frame: 24 to 120 hours

07

Study locations

1 site
  • Universty of Texas Medical Branch
    Galveston, Texas 77550, United States
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from May 2017 to primary completion in Jun 2017, 1 month.

Of 368 non-industry interventional studies with no phase under Patient Satisfaction, half reached primary completion within 12 months of starting (the median), counting those still running; a quarter within 6 and three quarters within 23. This study's 1 month is below that.

Counting every sponsor, half of 370 studies reached it within 12 months; a quarter within 6 and three quarters within 23.

How these figures are worked out, and which studies are left out of them.

Registered
Dec 20, 2017
First posted
Jan 18, 2018
StartActual
May 1, 2017
Primary completionActual
Jun 16, 2017
CompletionActual
Jun 16, 2017
Last update
Feb 5, 2018
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Feb 5, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03403660
Responsible party
Sponsor
First posted
Jan 18, 2018
Start date
May 1, 2017
Primary completion
Jun 16, 2017
Completion
Jun 16, 2017
Last update
Feb 5, 2018

Study contacts

Mauricio La Rosa, MD
study director · University of Texas

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jan 2018. You cannot join it, but the record below documents what was studied.

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