CClinicalTrials.gg
CompletedNCT04002557ONSETUpdated Apr 22, 2024Results posted

Optimising Consultation Summaries to Promote Good Health

An observational study in Type1 Diabetes, sponsored by Imperial College London. Completed at 1 site in United Kingdom. Open to participants aged 12 Years to 18 Years. Per ClinicalTrials.gov, last updated 2024-04-22.

Sponsored by Imperial College London · Observational

Study type
Observational
Model
Ecologic or community
Time perspective
Retrospective
Enrollment
9
Ages
12 Years to 18 Years
Sex
All
01

Study summary

Patient participation in decision making about their care promotes patient satisfaction and confidence. Further more, allowing patients to see letters written about them enables trust, encourages patients to be involved in decision making process and allow patient understanding.

Little is known about how young people value these letters in the same way. Only one brief questionnaire study focused on adolescent views and found that young people wished to receive consultation summaries.

This research aims explore the views of adolescent patients related to consultation summaries that they receive following a doctor's appointment. The investigator will use patients attending a specialist diabetes clinic as our cohort and conduct a qualitative study using focus groups.

Read the detailed description

Patient participation in decision making processes about their care promotes patient satisfaction and confidence. As part of this, allowing patients to see letters written about them enables trust, encourages patients to be involved in decision making process and allow patient understanding. Given this, the 2000 NHS plan made it a requirement that all medical correspondence between health professionals is shared with patients.

It is estimated that 40-80% of information discussed during a consultation is forgotten immediately. Written summaries have shown to be an effective method of improving patient recall of information by 20.8%.

The literature on the benefits/disadvantages of consultation summaries is largely focused on adult patients with little research done to explore the views of adolescent population. Where the patient is a child, the literature is only focussed on parents of children and not the children themselves. Limited research has shown that parents/care givers report clinic letters being useful in assisting with better understanding and management of their child's condition.

Little is known about how young people value these letters in the same way. Only one brief questionnaire study focused on adolescent views and found that young people wished to receive consultation summaries.

Adolescence is an important time of an individual's life. This is the time when many independent health behaviours are established. During adolescence, young people start showing more interest in their own health and often wish to participate in decision making processes regarding their care. The role of health workers at this stage is to appreciate young people as individuals . Clinic summaries addressed directly to young people might play an important role in assisting with establishment of health behaviours and promoting good health in young people.

The aim of this research is to understand the views of adolescent patients on consultation summaries and identify factors can improve these summaries and subsequently their health and well-being.

02

Conditions studied

  • Type1 Diabetes

Keywords

  • diabetes
  • clinic letter
  • clinic summary
  • post-consultation letter
03

In context

Diabetes Mellitus

10,925 studies on the registry are indexed under Diabetes Mellitus; 1,319 are open to participants now.

This study's enrollment of 9 is below the median of 233 across 2,220 observational studies indexed under Diabetes Mellitus.

Browse Diabetes Mellitus studies →

Lead sponsor

Imperial College London is the lead sponsor of 824 studies on the registry; 178 are open to participants now.

Of its 9 completed or terminated interventional studies of FDA-regulated products, 6 (67%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
12 Years to 18 Years
Sexes eligible
All
Sampling method
Non-probability sample

Study population

Young people aged 12-18 years attending a single diabetes outpatient clinic were invited to enrol. This clinic served patients from a wide geographical area across London and the South-East England with broad socio-economic status, diabetes control and ethnicity.

Inclusion criteria

  • Adolescents aged 12-18 years attending UCLH adolescent diabetes outpatient clinic

Exclusion criteria

Exclusion Criteria:

  • Young people who cannot speak English (effective communication with colleagues during the study is the major aspect of valid data collection)
  • Young people who refuse to participate in focus group discussions
05

Study design

Observational model
Ecologic or community
Time perspective
Retrospective
Enrollment
9 participants (actual)
Patient registry
No

Groups and cohorts

  • Focus group

    This is a qualitative study using focus group discussions with young people aged 12-18 who are receiving consultation summaries. Patients attending a single diabetes service will be invited to enrol. This service serves a population from a wide geographic area and socio-economic backgrounds. Interviews will be conducted by a qualitative researcher with relevant experience. They will be held on the day of a participant's clinic appointment within the same hospital or on the day agreed with the participant.

    Other: Interview-Questionnaire

Interventions

  • OtherInterview-Questionnaire

    Questionnaire

06

What researchers measure

Primary outcomes

  1. Number of Participants That Completed Interviews About Consultation Summaries They Were Receiving

    The aim of this research is to understand the views of adolescent patients on consultation summaries and identify factors can improve these summaries and subsequently their health and well-being.

    Time frame: 1 month

07

Results

Posted Apr 22, 2024

Participant flow

Participant flow — Overall Study
MilestoneSemi-structured Interview
Started9
Completed9
Not completed0

Outcome measures

PrimaryNumber of Participants That Completed Interviews About Consultation Summaries They Were Receiving

The aim of this research is to understand the views of adolescent patients on consultation summaries and identify factors can improve these summaries and subsequently their health and well-being.

Time frame:
1 month
Reported as:
Count of participants · Participants
Number of Participants That Completed Interviews About Consultation Summaries They Were Receiving
ParticipantsSemi-structured Interview
Number of Participants That Completed Interviews About Consultation Summaries They Were Receiving9

Adverse events

Collected over 1 month. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Semi-structured Interview0/9 (0%)0/9 (0%)0/9 (0%)

Baseline characteristics

Age, Customized
Age, Customized(Participants)Semi-Structured Interview
Age between 15 and 199
Sex: Female, Male
Sex: Female, Male(Participants)Semi-Structured Interview
Female5
Male4
Race and Ethnicity Not Collected
Race and Ethnicity Not Collected(Participants)Semi-Structured Interview
08

Study locations

1 site
  • University College London Hospital
    London, NW1 2BU, United Kingdom
09

References and documents

Publications

  • Bartle DG, Diskin L, Finlay F. Copies of clinic letters to the family. Arch Dis Child. 2004 Nov;89(11):1032-3. doi: 10.1136/adc.2004.051938. PubMed 15499057 ↗
  • Baxter S, Farrell K, Brown C, Clarke J, Davies H. Where have all the copy letters gone? A review of current practice in professional-patient correspondence. Patient Educ Couns. 2008 May;71(2):259-64. doi: 10.1016/j.pec.2007.12.002. Epub 2008 Jan 25. PubMed 18222056 ↗
  • Harris C, Boaden R. Copying letters to patients: the view of patients and health professionals. J Health Serv Res Policy. 2006 Jul;11(3):133-40. doi: 10.1258/135581906777641712. PubMed 16824259 ↗
  • Kessels RP. Patients' memory for medical information. J R Soc Med. 2003 May;96(5):219-22. doi: 10.1177/014107680309600504. No abstract available. PubMed 12724430 ↗
  • Chan Y, Irish JC, Wood SJ, Rotstein LE, Brown DH, Gullane PJ, Lockwood GA. Patient education and informed consent in head and neck surgery. Arch Otolaryngol Head Neck Surg. 2002 Nov;128(11):1269-74. doi: 10.1001/archotol.128.11.1269. PubMed 12431168 ↗
  • Lawton J, Waugh N, Noyes K, Barnard K, Harden J, Bath L, Stephen J, Rankin D. Improving communication and recall of information in paediatric diabetes consultations: a qualitative study of parents' experiences and views. BMC Pediatr. 2015 Jun 10;15:67. doi: 10.1186/s12887-015-0388-6. PubMed 26054649 ↗
  • Waterston T, San Lazaro C. Sending parents outpatient letters about their children: parents' and general practitioners' views. Qual Health Care. 1994 Sep;3(3):142-6. doi: 10.1136/qshc.3.3.142. PubMed 10139411 ↗
  • A new series starts: the ABC of adolescence. (2005). BMJ, 330(7486).

Study documents

  • Study protocol · Nov 25, 2018

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: Undecided

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 22, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT04002557
Lead sponsor
Imperial College London
Responsible party
Sponsor
First posted
Jun 28, 2019
Start date
May 31, 2019
Primary completion
Aug 31, 2019
Completion
Aug 31, 2019
Results posted
Apr 22, 2024
Last update
Apr 22, 2024

Study contacts

David Inwald
principal investigator · Imperial College London

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 Apr 2024. You cannot join it, but the record below documents what was studied.

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