[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-studies-list:{\"conditionNormalized\":\"communication\",\"overallStatus\":[\"RECRUITING\",\"AVAILABLE\",\"NOT_YET_RECRUITING\"],\"orderBy\":\"LastUpdateSubmitDate:desc\",\"size\":25,\"offset\":0}":3,"health-study-condition:communication":25},{"pageToken":4,"total":5,"offset":6,"count":7,"results":8},null,30,0,25,[9,42,68,93,106,134,162,185,210,242,265,293,315,347,369,388,411,436,462,489,529,561,594,616,641],{"id":10,"slug":11,"hasResults":12,"nctId":13,"briefTitle":14,"officialTitle":14,"acronym":4,"eligibilityCriteria":15,"healthyVolunteers":16,"sex":17,"minAge":4,"maxAge":4,"enrollmentInfo":18,"targetDuration":4,"studyType":20,"phases":21,"briefSummary":23,"conditions":24,"keywords":26,"overallStatus":29,"whyStopped":4,"lastUpdateSubmitDate":30,"lastUpdatePostDateStruct":31,"startDateStruct":34,"completionDateStruct":36,"leadSponsor":38,"locationsCount":41},"100053353","seminar-in-unwavering-empowering-presence-optimized-for-rehabilitation-teams-100053353",false,"NCT07071116","Seminar in Unwavering Empowering Presence Optimized for Rehabilitation Teams","Inclusion Criteria: Intervention Participants\n\n* Licensed rehabilitation professionals (e.g., physical therapists, occupational therapists, speech-language pathologists) employed at St. Jude Children's Research Hospital actively involved in the care of pediatric oncology patients.\n* Willingness to participate in the communication skills training (CST) intervention and associated study activities.\n\nInclusion Criteria: Intervention Facilitators\n\n* St. Jude Bereaved Parent Educators who have participated as an educator in at least one other institutional educational event\n* Willingness to facilitate the communication skills training (CST) intervention and complete associated study activities.\n\nExclusion Criteria: Intervention Participants\n\n* Non-rehabilitation professionals\n* Individuals unable to attend the CST intervention session.\n\nExclusion Criteria: Intervention Facilitators\n\n* Individuals unable to attend the CST intervention session.",true,"ALL",{"count":7,"type":19},"ESTIMATED","INTERVENTIONAL",[22],"NA","The goal of this study to test the feasibility, acceptability, and potential impact of a serious illness communication skills training (CST) tailored to rehabilitation professionals to improve their comfort and confidence in navigating difficult conversations with patients and families.\n\nPrimary Objectives:\n\nAim 1: To assess feasibility and acceptability of a multidisciplinary co-designed interactive CST program for rehabilitation professionals who care for children with serious illness and their families.\n\nAim 2: To characterize the potential impact of this CST intervention on pediatric rehabilitation professionals.\n\nSecondary Objective:\n\nAim 3: To examine the perspectives of bereaved parent educators on participation in the implementation of communication training for rehabilitation professionals.",[25],"Communication",[27,28],"Communication Skills Training (CST)","Rehabilitation Professionals","RECRUITING","2026-07-10",{"date":32,"type":33},"2026-07-13","ACTUAL",{"date":35,"type":33},"2025-07-09",{"date":37,"type":19},"2028-10",{"name":39,"class":40},"St. Jude Children's Research Hospital","OTHER",1,{"id":43,"slug":44,"hasResults":12,"nctId":45,"briefTitle":46,"officialTitle":47,"acronym":4,"eligibilityCriteria":48,"healthyVolunteers":12,"sex":17,"minAge":49,"maxAge":4,"enrollmentInfo":50,"targetDuration":4,"studyType":52,"phases":4,"briefSummary":53,"conditions":54,"keywords":55,"overallStatus":59,"whyStopped":4,"lastUpdateSubmitDate":60,"lastUpdatePostDateStruct":61,"startDateStruct":63,"completionDateStruct":65,"leadSponsor":67,"locationsCount":41},"100644398","insights-from-bereaved-parents-and-oncologists-100644398","NCT07663539","Insights From Bereaved Parents and Oncologists","Foundations of Communication in Uncertainty Study (FOCUS): Insights From Bereaved Parents and Oncologists","Inclusion Criteria:\n\n* All participants must be ≥ 18 years of age or legally emancipated\n* Parent Participants must have a child who:\n\n  * Received cancer care from a clinician at St. Jude, as documented in the electronic medical record, AND\n  * Died at least 6 months prior to enrollment, but no more than 24 months prior to enrollment.\n* Oncologist participants at St. Jude must:\n\n  * Be listed as the primary oncologist as documented in the electronic medical record, AND\n  * Have the respective patient's parent agreement to participate in the study.\n\nExclusion Criteria:\n\n* Declining, refusal, or unwillingness to participate\n* Inability or unwillingness of research participant to give informed consent.","18 Years",{"count":51,"type":19},50,"OBSERVATIONAL","Investigators want to find better ways for doctors and families to talk about cancer and how uncertainty may affect a child's life.",[25],[56,57,58],"Prognostic Uncertainty","Bereaved Parents","Oncologist","NOT_YET_RECRUITING","2026-07-01",{"date":62,"type":33},"2026-07-02",{"date":64,"type":19},"2026-07",{"date":66,"type":19},"2026-09",{"name":39,"class":40},{"id":69,"slug":70,"hasResults":12,"nctId":71,"briefTitle":72,"officialTitle":72,"acronym":4,"eligibilityCriteria":73,"healthyVolunteers":12,"sex":17,"minAge":49,"maxAge":74,"enrollmentInfo":75,"targetDuration":4,"studyType":20,"phases":77,"briefSummary":78,"conditions":79,"keywords":83,"overallStatus":29,"whyStopped":4,"lastUpdateSubmitDate":84,"lastUpdatePostDateStruct":85,"startDateStruct":87,"completionDateStruct":89,"leadSponsor":91,"locationsCount":41},"100627886","aya-peerconnect-a-communication-coaching-intervention-for-adolescentyoung-adult-cancer-survivors-ayacs-100627886","NCT07454460","AYA-PeerConnect: A Communication Coaching Intervention for Adolescent\u002FYoung Adult Cancer Survivors (AYACS)","Inclusion Criteria:\n\n* Participant is currently ≥18-35 years old\n* Participant is receiving cancer-directed care at Penn State Cancer Institute or Penn State Children's Hospital\n* Participant has completed all cancer-directed therapy and is at least 1 year from end of cancer treatment (based on date of last cancer-directed treatment)\n* Participant has access to a computer with internet capability\n* Participant is fluent in written and spoken English\n\nExclusion Criteria:\n\n* Participant is not fluent in written and spoken English\n* Participant with cognitive inability to participant in the study as determined by the study team\n* Participants with history of relapsed cancer","35 Years",{"count":76,"type":19},10,[22],"This research is being done to test a communication coaching intervention pilot designed to improve communication quality between adolescent\u002Fyoung adult cancer survivors (AYACS) and their friends\u002Fpeers. The results of the study will help to understand how to best support adolescent\u002Fyoung adult cancer survivors, and may inform the development or future implementation of similar programs for cancer survivor populations.",[25,80,81,82],"Anxiety","Depression","Social Isolation",[25,80,81,82],"2026-05-20",{"date":86,"type":33},"2026-05-22",{"date":88,"type":33},"2026-04-14",{"date":90,"type":19},"2026-07-30",{"name":92,"class":40},"Milton S. Hershey Medical Center",{"id":94,"slug":4,"hasResults":12,"nctId":13,"briefTitle":14,"officialTitle":14,"acronym":4,"eligibilityCriteria":15,"healthyVolunteers":16,"sex":17,"minAge":4,"maxAge":4,"enrollmentInfo":95,"targetDuration":4,"studyType":20,"phases":96,"briefSummary":23,"conditions":97,"keywords":98,"overallStatus":29,"whyStopped":4,"lastUpdateSubmitDate":99,"lastUpdatePostDateStruct":100,"startDateStruct":102,"completionDateStruct":103,"leadSponsor":105,"locationsCount":41},"100598409",{"count":7,"type":19},[22],[25],[27,28],"2026-05-06",{"date":101,"type":33},"2026-05-08",{"date":35,"type":33},{"date":104,"type":19},"2026-10",{"name":39,"class":40},{"id":107,"slug":108,"hasResults":12,"nctId":109,"briefTitle":110,"officialTitle":111,"acronym":4,"eligibilityCriteria":112,"healthyVolunteers":16,"sex":17,"minAge":113,"maxAge":4,"enrollmentInfo":114,"targetDuration":4,"studyType":20,"phases":116,"briefSummary":117,"conditions":118,"keywords":120,"overallStatus":29,"whyStopped":4,"lastUpdateSubmitDate":127,"lastUpdatePostDateStruct":128,"startDateStruct":129,"completionDateStruct":131,"leadSponsor":133,"locationsCount":41},"100592458","revealing-information-genuinely--honestly-across-time---communication-preferences-visit-100592458","NCT06993688","Revealing Information Genuinely & Honestly Across Time - Communication Preferences Visit","Revealing Information Genuinely & Honestly Across Time - Communication Preferences Visit (RIGHTimeCPV) Pilot","Inclusion Criteria: Patients\n\n* Aged 12-25 years diagnosed with poor prognosis cancer (high risk or otherwise difficult to treat cancers), as defined by a pediatric oncologist estimating odds of overall survival as 50% or less\n* Anticipated by a pediatric oncologist to have one or more disease re-evaluation timepoints over the next six months\n* Not anticipated by a pediatric oncologist to approach end of life in the next three months\n\nInclusion Criteria: Parents\u002FCaregivers\n\n* Aged 18 years or older and\u002For legally emancipated\n* Parent or other self-identified caregiver of a patient of any age with poor prognosis cancer (as defined above)\n\nInclusion Criteria: Oncologists\n\n* Pediatric oncologists who treat eligible patients\u002Fcaregivers at the study site, St. Jude Children's Research Hospital (SJCRH) or its included affiliates:\n\n  * Peoria, IL: The Jim and Trudy Maloof St. Jude Midwest Affiliate Clinic\n  * Charlotte, NC: Novant Health Hemby Children's Hospital\n  * Shreveport, LA: Ochsner LSU Health-Feist-Weiller Cancer Center\n\nInclusion Criteria: Communication Preferences Companions (CPCs)\n\n* Multidisciplinary clinicians from a participant's psychosocial or nursing care team, identified by that participant to serve as their 'communication preferences companion' (CPC) during the pilot\n* Provides clinical care to pediatric cancer patients under the auspices of psychology, social work, spiritual care, child life, cultural navigation, quality of life\u002Fpalliative care, or nursing\n\nExclusion Criteria:\n\n* Does not meet the stated inclusion criteria","12 Years",{"count":115,"type":19},85,[22],"The purpose of this research study is to obtain insights and feedback from patients and parents about a new approach to support conversations about how cancer may affect one's future life and quality of life (i.e., prognostic communication). This study involves creating a personalized approach to discussing prognosis.\n\nPrimary Objectives\n\n* To evaluate the feasibility of implementing the RIGHTimeCPV intervention among pediatric oncology patients, caregivers, and clinicians (referred to herein as \"shareholders\").\n* To assess the acceptability of the intervention across the shareholder groups.\n\nSecondary Objectives\n\n* To explore the potential impact of the RIGHTimeCPV intervention on communication quality, concordance in prognostic understanding, and therapeutic alliance between patients\u002Ffamilies and multidisciplinary clinicians.\n* To explore whether the practice of eliciting, sharing, and honoring individualized communication preferences is sustained by clinicians after participation in the RIGHTimeCPV intervention.",[119,25],"Cancer",[121,119,122,123,124,125,126],"Prognostic Communication","Poor Prognosis","Participants 12-25 years of age","Caregivers","Pediatric oncologists","Communication Preferences Companions","2026-05-05",{"date":99,"type":33},{"date":130,"type":33},"2025-06-16",{"date":132,"type":19},"2027-11-01",{"name":39,"class":40},{"id":135,"slug":136,"hasResults":12,"nctId":137,"briefTitle":138,"officialTitle":139,"acronym":140,"eligibilityCriteria":141,"healthyVolunteers":16,"sex":17,"minAge":49,"maxAge":4,"enrollmentInfo":142,"targetDuration":4,"studyType":52,"phases":4,"briefSummary":144,"conditions":145,"keywords":149,"overallStatus":29,"whyStopped":4,"lastUpdateSubmitDate":154,"lastUpdatePostDateStruct":155,"startDateStruct":156,"completionDateStruct":158,"leadSponsor":160,"locationsCount":41},"100616277","ai-driven-consent-simplification-study-100616277","NCT07303517","AI-Driven Consent Simplification Study","ACCESS: AI-Driven Consent Simplification Study","ACCESS","Inclusion Criteria:\n\nGroup 1:\n\n* Age 60 years and above\n* UCLA patient\n* English speaking\n* Ability to provide informed consent\n\nGroup 2:\n\n* UCLA investigators who are health providers that perform clinical trials\n* Must be clinical research investigatory and staff actively involved in research operations at UCLA\n* English speaking\n\nGroup 3:\n\n* Individuals involved in IRB activities (chairs, committee members, staff)\n* Must be a director or staff at UCLA\n* English speaking\n\nExclusion Criteria:\n\n* Group 1: None\n* Group 2: PI and co-PIs of the study \"Donor Chimerism and Graft Survival Following Combined HLA-Identical Sibling Living Donor Kidney and Hematopoietic Stem Cell Transplantation Utilizing a Conditioning Regimen of Total Lymphoid Irradiation (TLI) and Rabbit Anti-Thymocyte Globulin (rATG)\"\n* Group 3: Individuals from the IRB who have reviewed the study submission for \"Donor Chimerism and Graft Survival Following Combined HLA-Identical Sibling Living Donor Kidney and Hematopoietic Stem Cell Transplantation Utilizing a Conditioning Regimen of Total Lymphoid Irradiation (TLI) and Rabbit Anti-Thymocyte Globulin (rATG)\"",{"count":143,"type":19},230,"The overarching goal of this pilot is to explore how generative artificial intelligence (genAI) can be used to improve the accessibility and understandability of informed consent materials in clinical research. The study will test the extent to which informed consent text can be improved by large language models (LLM; specifically, ChatGPT and NotebookLM) along with other AI tools (specifically, ElevenLabs) through qualitative and quantitative analyses.\n\nSimplifying such forms using genAI may facilitate better comprehension, ensuring truly informed consent. Improving informed consent form (ICF) comprehension can lead to more informed and willing participation in clinical studies. This improved understanding may result in higher enrollment rates, better subject retention, and more accurate data collection as individuals will have a clearer understanding of study procedures and risks.",[146,147,25,148],"Informed Consent","Comprehension","Disclosure",[150,151,152,153],"Informed Consent Readability","Plain language","Simplified consent forms","Research ethics","2026-05-04",{"date":101,"type":33},{"date":157,"type":33},"2026-01-08",{"date":159,"type":19},"2026-12-01",{"name":161,"class":40},"University of California, Los Angeles",{"id":163,"slug":164,"hasResults":12,"nctId":165,"briefTitle":166,"officialTitle":167,"acronym":4,"eligibilityCriteria":168,"healthyVolunteers":16,"sex":17,"minAge":49,"maxAge":169,"enrollmentInfo":170,"targetDuration":4,"studyType":20,"phases":172,"briefSummary":173,"conditions":174,"keywords":175,"overallStatus":29,"whyStopped":4,"lastUpdateSubmitDate":177,"lastUpdatePostDateStruct":178,"startDateStruct":179,"completionDateStruct":181,"leadSponsor":183,"locationsCount":41},"100639025","assertiveness-training-for-communication-skills-100639025","NCT07575048","Assertiveness Training for Communication Skills","Strengthening the Communication Skills of Oncology Nurses Through Virtual Reality-Based Assertiveness Training","Inclusion Criteria:\n\n* Those who agree to participate in the study,\n* Those who are 18 years of age or older,\n* Those who have been working in oncology clinics for at least 6 months.\n\nExclusion Criteria:\n\n* Those who gave incomplete answers to the scales used in the study,\n* Those who have previously participated in assertiveness skills training.","65 Years",{"count":171,"type":19},60,[22],"This study aims to determine the effect of virtual reality-based assertiveness training on strengthening the communication skills of oncology nurses.",[25],[176],"Education","2026-05-03",{"date":101,"type":33},{"date":180,"type":33},"2026-03-30",{"date":182,"type":19},"2026-12-15",{"name":184,"class":40},"Amasya University",{"id":186,"slug":187,"hasResults":12,"nctId":188,"briefTitle":189,"officialTitle":190,"acronym":191,"eligibilityCriteria":192,"healthyVolunteers":16,"sex":17,"minAge":49,"maxAge":4,"enrollmentInfo":193,"targetDuration":4,"studyType":20,"phases":194,"briefSummary":195,"conditions":196,"keywords":197,"overallStatus":59,"whyStopped":4,"lastUpdateSubmitDate":201,"lastUpdatePostDateStruct":202,"startDateStruct":204,"completionDateStruct":206,"leadSponsor":208,"locationsCount":41},"100624855","simulation-on-the-enhancement-of-clinical-communication-competencies-in-nursing-students-100624855","NCT07415057","Simulation on the Enhancement of Clinical Communication Competencies in Nursing Students","Effect of Simulation on the Enhancement of Clinical Communication Competencies in Nursing Students: Protocol for a Randomised Controlled Trial","SI₂C-Nurse","Inclusion Criteria:\n\n* active enrolment in the first year of the undergraduate Nursing degree programme\n* first-time attendance of the Helping Relationship course unit.\n\nExclusion Criteria:\n\n* None.",{"count":51,"type":19},[22],"Background: Clinical communication is a core competency in nursing practice and is pivotal to the quality, safety, and person-centred delivery of care. Effective communication supports treatment adherence, reduces errors, enhances patient and family satisfaction, and contributes to nurses' professional wellbeing. Despite the acknowledged importance of these skills, nursing students frequently report difficulties communicating with confidence and assertiveness in clinical settings. Although simulation is widely regarded as an innovative educational approach, evidence regarding its specific impact on the development of clinical communication skills-and on students' self-perceived communication competence-during the early stages of nursing education remains limited.\n\nMethods: This protocol describes a parallel-group randomised controlled trial with 1:1 allocation, to be conducted at a private higher education institution in Portugal. First-year undergraduate nursing students enrolling for the first time in the Helping Relationship course unit will be eligible. The intervention group will participate in clinical simulation sessions, whereas the control group will receive conventional teaching comprising role-play, group discussion, and case analysis. Both groups will complete 10 contact hours delivered across three sessions over the semester. The primary outcomes will be: (a) clinical communication competence, assessed using the Interpersonal Communication Assessment Scale (ICAS), and (b) perceived self-efficacy, measured with the Self-Efficacy Questionnaire (SE-12), both administered pre- and post-intervention. Satisfaction with the educational experience will be assessed as a secondary outcome. Analyses will follow the intention-to-treat principle, complemented by a per-protocol analysis.\n\nDiscussion: This study will help to clarify whether clinical simulation is superior to conventional teaching in fostering communication skills and students' self-perceived communication competence during the early stages of undergraduate nursing education. The findings may support the early integration of simulation within nursing curricula and inform the design of educational interventions that promote the development of professionals who are more competent and confident in clinical communication, with a direct impact on the quality and safety of care delivery.",[25],[25,198,199,200],"Randomized Controlled Trial","Simulation Training","Education, Nursing","2026-02-14",{"date":203,"type":33},"2026-02-17",{"date":205,"type":19},"2026-02-01",{"date":207,"type":19},"2028-06-30",{"name":209,"class":40},"Escola Superior de Saúde Norte da Cruz Vermelha Portuguesa",{"id":211,"slug":212,"hasResults":12,"nctId":213,"briefTitle":214,"officialTitle":215,"acronym":216,"eligibilityCriteria":217,"healthyVolunteers":12,"sex":17,"minAge":49,"maxAge":4,"enrollmentInfo":218,"targetDuration":4,"studyType":52,"phases":4,"briefSummary":220,"conditions":221,"keywords":229,"overallStatus":59,"whyStopped":4,"lastUpdateSubmitDate":234,"lastUpdatePostDateStruct":235,"startDateStruct":237,"completionDateStruct":239,"leadSponsor":240,"locationsCount":4},"100625102","communication-for-early-mobilisation-of-people-living-with-dementia-following-surgery-for-hip-fracture-100625102","NCT07418268","Communication for Early Mobilisation of People Living With Dementia Following Surgery for Hip Fracture","Communication Practices to Achieve Early Mobilisation of People Living With Dementia Following Surgery for Hip Fracture: a Conversation Analytical Study ('VideOing to Improve Communication Through Education - Hip Fracture', VOICE-HF)","VOICE-HF","Inclusion Criteria:\n\nPatient participants will:\n\n* have a documented diagnosis of dementia\n* be either waiting for hip fracture surgery or have had hip fracture surgery within the previous 7 days\n* have someone who can act as their personal consultee, in case they are assessed as lacking capacity during the study.\n\nHCP participants will:\n\n* be registered, student or assistant healthcare practitioners\n* be involved in assessing, supporting or encouraging PLWD to mobilise post-hip fracture surgery\n* work on the relevant wards\n\nRelative and friend participants will:\n\n* Be visiting a consented patient at a time when an appropriate recording with consented HCPs will take place\n* Be a relative or friend of the consented patient who might normally be present during attempts to mobilise the patient after surgery\n\nExclusion Criteria:\n\n* Patients will be excluded if we are unable to gain informed consent or consultee agreement, or if they are expected to die within 7 days.",{"count":219,"type":19},200,"This goal of this study is to identify ways that healthcare professionals communicate that are effective in helping a person living with dementia to stand or walk after surgery for a broken hip (hip fracture). We aim to identify 'what works' in successfully helping people with dementia to mobilise early, and share this in practice. The main question the research aims to answer is:\n\nWhat healthcare professional communication practices are effective in achieving early and continued mobilisation among people living with dementia following hip fracture surgery?\n\nWe will use a research method called 'Conversation Analysis', to look at the fine detail of the language healthcare professionals use and responses to it. We will make video recordings of real-life ward care, when healthcare staff are trying to help a person with dementia get up early after hip fracture surgery. We will involve people with dementia in decisions to take part and get agreement from their families before we record anything. We have done this successfully in two previous studies. We will record up to 50 episodes of care on three trauma orthopaedic wards. We will identify specific, practical recommendations and 'teachable' approaches: ways of speaking, or sequences of requests or instructions. We will work with people with dementia, family carers, educators and clinicians to do this. We will use clips of videos in future communication training.",[222,223,224,225,25,226,227,228],"Dementia","Hip Fracture","Early Mobilisation","Communication Research","Communication Skills","Rehabilitation Frail Elderly Subjects","Rehabilitation Strategies for Elderly Post-operative Patients",[222,230,231,232,25,233],"Hip fracture","Early mobilisation","Conversation analysis","Surgery","2026-02-10",{"date":236,"type":33},"2026-02-18",{"date":238,"type":19},"2026-02",{"date":66,"type":19},{"name":241,"class":40},"University of Nottingham",{"id":243,"slug":244,"hasResults":12,"nctId":245,"briefTitle":246,"officialTitle":247,"acronym":4,"eligibilityCriteria":248,"healthyVolunteers":12,"sex":249,"minAge":49,"maxAge":4,"enrollmentInfo":250,"targetDuration":4,"studyType":20,"phases":251,"briefSummary":252,"conditions":253,"keywords":4,"overallStatus":29,"whyStopped":4,"lastUpdateSubmitDate":255,"lastUpdatePostDateStruct":256,"startDateStruct":258,"completionDateStruct":260,"leadSponsor":262,"locationsCount":264},"100609509","timing-of-physician-rounds-for-antepartum-patients-100609509","NCT07215507","Timing of Physician Rounds for Antepartum Patients","Effect of Timing of Physician Rounds on Hospital Experience for High-Risk Antepartum Patients: A Randomized Controlled TrialTiming of Physician Rounds for Antepartum Patients","Inclusion Criteria:\n\n* Pregnant women greater than 20 weeks gestation admitted to the antepartum list at Duke University Hospital\n\nExclusion Criteria:\n\n* Stillbirth\n* ICU admission\n* Admission to off-service unit\n* Active magnesium sulfate administration\n* Active severe hypertension or initiation of anti-hypertensive pathway within past 8 hours\n* Category II fetal heart rate tracing\n* Other pregnancy\u002Fdelivery complication precluding delayed rounding\n* Unstable\u002Funsuitable condition per overnight team or attending physician\n* Previously enrolled\u002Fon active board \\>1 day at morning rounds\n* Postpartum readmission\n* Antepartum admission within the last 4 weeks","FEMALE",{"count":219,"type":19},[22],"This study will include patients admitted to the Antepartum service at Duke University Hospital, many of whom are managing high-risk pregnancies that require extended hospital stays and frequent physician interactions. Currently, two rounding methods are used interchangeably for patients who do not have pregnancy or delivery complications that would preclude participation in delayed daytime rounding. This randomized controlled trial will compare two rounding models: the standard model, in which patients receive two rounds (an early morning bedside encounter and a later team discussion), and the intervention model, which consolidates both rounds into a single, later-morning bedside encounter following the team's review of clinical data. The primary objective is to assess whether consolidating physician rounds into a single, later-morning encounter-referred to as discovery rounding-improves patient satisfaction with communication.",[254,25],"Physician Rounds","2026-01-28",{"date":257,"type":33},"2026-01-29",{"date":259,"type":33},"2025-11-04",{"date":261,"type":19},"2027-02-20",{"name":263,"class":40},"Duke University",2,{"id":266,"slug":267,"hasResults":12,"nctId":268,"briefTitle":269,"officialTitle":270,"acronym":4,"eligibilityCriteria":271,"healthyVolunteers":16,"sex":17,"minAge":49,"maxAge":4,"enrollmentInfo":272,"targetDuration":4,"studyType":20,"phases":274,"briefSummary":275,"conditions":276,"keywords":279,"overallStatus":29,"whyStopped":4,"lastUpdateSubmitDate":284,"lastUpdatePostDateStruct":285,"startDateStruct":287,"completionDateStruct":289,"leadSponsor":291,"locationsCount":264},"100562692","all-providers-better-communication-skills-program-abcs-100562692","NCT06606470","All Providers Better Communication Skills Program' (ABCs)","All Providers Better Communication Skills Program' (ABCs) Interprofessional Provider Education Randomized Controlled Trial","Inclusion Criteria:\n\nAll individuals that work in a health care provision capacity including health care professionals, care coordinators and administrators are eligible to enroll and participate in the ABCs study.\n\nExclusion Criteria:\n\nIndividuals, including patients, that do not work in a health care provision capacity.",{"count":273,"type":19},350,[22],"High quality, person-centered communication for those living with serious illness benefits patients, families and clinicians. Evidence shows that clinicians rarely engage patients in these, sometimes challenging, discussions. Current education programs to build health care provider competency in serious illness communication are often inconsistent in defined purpose and use of terms. This education also tends to be oriented to treatments, not a person or do not cover the full range of difficult conversations between diagnosis and delivery of end-of-life care.\n\nThe ABCs program is an education intervention for health care providers that features a blended format of online modules and interactive virtual workshops, relevant to clinicians at all levels of training and practice. This study will examine the effectiveness of this training (over no training) for impacting provider competency and behavior change in serious illness communication. All participants in this study will receive the full ABCs training, but at different times. The overall intended impact of this program is to improve clinician confidence and satisfaction in having conversations with patients and families about serious illness. The ultimate goal of the ABCs program is to increase access to early palliative care by empowering more providers to initiate this care.",[277,278,25],"Education of Primary Care Clinicians","Palliative Care",[278,176,280,281,282,283],"seriously ill communication","Observed Structured Clinical Examination (OSCE)","Provider Training","Virtual learning","2026-01-14",{"date":286,"type":33},"2026-01-16",{"date":288,"type":33},"2024-09-23",{"date":290,"type":19},"2027-01-30",{"name":292,"class":40},"McMaster University",{"id":294,"slug":295,"hasResults":12,"nctId":296,"briefTitle":297,"officialTitle":298,"acronym":4,"eligibilityCriteria":299,"healthyVolunteers":12,"sex":17,"minAge":49,"maxAge":4,"enrollmentInfo":300,"targetDuration":4,"studyType":52,"phases":4,"briefSummary":302,"conditions":303,"keywords":304,"overallStatus":59,"whyStopped":4,"lastUpdateSubmitDate":157,"lastUpdatePostDateStruct":308,"startDateStruct":310,"completionDateStruct":311,"leadSponsor":313,"locationsCount":41},"100618605","client-understanding-expectations-and-intern-performance-in-occupational-therapy-100618605","NCT07333794","Client Understanding, Expectations, and Intern Performance in Occupational Therapy","Investigating Clients' Understanding and Expectation Reasonableness in Occupational Therapy and Interns' Performance in Health Education and Chief Complaint\u002FExpectation Interviews.","Inclusion Criteria:\n\n1. Occupational Therapy Students: Currently completing a clinical internship in psychiatric occupational therapy.\n2. Clinical Supervisors: Willing to participate in the study.\n3. Psychiatric Clients:\n\n(1) Age 20 years or older. (2) Diagnosed with a psychiatric disorder according to the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition.\n\n(3) Able to understand simple questions and follow three-step commands.\n\nExclusion Criteria:\n\n1. Occupational Therapy Students: Unwilling to be audio-recorded.\n2. Clinical Supervisors: No exclusion criteria.\n3. Psychiatric Clients: Unwilling to be audio-recorded.",{"count":301,"type":19},139,"This study aims to investigate psychiatric clients' understanding of occupational therapy (OT), the reasonableness of their expectations regarding OT services, and OT interns' performance in Occupational Therapy Knowledge (OTK) health education and chief complaint\u002Fexpectation interviews. The project includes developing assessment instruments for client OT knowledge, expectation reasonableness, and intern communication\u002Feducation performance, followed by data collection in real clinical settings. Clients, clinical supervisors, and external experts will contribute ratings to evaluate instrument validity and reliability. The study will provide foundational evidence for improving OT health education, communication training, and clinical teaching practices.",[25],[305,306,307],"Health Education","Interview","Occupational Therapy",{"date":309,"type":33},"2026-01-12",{"date":205,"type":19},{"date":312,"type":19},"2026-05-31",{"name":314,"class":40},"Chang Gung Memorial Hospital",{"id":316,"slug":317,"hasResults":12,"nctId":318,"briefTitle":319,"officialTitle":320,"acronym":4,"eligibilityCriteria":321,"healthyVolunteers":12,"sex":17,"minAge":49,"maxAge":4,"enrollmentInfo":322,"targetDuration":4,"studyType":20,"phases":324,"briefSummary":325,"conditions":326,"keywords":332,"overallStatus":29,"whyStopped":4,"lastUpdateSubmitDate":339,"lastUpdatePostDateStruct":340,"startDateStruct":341,"completionDateStruct":343,"leadSponsor":345,"locationsCount":41},"100619222","parental-support-intervention-in-an-advanced-oncological-context-100619222","NCT07341815","Parental Support Intervention in an Advanced Oncological Context","Efficacy of a Parental Support Intervention to Improve Communication of Advanced Cancer Patients With Adolescents and Young Adults","Inclusion Criteria:\n\n* Metastatic cancer, recurrence of cancer or certain types of hematological cancer (chronic disease, acute leukemia, multiple myeloma or lymphoma recurrence)\n* Have at least one child aged between 10 and 25 years\n* Wish to benefit from a psychological intervention about communication with their children about cancer or its consequences\n* Able to read and speak French\n* Accept to give their written informed consent\n\nExclusion Criteria:\n\n* Severe neurological disorder\n* Severe psychiatric disorder\n* (Pre-)terminal phase of cancer disease",{"count":323,"type":19},120,[22],"This prospective, two-arm randomized trial compares a psycho-educational program to a psycho-educational and experiential program for parents with advanced cancer. These two interventions aim to support parent-child communication about cancer, but we hypothesize that the combined intervention will be more effective for all studied communication variables.",[327,328,329,330,331,25],"Metastatic Cancer","Cancer Recurrence","Hematological Cancer","Parent-Child Relations","Parenting",[333,334,335,336,337,338],"Parental cancer","Parent-child communication","Parenting intervention","Advanced cancer","Adolescent Young Adult (AYA)","Uncertainty","2026-01-07",{"date":284,"type":33},{"date":342,"type":33},"2022-05-27",{"date":344,"type":19},"2026-12",{"name":346,"class":40},"Université Libre de Bruxelles",{"id":348,"slug":349,"hasResults":12,"nctId":350,"briefTitle":351,"officialTitle":351,"acronym":4,"eligibilityCriteria":352,"healthyVolunteers":16,"sex":17,"minAge":49,"maxAge":4,"enrollmentInfo":353,"targetDuration":4,"studyType":20,"phases":355,"briefSummary":357,"conditions":358,"keywords":4,"overallStatus":59,"whyStopped":4,"lastUpdateSubmitDate":360,"lastUpdatePostDateStruct":361,"startDateStruct":363,"completionDateStruct":365,"leadSponsor":367,"locationsCount":41},"100617418","phase-3-ignite-tx-phase-iii-identifying-individuals-for-genetic-testing--treatment-intervention-100617418","NCT07318363","IGNITE-TX Phase III: (Identifying Individuals for Genetic Testing & Treatment) Intervention","Inclusion Criteria:\n\nProbands:\n\n1. 18 years of age or older\n2. Speaks and reads English or Spanish\n3. Resides in the United States\n4. Has a pathogenic or suspected pathogenic variant in BRCA1, BRCA2, MLH1, MSH2\u002FEPCAM, MSH6, or PMS2\\*\n5. Has access to the internet or phone and can send and receive email and\u002For text messages at a US telephone number.\n6. Attests to have at least one at-risk relative who meets inclusion criteria for first-degree relative \\*For cancer patients who are unaware of their mutation status, we will share existing local and national genetics resources, like those provided in the usual care family letter.\n\nAt-Risk Relatives (ARR):\n\n1. 18 years of age or older\n2. Speaks and reads English or Spanish\n3. Resides in the United States\n4. Has a first or second degree relative who has a deleterious\u002Fsuspected deleterious HBOC or LS variant present\n5. Has access to internet or phone and can send and receive email and\u002For text messages at a US telephone number\n\nExclusion Criteria:\n\nProbands:\n\n1. Has no eligible at-risk relatives (ARRs) or is unable\u002Funwilling to provide their contact information\n2. Has negative germline genetic testing or only variant of uncertain significance\n3. Unwilling or unable to provide consent\n\nAt-Risk Relatives (ARR):\n\n1. Unwilling or unable to provide consent\n2. Reports no known HBOC or LS variant within the family\n3. Has already been tested for the variant identified in the proband\n4. Already listed as an ARR for another proband",{"count":354,"type":19},2100,[356],"PHASE3","This trial aims to implement and compare an evidence- and theory-based intervention strategy (IGNITE-TX Intervention) to support probands and their ARRs in family communication, informed decision-making, and navigation to CGT with standard of care, free genetic testing\u002Fcounseling, and intervention with free genetic testing\u002Fcounseling.",[25,359],"Informed Decision-making","2025-12-29",{"date":362,"type":33},"2026-01-06",{"date":364,"type":19},"2026-06-01",{"date":366,"type":19},"2032-04-01",{"name":368,"class":40},"M.D. Anderson Cancer Center",{"id":370,"slug":371,"hasResults":12,"nctId":372,"briefTitle":373,"officialTitle":374,"acronym":4,"eligibilityCriteria":375,"healthyVolunteers":16,"sex":17,"minAge":4,"maxAge":4,"enrollmentInfo":376,"targetDuration":4,"studyType":20,"phases":378,"briefSummary":379,"conditions":380,"keywords":4,"overallStatus":59,"whyStopped":4,"lastUpdateSubmitDate":381,"lastUpdatePostDateStruct":382,"startDateStruct":383,"completionDateStruct":385,"leadSponsor":386,"locationsCount":4},"100617530","effectiveness-of-case-based-educational-scenarios-in-the-metaverse-on-interpersonal-communication-skills-academic-engagement-and-mind-wandering-in-university-nursing-students-100617530","NCT07319819","Effectiveness of Case-Based Educational Scenarios in the Metaverse on Interpersonal Communication Skills, Academic Engagement, and Mind-Wandering in University Nursing Students","The Effectiveness of Case-Based Educational Scenarios in the Metaverse Environment on Enhancing Interpersonal Communication Skills, Path of Academic Engagement, and Reducing Mind-Wandering in University Nursing Students","Inclusion Criteria:\n\nRegistered undergraduate nursing students at the Faculty of XXX University, XXX.\n\nEnrolled in the 4th level of the nursing program in the academic year 2024-2025.\n\nAble and willing to provide informed consent to participate.\n\nExclusion Criteria:\n\nStudents not registered in the 4th level during the study period. Students who previously completed formal metaverse-based psychiatric nursing training (if applicable).\n\nStudents unwilling to participate or who withdraw consent.",{"count":377,"type":19},100,[22],"This randomized controlled trial will evaluate the effect of case-based educational scenarios delivered in a metaverse environment on interpersonal communication skills, academic engagement, and mind-wandering among undergraduate nursing students. Fourth-level nursing students will be randomly assigned either to metaverse-based case scenarios integrated into their psychiatric nursing education or to usual teaching without metaverse exposure. Outcomes will be measured using validated scales for interpersonal communication, learning engagement, and mind-wandering before and after the intervention.",[25],"2025-12-21",{"date":362,"type":33},{"date":384,"type":19},"2025-12-25",{"date":180,"type":19},{"name":387,"class":40},"Port Said University",{"id":389,"slug":390,"hasResults":12,"nctId":391,"briefTitle":392,"officialTitle":392,"acronym":4,"eligibilityCriteria":393,"healthyVolunteers":16,"sex":17,"minAge":394,"maxAge":169,"enrollmentInfo":395,"targetDuration":4,"studyType":20,"phases":397,"briefSummary":398,"conditions":399,"keywords":4,"overallStatus":29,"whyStopped":4,"lastUpdateSubmitDate":402,"lastUpdatePostDateStruct":403,"startDateStruct":405,"completionDateStruct":407,"leadSponsor":409,"locationsCount":41},"100582635","alcohol-and-sexual-communication-among-couples-in-the-laboratory-100582635","NCT06865872","Alcohol and Sexual Communication Among Couples in the Laboratory","Inclusion Criteria:\n\n1. Provision of signed and dated informed consent form.\n2. Stated willingness to comply with all study procedures and lifestyle considerations.\n3. Both partners must identify as cisgender via self-report on the Baseline Questionnaire.\n4. At least one partner within the couple must be a man via self-report on the Baseline Questionnaire.\n5. Both partners must be between 21 and 65 years old, verified by a photo ID.\n6. In an intimate relationship lasting at least one month in which they engaged in sexual activity at least once in the past month with their partner via self-report on the Baseline Questionnaire.\n7. Both partners must report that they consumed a weight-based amount of alcohol that is equal to or greater than the dose to be administered in the lab at least three times during the past year via self-report on question #5 of the NIAAA Alcohol Consumption Measure.\n\nPlease contact clinical site for additional inclusion criteria.\n\nExclusion Criteria:\n\n1. Treatment for Alcohol or Drug Use: currently being treated for alcohol, or drug problems; currently interested in seeking treatment for drinking or drug use via self-report.\n2. Any medical or psychiatric condition, as well as current use of a medication, that would contraindicate alcohol administration via self-report:\n\n   * Cardiac Pacemaker\n   * Asthma: emergency room visit related to asthma in the past year; use of inhaler more frequently when drinking alcohol; use of oral steroid treatments for asthma in the past year\n   * Head Injury: any past serious head injuries\n   * Acute Psychiatric Symptomatology: elevated psychological distress as indicated by a score greater than 65 on the Brief Symptom Inventory\n3. Self-report that a participant is trying to get pregnant, currently pregnant, or currently breastfeeding or a positive pregnancy test.\n4. Combined height and weight that is either less than 6 feet tall and over 230 lbs, or over 250 lbs and over 6 ft tall as measured during the lab visit.\n\nPlease contact clinical site for additional exclusion criteria.","21 Years",{"count":396,"type":19},480,[22],"Intimate Partner Sexual Violence (IPSV) is a significant and understudied public health problem among couples, yet little is known about factors that contribute to IPSV perpetration. This proposal aims to determine the acute effect of alcohol and sexual communication on IPSV. In this study, 240 couples who drink alcohol will be recruited from the Metro-Denver area. Upon arrival to the laboratory, a trained research assistant will check the participant's ID, verify that they adhered to the pre-session guidelines, administer a breath test to ensure a breath alcohol content (BrAC) of 0.00 and conduct a field sobriety test. They will also obtain informed consent for each member of the couple separately. Female participants will take a pregnancy test to ensure a negative result. All participants will complete measures to reverify eligibility criteria and be weighed to determine their correct alcohol dose. Partners will separately complete a baseline survey measuring demographic factors, alcohol use, sexual communication, and daily experiences. After completing the survey, participants will be assigned a beverage condition (alcohol or no-alcohol control) and couples will be randomly assigned to a communication condition (direct verbal or indirect verbal). Participants will be seated in a room separate from their partner, where they will drink an alcoholic or no-alcohol control beverage. Upon reaching a breath alcohol content (BrAC) of .07, or immediately after drinking in the No-Alcohol control condition, participants will complete a laboratory assessment of sexual violence. The main hypotheses are: (1) one's alcohol use will increase IPSV toward partners who are also drinking, (2) one's alcohol use will increase IPSV among partners who use indirect, relative to direct, communication, and (3) actor alcohol use will increase IPSV toward partners who are also drinking and use indirect, relative to direct, communication.",[400,401,25],"Alcohol Intoxication","Intimate Partner Violence (IPV)","2025-10-24",{"date":404,"type":33},"2025-10-28",{"date":406,"type":33},"2025-04-18",{"date":408,"type":19},"2028-02",{"name":410,"class":40},"University of Colorado, Denver",{"id":412,"slug":413,"hasResults":12,"nctId":414,"briefTitle":415,"officialTitle":416,"acronym":4,"eligibilityCriteria":417,"healthyVolunteers":16,"sex":17,"minAge":49,"maxAge":4,"enrollmentInfo":418,"targetDuration":4,"studyType":20,"phases":420,"briefSummary":421,"conditions":422,"keywords":423,"overallStatus":59,"whyStopped":4,"lastUpdateSubmitDate":427,"lastUpdatePostDateStruct":428,"startDateStruct":430,"completionDateStruct":432,"leadSponsor":434,"locationsCount":264},"100515751","avatar-contraception-communication-training-100515751","NCT05995574","Avatar Contraception Communication Training","Improving Clinician Communication About Contraception Using Teen and Parent Avatars","Inclusion Criteria (providers):\n\n* Providers (medical residents, fellows, attendings)\n* Recruited from the Adolescent and Young Adult (AYA) Medicine Clinic at Children\\'s Medical Center of Dallas.\n\nExclusion Criteria:\n\n* Unable to speak or read in Spanish\u002FEnglish",{"count":419,"type":19},166,[22],"In order to support the desire of most adolescents to delay pregnancy (parenting) until their own adulthood, pediatricians must be comfortable and skilled in having reproductive health conversations with adolescents and the mothers of adolescents. Advocates for Youth (AFY), a national, youth-facing, well-established, non-profit, is known for innovative sexual and reproductive health programs. AFY successfully implemented a virtual simulation for schoolteachers to practice sex education scenarios by interacting with culturally diverse student avatars. We will partner with AFY to adapt their novel simulation-based approach to train medical residents in using SDM with youth and parent avatars. Our long-term goal is to build clinician confidence in SDM and actual skills via simulation training with dyadic avatars. We will also explore how evaluation of clinician communication skills varies from youth-, parent-, and clinician-viewpoints.",[25],[424,425,426],"Adolescent","Contraception","Training","2025-08-26",{"date":429,"type":33},"2025-09-03",{"date":431,"type":19},"2026-04-01",{"date":433,"type":19},"2030-06-30",{"name":435,"class":40},"University of Texas Southwestern Medical Center",{"id":437,"slug":438,"hasResults":12,"nctId":439,"briefTitle":440,"officialTitle":441,"acronym":442,"eligibilityCriteria":443,"healthyVolunteers":16,"sex":249,"minAge":49,"maxAge":4,"enrollmentInfo":444,"targetDuration":4,"studyType":20,"phases":446,"briefSummary":447,"conditions":448,"keywords":449,"overallStatus":29,"whyStopped":4,"lastUpdateSubmitDate":453,"lastUpdatePostDateStruct":454,"startDateStruct":456,"completionDateStruct":458,"leadSponsor":460,"locationsCount":41},"100603504","assessing-the-impact-of-therapeutic-communication-on-patients-anxiety-during-elective-cesarean-sections-100603504","NCT07137377","Assessing the Impact of Therapeutic Communication on Patients' Anxiety During Elective Cesarean Sections","CESARCOM Study Protocol: Assessing the Impact of Therapeutic Communication on Patients' Anxiety During Elective Cesarean Sections, - a Before-and-after Interventional Study","CESARCOM","Inclusion Criteria:\n\n-≥18 years\n\n* elective c-section planned in the Maternity Unit of the Geneva University Hospitals\n* consent to participate\n\nExclusion Criteria:\n\n* Not-French-speaking patients (interpreter required).\n* All emergency c-sections.\n* Death during the intervention.",{"count":445,"type":19},260,[22],"Background:\n\nAnxiety is highly prevalent before elective caesarean sections and can have a negative impact on anesthetic outcomes, postoperative pain and maternal mental health. The use of pharmacological premedication is controversial, and non-pharmacological alternatives are increasingly being explored. Therapeutic communication, based on empathy, positive language and the conscious avoidance of negative or anxiety-inducing suggestions, has shown promise in other surgical settings. However, its effectiveness in obstetrics remains to be explored.\n\nMethods This is a single-centre, prospective, observational, before-and-after study. The study aims to assess whether implementing an on-line (asynchronous) training programme on therapeutic communication for obstetric care teams can reduce maternal anxiety following elective caesarean sections. The study includes two groups of 130 patients each, one before the intervention and one after. Anxiety levels will be assessed using the French version of the State-Trait Anxiety Inventory score, and the primary outcome will be the difference in scores after caesarean section between the two groups. Secondary outcomes include the proportion of patients with high anxiety levels (STAI-State score \\>45), as well as staff satisfaction, feeling of relevance, and indicators of the feasibility of implementing the training.\n\nThe intervention consists of a short (less than 1 hour) training course using podcasts and flashcards, combined with distributing a lexicon that promotes hypnosis-based therapeutic communication (HBTC). Staff participation, perceived relevance and satisfaction will be assessed using structured questionnaires based on the Likert scale.\n\nLinear and logistic regression analyses will be used to adjust for confounding variables, including baseline anxiety, psychiatric history, and intraoperative complications.\n\nDiscussion This is the first study to evaluate the impact of a dedicated HBTC training programme on patient anxiety and staff experience in an obstetric surgical setting. By integrating this approach into routine cesarean section care, our aim is to improve the patient experience and enhance communication practices within clinical teams. The results could inform clinical practices on non-pharmacological strategies in obstetric care.",[25,80],[450,451,452],"hypnosis based therapeutic communication","anxiety","STAI score","2025-08-20",{"date":455,"type":33},"2025-08-22",{"date":457,"type":33},"2025-04-14",{"date":459,"type":19},"2027-07-31",{"name":461,"class":40},"University Hospital, Geneva",{"id":463,"slug":464,"hasResults":12,"nctId":465,"briefTitle":466,"officialTitle":466,"acronym":467,"eligibilityCriteria":468,"healthyVolunteers":16,"sex":17,"minAge":49,"maxAge":4,"enrollmentInfo":469,"targetDuration":4,"studyType":20,"phases":471,"briefSummary":472,"conditions":473,"keywords":476,"overallStatus":29,"whyStopped":4,"lastUpdateSubmitDate":479,"lastUpdatePostDateStruct":480,"startDateStruct":482,"completionDateStruct":484,"leadSponsor":486,"locationsCount":488},"100523947","multicenter-homevent-home-values-and-experiences-navigation-track-100523947","NCT06102330","Multicenter HomeVENT: Home Values and Experiences Navigation Track","HomeVENT","Inclusion Criteria:\n\n1. English- or Spanish-speaking\n2. Males and females; Age 18 and over.\n3. Parent of a child facing a decision about home ventilation within 30 days. A \"parent\" will be defined as any self-identified primary caregiver (parents, grandparents, etc).\n\n   or Physician of a child whose parents are enrolled in the study; physician must be engaged in the home ventilation decision.\n4. Provision of signed and dated informed consent form (parent) or completion of oral consent (physician)\n5. Stated willingness to comply with all study procedures and availability for the duration of the study\n6. Access to necessary resources if choose to participate via internet or telephone\n\nExclusion Criteria:\n\n1. Excluding children as they cannot be legal decision-makers\n2. Non-English or Non-Spanish speaking parents, as the intervention website\u002F videos are only available in those two languages.",{"count":470,"type":19},600,[22],"This is a multicenter study to test a decision-making support process for families and clinicians facing decisions about chronic home ventilation for a child. The investigators hypothesize that the intervention will increase family preparedness for decision-making and will improve clinician-family shared-decision making. Half of families will be assigned to \"usual care\" arm and half to the \"intervention\" arm. Intervention families will view the study website with study staff and will answer questions related to website content. All families will be interviewed and surveyed at 1, 6 and 12 months after enrollment. Each family will designate 1-2 physician involved in the decision about home ventilation; each physician will be interviewed and surveyed at 1 month.",[474,475,25],"Pediatric ALL","Respiratory Insufficiency",[477,478],"chronic ventilation","decision-making","2025-07-30",{"date":481,"type":33},"2025-08-03",{"date":483,"type":33},"2024-02-06",{"date":485,"type":19},"2030-12",{"name":487,"class":40},"Johns Hopkins University",4,{"id":490,"slug":491,"hasResults":12,"nctId":492,"briefTitle":493,"officialTitle":494,"acronym":495,"eligibilityCriteria":496,"healthyVolunteers":12,"sex":17,"minAge":49,"maxAge":4,"enrollmentInfo":497,"targetDuration":4,"studyType":52,"phases":4,"briefSummary":499,"conditions":500,"keywords":504,"overallStatus":29,"whyStopped":4,"lastUpdateSubmitDate":520,"lastUpdatePostDateStruct":521,"startDateStruct":523,"completionDateStruct":525,"leadSponsor":527,"locationsCount":41},"100586256","dv-100-as-a-framework-for-the-hospital-incident-command-system-100586256","NCT06913010","DV 100 as a Framework for the Hospital Incident Command System","The Service Regulation DV 100 as an Organizational Structure for Establishing the Hospital Incident Command System","OrAKEL","Inclusion Criteria:\n\n* Participation in at least one hospital incident command system (ICS) training and, if applicable, in a ICS exercise.\n\nWritten informed consent from the employee for participation in the second part of the study (semi-structured interview)\n\nExclusion Criteria:\n\n* Decline of study participation",{"count":498,"type":19},20,"There is limited scientific research on the organizational structure of the Hospital Incident Command System. The Hospital Alarm and Emergency Planning manual by the German Federal Office of Civil Protection and Disaster Assistance (BBK) recommends a continental staff system-based organization, as outlined in the Service Regulation DV 100, similar to military, fire, and police structures. This approach is frequently discussed at professional conferences, but evidence on its functionality in hospitals is lacking. This study aims to generate new insights into the use of a continental staff system-based Hospital Incident Command System and qualitatively analyze transition and communication processes within the command structure.",[501,502,503,25],"Disaster","Crisis Response Plan","Emergency",[505,506,507,508,509,510,511,512,513,514,515,516,517,518,519],"Hospital Incident Command System","Continental Staff System","Service Regulation DV 100","Disaster Management","Emergency Planning","Hospital Alarm and Emergency Planning","Organizational Structure","Crisis Management","Communication Processes","Transition Processes","Healthcare Emergency Response","Civil Protection","Disaster Assistance","Incident Command Structure","Emergency Management Systems","2025-07-10",{"date":522,"type":33},"2025-07-11",{"date":524,"type":33},"2025-04-29",{"date":526,"type":19},"2026-10-31",{"name":528,"class":40},"University Hospital Heidelberg",{"id":530,"slug":531,"hasResults":12,"nctId":532,"briefTitle":533,"officialTitle":533,"acronym":4,"eligibilityCriteria":534,"healthyVolunteers":12,"sex":17,"minAge":4,"maxAge":4,"enrollmentInfo":535,"targetDuration":4,"studyType":20,"phases":537,"briefSummary":538,"conditions":539,"keywords":540,"overallStatus":29,"whyStopped":4,"lastUpdateSubmitDate":551,"lastUpdatePostDateStruct":552,"startDateStruct":554,"completionDateStruct":556,"leadSponsor":558,"locationsCount":560},"100484670","the-patient-and-family-centered-i-pass-listen-study-language-inclusion-safety-and-teamwork-for-equity-now-100484670","NCT05591066","The Patient and Family Centered I-PASS LISTEN Study: Language, Inclusion, Safety, and Teamwork for Equity Now","Inclusion Criteria:\n\n* All patients admitted to the pediatric inpatient study units of participating hospitals\n* Patients themselves who are age 13 and up (if they provide assent and their parent or guardian gives permission)\\*\n* Parents\u002Fcaregivers of patients of all ages who speak English, Arabic, Armenian, Bengali, Chinese (Mandarin and Cantonese), Karen, Korean, Nepali, Quiche, Spanish, Somali, and Vietnamese (and\u002For other languages if resources allow)\n* Nurses working on these units\n* Residents working on these units\n* Medical and nursing students working on these units\n* Hospital leaders working at these hospitals\n* \\*Note for Consenting: Patients (13-18yo) who are in state custody and assent for themselves to complete surveys but lack legal guardian\u002Fcaregiver present to offer consent are not being approached to complete surveys. These patients may still be enrolled in the study but not consented to complete patient-facing forms.\n\nExclusion Criteria: None",{"count":536,"type":19},14400,[22],"In 2014, a team of parents, nurses, and physicians created Patient and Family Centered I-PASS (PFC I-PASS), a bundle of communication interventions to improve the quality of information exchange between physicians, nurses, and families, and to better integrate families into all aspects of daily decision making in hospitals. PFC I-PASS changed how doctors and nurses talk to patients and families on rounds when they're admitted to the hospital. (Rounds are when a team of doctors visit patients every morning to do a checkup and make a plan for the day.) Rounds used to happen in a way that left out patients and families. Doctors talked at, not with patients, used big words and medical talk, and left nurses out. PFC I-PASS changed rounds by including families and nurses, using simple non-medical words, and talking in an organized way so nothing is left out. When PFC I-PASS was put in place in 7 hospitals, patients had fewer adverse events and better hospital experience. But it didn't focus on how to talk with patients with language barriers. This project builds upon upon PFC I-PASS to make it better and focus on the special needs of patients who speak languages other than English. This new intervention is known as PFC I-PASS+. PFC I-PASS+ includes all parts of PFC I-PASS plus having interpreters on and after rounds and training doctors about communication and cultural humility. The study team will now conduct a stepped-wedge cluster randomized trial to compare the effectiveness of PFC I-PASS+ and PFC I-PASS to usual care at 8 hospitals.",[25],[541,542,543,544,545,546,547,548,549,550],"Family Centered Rounds","Patient Safety","Errors","Limited English Proficiency","Health Disparities","Adverse Events","Patient Experience","Family Engagement","Interprofessional Communication","Language Barriers","2025-06-18",{"date":553,"type":33},"2025-06-24",{"date":555,"type":33},"2024-03-26",{"date":557,"type":19},"2028-11-01",{"name":559,"class":40},"Boston Children's Hospital",8,{"id":562,"slug":563,"hasResults":12,"nctId":564,"briefTitle":565,"officialTitle":566,"acronym":567,"eligibilityCriteria":568,"healthyVolunteers":12,"sex":17,"minAge":569,"maxAge":4,"enrollmentInfo":570,"targetDuration":4,"studyType":52,"phases":4,"briefSummary":572,"conditions":573,"keywords":578,"overallStatus":59,"whyStopped":4,"lastUpdateSubmitDate":130,"lastUpdatePostDateStruct":588,"startDateStruct":590,"completionDateStruct":591,"leadSponsor":592,"locationsCount":4},"100595707","the-vip3-very-old-intensive-care-patients-study-family-involvement-in-treatment-decisions-for-old-icu-patients-100595707","NCT07035951","The VIP3 (Very Old Intensive Care Patients) Study: Family Involvement in Treatment Decisions for Old ICU Patients","The VIP-3 (Very Old Intensive Care Patients) Study: Decision-making in the Older Intensive Care Unit (ICU) Patient: How Are Family Meetings Implemented Across Diverse Cultures in Europe?","VIP3","Inclusion Criteria:\n\n* Patients admitted to the Intensive Care Unit (ICU) of participating centres\n* Age 75 years and above\n* Expected Length of stay (LOS) \\> 3 days\n\nExclusion Criteria:\n\n* Refusal to participate\n* Limitation of treatment upon ICU arrival (other than Cardiopulmonary Resuscitation-CPR)\n* Planned admission","75 Years",{"count":571,"type":19},2000,"The demographics of the global population is changing with increasing numbers of elderly and co-morbid patients. As a result, more elderly patients will be admitted to the Intensive Care Unit (ICU), which will bring several ethical challenges. It is for this reason the investigators have chosen to focus on this historically neglected and important patient population.\n\nLittle is known about how family meetings are implemented in ICUs in Europe and other parts of the world. However, these meetings contribute to building trust between the family and the ICU team. They are a crucial component for planning and conducting a time limited trials as they provide the opportunity for shared-decision making with the ICU team and with other stakeholders.\n\nThe investigators plan to determine the current practice of communication between ICU staff and patients and their relatives. The investigators expect to find a substantial variation in approaches to family meetings. This information may then help design and further investigate targeted interventions enabling shared decision-making focused on family and patient values.\n\nThe investigators research aim is to to investigate whether Family meetings are used in ICUs across Europe and other regions and, if so, how they are conducted and the influence on patient-centred outcome measures.",[574,575,576,25,577],"Family Members","Critical Illness","Frailty","Patient Preference",[579,580,581,582,583,584,585,586,587],"Elderly","Critical illness","communication","frailty","family meetings","Intensive care","critical care","shared decision making","patient preference",{"date":589,"type":33},"2025-06-25",{"date":130,"type":19},{"date":344,"type":19},{"name":593,"class":40},"St George's, University of London",{"id":595,"slug":596,"hasResults":12,"nctId":597,"briefTitle":598,"officialTitle":599,"acronym":4,"eligibilityCriteria":600,"healthyVolunteers":16,"sex":17,"minAge":601,"maxAge":4,"enrollmentInfo":602,"targetDuration":4,"studyType":20,"phases":604,"briefSummary":605,"conditions":606,"keywords":4,"overallStatus":59,"whyStopped":4,"lastUpdateSubmitDate":608,"lastUpdatePostDateStruct":609,"startDateStruct":610,"completionDateStruct":612,"leadSponsor":614,"locationsCount":264},"100594952","blended-learning-to-enhance-elderly-communication-skills-in-nursing-students-and-new-nurses-100594952","NCT07026136","Blended Learning to Enhance Elderly Communication Skills in Nursing Students and New Nurses","Application of Blended Learning Model to Improve the Communication Skills of Nursing Students and New Nurses With the Elderly: Development and Effectiveness Verification","Inclusion Criteria:\n\n* At least 20 years old\n* Graduated from a nursing school\n* Full-time employee\n* Less than six months of nursing work experience\n* Working in a medical ward\n\nExclusion Criteria:\n\n* Job nature does not involve direct patient contact, such as working in the supply room.\n* Not engaged in clinical nursing work, such as a research assistant.","20 Years",{"count":603,"type":19},70,[22],"The study will recruit new nurses from the hospital to evaluate the effectiveness of learning communicating skills in elderly care through a hybrid learning model. Participants will be randomly assigned to either an experimental group receiving hybrid method course or a control group using written materials, with both groups participating in a 60-minute educational session. The research will employ a multi-stage assessment approach, beginning with a pre-test to measure baseline knowledge of aging, attitudes toward older adults, willingness to serve the elderly, and communication skills. Immediately following the intervention, participants will complete a post-test, with a follow-up delayed assessment conducted three months later to evaluate knowledge retention. Clinical preceptors will systematically assess the nurses' elderly communication skills using a standardized rating scale. To gain deeper insights, selected nurses will also participate in qualitative interviews, sharing their learning experiences, reflections, and recommendations for improving the teaching materials, thereby providing a comprehensive understanding of the training's effectiveness and potential areas of enhancement.",[25,607],"Elderly Patients","2025-06-10",{"date":551,"type":33},{"date":611,"type":19},"2025-07-01",{"date":613,"type":19},"2025-12-31",{"name":615,"class":40},"China Medical University Hospital",{"id":617,"slug":618,"hasResults":12,"nctId":619,"briefTitle":620,"officialTitle":621,"acronym":622,"eligibilityCriteria":623,"healthyVolunteers":16,"sex":17,"minAge":4,"maxAge":4,"enrollmentInfo":624,"targetDuration":4,"studyType":20,"phases":626,"briefSummary":627,"conditions":628,"keywords":630,"overallStatus":29,"whyStopped":4,"lastUpdateSubmitDate":633,"lastUpdatePostDateStruct":634,"startDateStruct":636,"completionDateStruct":638,"leadSponsor":639,"locationsCount":41},"100590433","research-on-the-application-of-care-combined-with-aidet-nurse-patient-communication-model-in-implementing-service-remediation-in-outpatient-clinics-100590433","NCT06967350","Research on the Application of CARE Combined With AIDET Nurse-Patient Communication Model in Implementing Service Remediation in Outpatient Clinics","Research on the Construction and Application of a New Model of Outpatient Nurse-Patient Communication Based on CARE Combined With AIDET and Service Recovery Theory","CARE AIDET","Inclusion Criteria:\n\n* (1) nurses who have worked in the clinic for more than half a year; (2) Volunteer to participate in this study and sign a written informed consent. Unable to complete the entire study process during the study period.\n\nExclusion Criteria:\n\n* (1) nurses on maternal or sick leave, rotation, or training nurses; (2)nurses with poor mental state (such as depression tendency). Therefore, we excluded rotation nurses (n=1) and maternity leave nurses (n=2) and included 75 nurses in the study.",{"count":625,"type":19},75,[22],"CARE (C: connect, A: apologize, R: repair, E: exceed) is a standard service recovery communication mode in medical services. However, clinical nurses found it hard to follow because it lacked essential communication guidance. The AIDET mode (A: acknowledge, I: introduce, D: duration, E: Explanation, T: thank)， which offers such guidance, might be combined with CARE to form a new mode. This study aims to verify the effect of integrating CARE and AIDET on outpatient nurses' service recovery.",[25,629],"Service Recovery",[631,632],"CARE","AIDET","2025-05-12",{"date":635,"type":33},"2025-05-13",{"date":637,"type":33},"2025-02-19",{"date":613,"type":19},{"name":640,"class":40},"Bao Yan",{"id":642,"slug":643,"hasResults":12,"nctId":644,"briefTitle":645,"officialTitle":646,"acronym":647,"eligibilityCriteria":648,"healthyVolunteers":12,"sex":17,"minAge":649,"maxAge":650,"enrollmentInfo":651,"targetDuration":4,"studyType":20,"phases":653,"briefSummary":654,"conditions":655,"keywords":658,"overallStatus":29,"whyStopped":4,"lastUpdateSubmitDate":663,"lastUpdatePostDateStruct":664,"startDateStruct":666,"completionDateStruct":668,"leadSponsor":670,"locationsCount":41},"100395788","pictorial-support-in-person-centred-care-for-children-picpecc-100395788","NCT04433650","Pictorial Support in Person-centred Care for Children (PicPecc)","A Person-centred Approach to Pictorial Support in Care for Children (PicPecc)","PicPecc","Inclusion Criteria:\n\n* Children with cancer, 5-17 years\n* The children´s legal guardians\n* Healthcare professionals who take care of these children\n* The child needs to have a cognitive level of approximately five years (i.e., be able to understand a numeric rating scale (NRS)).\n\nExclusion Criteria:\n\n\\- Children 0-4 years","5 Years","17 Years",{"count":652,"type":19},40,[22],"Introduction: Person-centred care is based on the assumption that every person has resources that should be used in the care situation. In order for this to happen the patient has to be able to effectively communicate his\u002Fher symptoms. This protocol describes the analysis of a digital picture-based tool for communication support for children with cancer aged 5-17 years, who undergo high-dose methotrexate treatment. The advantage of a non-linguistic based platform, beside the expected clinical outcomes, is that it can be used in multiple national studies with minimal translation.\n\nMethods and analysis: Two studies will be conducted in a hybrid design, i.e., a crossover design will be used for the intervention (effects), and a mixed-methods design will be used for the process evaluation. Qualitative interviews will be carried out with children with cancer, their legal guardians and case-related healthcare professionals as part of the process evaluation.\n\nThe interviews will address the experiences of the intervention and frequency of use from the child's perspective. Interview transcripts will be analyzed qualitative descriptively. The digital communication tool will collect child self-reports of symptoms\u002Femotions. The children will be monitored for biomarkers of stress and pain (neuropeptides, neurosteroids and peripheral steroids) in venous blood samples, in-app estimation levels for the children, drug consumption. Person-centeredness will be evaluated with the questionnaire Visual CARE Measure.\n\nEthics: Ethical approval was obtained from the Swedish Ethical Review Authority (ref 2019-02392; 2020-02601).",[656,25,657],"Childhood Cancer","Symptoms and Signs",[659,25,660,661,662,657],"Childhood cancer","Digital application","Intervention","Pictorial support","2025-04-03",{"date":665,"type":33},"2025-04-06",{"date":667,"type":33},"2021-04-01",{"date":669,"type":19},"2026-12-31",{"name":671,"class":40},"Göteborg University"]