[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-studies-list:{\"conditionNormalized\":\"physician-patient-relations\",\"overallStatus\":[\"RECRUITING\",\"AVAILABLE\",\"NOT_YET_RECRUITING\"],\"orderBy\":\"LastUpdateSubmitDate:desc\",\"size\":25,\"offset\":0}":3,"health-study-condition:physician-patient-relations":29},{"pageToken":4,"total":5,"offset":6,"count":5,"results":7},null,5,0,[8,50,88,117,140],{"id":9,"slug":10,"hasResults":11,"nctId":12,"briefTitle":13,"officialTitle":14,"acronym":4,"eligibilityCriteria":15,"healthyVolunteers":16,"sex":17,"minAge":18,"maxAge":4,"enrollmentInfo":19,"targetDuration":4,"studyType":22,"phases":23,"briefSummary":25,"conditions":26,"keywords":30,"overallStatus":37,"whyStopped":4,"lastUpdateSubmitDate":38,"lastUpdatePostDateStruct":39,"startDateStruct":42,"completionDateStruct":44,"leadSponsor":46,"locationsCount":49},"100528721","implementing-individualized-patient-reported-outcome-measures-in-routine-care-of-patients-with-coronary-artery-disease-100528721",false,"NCT06164457","Implementing Individualized Patient Reported Outcome Measures in Routine Care of Patients With Coronary Artery Disease","Implementing Individualized Patient Reported Outcome Measures in Routine Care of Patients With Coronary Artery Disease: a Pilot Study","Patient Inclusion Criteria:\n\n* age at least 40 years.\n* either (i) known coronary artery disease (defined as a history of myocardial infarction, percutaneous or surgical coronary revascularization, or documentation of obstructive coronary artery disease on previous invasive or CT angiography) or (ii) suspected coronary artery disease (defined as stable angina or anginal equivalent symptoms) as the reason for referral to a cardiologist.\n* Able to communicate in English or be willing to have an English-speaking family member or friend assist with survey completion.\n* Access to the internet, valid email address, and a web-enabled device, for survey completion.\n* Upcoming outpatient visit with a study cardiologist in the next 14-28 day\n\nExclusion criteria:\n\n\\- N\u002FA, all inclusion criteria must be met to participate\n\nPhysician Inclusion Criteria: We will recruit 4 cardiologists to participate, 2 each from Alberta Health Services Edmonton and Calgary zones, including both academic and community practice settings. To be eligible, cardiologists will need to have an active outpatient practice including moderate to high volumes of patients being assessed and managed for coronary artery disease, and to be willing to commit to participating in all aspects of the study",true,"ALL","40 Years",{"count":20,"type":21},200,"ESTIMATED","INTERVENTIONAL",[24],"NA","Investigators recently developed the APPROACH electronic patient reported outcome (ePROM) Survey and Clinician Report tools to collect individual results from online quality of life and health status surveys for patients with coronary heart disease, and report them back to their treating clinicians. This pilot interventional study uses a pre-post design to assess whether implementing the ePROM system into routine care is feasible and acceptable to patients and physicians, and to inform feasibility for a larger clinical trial. Specifically, the investigators aim to evaluate use of the ePROM Patient Survey and Clinician Report among eligible outpatients with known or suspected coronary artery disease and their cardiologists. Additionally, the investigators aim to determine if the use of the APPROACH ePROMs Clinician Report in routine medical encounters is acceptable (based on administrative burden, ease of use, and time required) to patients and clinicians, and supports effective communication for management of symptoms of coronary artery disease.",[27,28,29],"Coronary Artery Disease","Patient Acceptance of Health Care","Physician-Patient Relations",[31,32,33,34,35,36],"coronary artery disease","patient reported outcome measures","cardiac science","communication assessment","quality improvement","feasibility","RECRUITING","2026-05-11",{"date":40,"type":41},"2026-05-14","ACTUAL",{"date":43,"type":41},"2024-06-08",{"date":45,"type":21},"2027-09",{"name":47,"class":48},"University of Calgary","OTHER",2,{"id":51,"slug":52,"hasResults":11,"nctId":53,"briefTitle":54,"officialTitle":55,"acronym":56,"eligibilityCriteria":57,"healthyVolunteers":11,"sex":17,"minAge":58,"maxAge":4,"enrollmentInfo":59,"targetDuration":4,"studyType":22,"phases":61,"briefSummary":62,"conditions":63,"keywords":67,"overallStatus":37,"whyStopped":4,"lastUpdateSubmitDate":78,"lastUpdatePostDateStruct":79,"startDateStruct":81,"completionDateStruct":83,"leadSponsor":85,"locationsCount":87},"100616230","ambient-ai-scribe-voa-health-in-outpatient-clinics-draft-notes-documentation-burden-and-well-being-100616230","NCT07302906","Ambient AI Scribe (Voa Health) in Outpatient Clinics: Draft Notes, Documentation Burden, and Well-Being","The SOAR Trial (Scribe Optimization for Ambulatory Records): Ambient Artificial Intelligence Scribe With Voa Health for Generating Medical Documentation From Outpatient Visit Audio - A Randomized Controlled Trial","SOAR","Inclusion Criteria:\n\nPatients:\n\n1. Adults (≥18 years) attended at the participating outpatient clinics of the Hospital de Clínicas - Federal University of Paraná during the study period.\n2. Under the care of a physician participating in the trial.\n3. Ability to understand Portuguese and provide informed consent for the audio recording of the consultation and completion of brief questionnaires.\n4. Ability to complete post-consultation questionnaires during interview.\n\nPhysicians:\n\n1. Resident physicians working in the participating outpatient clinics.\n2. Use of the hospital's electronic medical record in routine care practice.\n3. Agreement to the audio recording of consultations and to the completion of brief questionnaires after each included encounter.\n\nStudent Researchers:\n\n1. Medical students or undergraduate health science students linked to the research project.\n2. Trained in patient registration, collection of Informed Consent (ICF), and administration of questionnaires to the patient on the Infinity Research platform.\n\nExclusion Criteria:\n\n1. Patients under 18 years of age.\n2. Emergency consultations, urgent care, or inpatient care.\n3. Patients with significant cognitive impairment, acute distress, or clinical instability that, in the opinion of the treating physician, precludes providing consent or completing questionnaires, except when accompanied by a legal guardian capable of providing consent on their behalf.\n4. Patients under legal guardianship or who, for any reason, cannot provide consent on their own, except when the guardian or legal representative is present and can provide informed consent.\n5. Consultations where either the patient or the physician refuses audio recording or participation in the study.\n6. Consultations where the AI system is unavailable or malfunctioning (applicable only for protocol adherence analyses).","18 Years",{"count":60,"type":21},300,[24],"The goal of this randomized clinical trial is to learn whether an \"ambient AI scribe\" (Voa Health) can reduce documentation burden and improve physician well-being and patient experience in outpatient clinics. The AI scribe listens to the audio of the consultation and produces a draft of the clinical note that the physician reviews and edits.\n\nIn this study, consultations are randomized to 2 groups: usual documentation (without AI) or documentation assisted by the AI scribe. Adult patients seen in participating clinics, and their physicians, are invited to take part. For both groups, the consultation audio is recorded and, at the end of the visit, physicians and patients complete short questionnaires about well-being, workload, communication, empathy, and satisfaction. The questionnaires are based on internationally used scales (such as PFI, Mini-Z, NASA-TLX, CARE, PSQ-18, and CAT) but adapted to keep them brief and feasible in routine care.\n\nThe main questions are whether the AI scribe lowers the time and effort needed to document the visit, improves physician professional fulfillment and reduces burnout, and whether it affects how patients perceive the communication, empathy, and overall quality of the consultation. No drugs or devices are being tested. The results are expected to guide hospitals on the safe and effective use of ambient AI scribes in real-world clinical practice.",[64,65,29,66],"Burnout, Professionals","Medical Records Systems, Computerized","Ambulatory Care",[68,69,70,71,72,73,74,75,76,77],"ambient AI scribe","artificial intelligence","clinical documentation","medical note generation","electronic health record","physician well-being","documentation burden","patient experience","outpatient clinics","randomized controlled trial","2026-03-31",{"date":80,"type":41},"2026-04-01",{"date":82,"type":41},"2025-01-05",{"date":84,"type":21},"2026-06-28",{"name":86,"class":48},"Pedro Angelo Basei de Paula",1,{"id":89,"slug":90,"hasResults":11,"nctId":91,"briefTitle":92,"officialTitle":93,"acronym":4,"eligibilityCriteria":94,"healthyVolunteers":11,"sex":17,"minAge":58,"maxAge":4,"enrollmentInfo":95,"targetDuration":4,"studyType":22,"phases":97,"briefSummary":98,"conditions":99,"keywords":102,"overallStatus":37,"whyStopped":4,"lastUpdateSubmitDate":108,"lastUpdatePostDateStruct":109,"startDateStruct":111,"completionDateStruct":113,"leadSponsor":115,"locationsCount":87},"100602930","nudge-based-shared-decision-making-and-self-management-in-type-2-diabetes-a-randomized-trial-100602930","NCT07129915","Nudge-Based Shared Decision Making and Self-Management in Type 2 Diabetes: A Randomized Trial","Effect of Nudge-Based Shared Decision Making on Self-Management Among Patients With Type 2 Diabetes: A Randomized Controlled Trial","Inclusion Criteria:\n\n* Confirmed diagnosis of type 2 diabetes\n* Age ≥ 18 years\n* Normal cognitive function (assessed by Mini-Cog score ≥ 3)\n* Basic smartphone operation ability (can independently use WeChat)\n* Willing to participate and sign informed consent\n\nExclusion Criteria:\n\n* Severe acute complications (e.g., ketoacidosis, hyperosmolar coma)\n* Documented cognitive impairment (dementia, Alzheimer's, etc.)\n* Currently participating in other clinical trials\n* Life expectancy \\\u003C 6 months\n* Pregnancy or lactation",{"count":96,"type":21},250,[24],"This study aims to test whether a communication strategy called \"linguistic nudging\" can help doctors and patients with type 2 diabetes make better treatment decisions together, and whether this improves patients' ability to manage their condition.\n\nWhat will happen in the study? - 250 adults with type 2 diabetes from Xiang'an Hospital (Xiamen) will be randomly assigned to one of two groups:\n\nIntervention group:Doctors will receive special training in \"linguistic nudging\" techniques to encourage shared decision-making. Patients will use a mobile app to record medication preferences, and doctors will adjust advice based on these preferences.\n\nControl group:Patients will receive standard diabetes care without these additional strategies.\n\n\\- All participants will be followed for 6 months.\n\nWhat is the study aiming to find out?\n\nThe main goal is to see if patients in the intervention group:\n\nBetter follow medication plans Improve blood sugar monitoring Have better blood sugar control Feel more satisfied with doctor-patient communication\n\nWhy is this important? Good self-management is key to controlling diabetes, but many patients struggle with it. Effective communication during shared decision-making may empower patients to manage their condition day-to-day with greater confidence.\n\nPatient safety and rights:\n\nParticipation is completely voluntary All personal information will be kept strictly confidential Medical support will be provided if any health problems occur during the study Participants may withdraw at any time\n\nThis research has been approved by the Ethics Committee of Xiang'an Hospital (Approval date: October 2025).",[100,29,101],"Diabetes Mellitus, Type 2","Self-management",[103,104,105,106,107],"Linguistic Nudging","Shared Decision Making","Randomized Controlled Trial","Mobile Health Application","Chinese Population","2025-11-23",{"date":110,"type":41},"2025-11-28",{"date":112,"type":41},"2025-11-01",{"date":114,"type":21},"2026-06",{"name":116,"class":48},"Yunxuan Li",{"id":118,"slug":119,"hasResults":11,"nctId":120,"briefTitle":121,"officialTitle":121,"acronym":4,"eligibilityCriteria":122,"healthyVolunteers":16,"sex":17,"minAge":58,"maxAge":4,"enrollmentInfo":123,"targetDuration":4,"studyType":22,"phases":125,"briefSummary":126,"conditions":127,"keywords":4,"overallStatus":37,"whyStopped":4,"lastUpdateSubmitDate":131,"lastUpdatePostDateStruct":132,"startDateStruct":134,"completionDateStruct":136,"leadSponsor":138,"locationsCount":87},"100519127","the-family-perspectives-project-pilot-trial-100519127","NCT06039501","The Family Perspectives Project Pilot Trial","Inclusion Criteria:\n\n* Patient inclusion criteria:\n\n  * Individuals 18 years old or older.\n  * Individuals admitted to the medical intensive care unit (MICU) at Cedars-Sinai Medical Center.\n  * Individuals with acute respiratory failure, defined as \\>24 hours of invasive mechanical ventilation.\n  * Individuals who received invasive mechanical ventilation within 24 hours of admission to the MICU.\n  * Individuals expected to need invasive mechanical ventilation for \\>72 hours total, as determined by the patient's intensivist physician (fellow or attending).\n* Primary surrogate decision maker inclusion criteria:\n\n  o Individuals 18 years old or older.\n  * Individual who self-identifies as the most responsible for making decisions for the enrolled patient (can be either family member or close friend).\n  * Proficiency in English language.\n* ICU support counselor inclusion criteria:\n\n  * Individuals 18 years old or older.\n  * Individuals who work as hospital chaplains in the MICU.\n* Physician (intensivist) inclusion criteria:\n\n  * Individuals 18 years old or older.\n  * Individuals who work as critical care physicians in the MICU (fellow or attending).\n* Nurse inclusion criteria:\n\n  * Individuals 18 years old or older.\n  * Individuals who work as bedside nurses in the MICU.\n* Social worker inclusion criteria:\n\n  * Individuals 18 years old or older.\n  * Individuals work as social workers in the MICU.\n\nExclusion Criteria:\n\n* Patient exclusion criteria:\n\n  o Any records flagged \"break the glass\" or \"research opt out.\"\n\n  o Individuals expected to die within 24 hours of potential enrollment, as determined by the patient's intensivist physician (fellow or attending).\n\n  o Individuals on comfort care protocol or with clear preference for comfort care, as determined by the patient's intensivist physician (fellow or attending).\n  * Individuals who are chronically dependent on a ventilator prior to admission.\n  * Individuals with acute on chronic neuromuscular disease-related respiratory failure (e.g., Guillain Barre, Muscular Dystrophy, Myasthenia Gravis, etc.).\n  * Individuals imminently awaiting organ transplant, as determined by the patient's intensivist physician (fellow or attending).\n  * Individuals with decisional capacity, as determined by the patient's intensivist physician (fellow or attending).\n  * Individuals who are unrepresented (i.e., patient has no surrogate decision maker).\n  * Individuals whose potential enrolled family member (primary surrogate decision maker) is not proficient in English.\n  * Individuals whose attending physician is the PI on this study at the time of potential enrollment.\n  * Individuals who are cared for by intensivist physicians (fellow and attending) who do not agree to participate in the study.\n  * Individuals who have a pre-existing relationship with a hospital chaplain who does not agree to participate in the study, as determined by that chaplain.\n* Primary surrogate decision maker exclusion criteria:\n\n  o Not proficient in English language. (Rationale: materials and intervention are not adapted in other languages.)\n* ICU support counselor exclusion criteria:\n\n  o None\n* Physician (intensivist) exclusion criteria:\n\n  o None\n* Nurse exclusion criteria:\n\n  o None\n* Social worker exclusion criteria:\n\n  * None",{"count":124,"type":21},70,[24],"The purpose of the study is to conduct a pilot randomized trial of a program designed to enhance equitable communication and emotional support for families of critically ill patients in order to determine feasibility, acceptability, and participant experience with the program.\n\nThe primary study procedures include: chart abstraction, questionnaires, meetings with ICU support counselors, meetings with ICU physicians and care team, audio recordings of these meetings (optional), and interviews with study participants (optional).\n\nStudy participants include: 70 critically ill patients with acute respiratory failure (enrolled with the consent of their Legally Authorized Representative) and their primary surrogate decision makers as well as ICU support counselors and ICU care teams (physicians, nurses, social workers).",[128,129,29,130],"Respiratory Failure","Family Support","Critical Illness","2025-06-12",{"date":133,"type":41},"2025-06-15",{"date":135,"type":41},"2023-10-13",{"date":137,"type":21},"2026-10",{"name":139,"class":48},"Matthew Modes",{"id":141,"slug":142,"hasResults":11,"nctId":143,"briefTitle":144,"officialTitle":145,"acronym":146,"eligibilityCriteria":147,"healthyVolunteers":16,"sex":17,"minAge":58,"maxAge":4,"enrollmentInfo":148,"targetDuration":150,"studyType":151,"phases":4,"briefSummary":152,"conditions":153,"keywords":158,"overallStatus":37,"whyStopped":4,"lastUpdateSubmitDate":163,"lastUpdatePostDateStruct":164,"startDateStruct":166,"completionDateStruct":168,"leadSponsor":170,"locationsCount":87},"100502057","integrating-exercise-into-lifestyle-of-cardiac-outpatients-100502057","NCT05817305","Integrating Exercise Into Lifestyle of Cardiac Outpatients","Efficacy of an Exercise-based Secondary Prevention Program in Patients With Stable Cardiovascular Disease","ITER","Inclusion Criteria:\n\n* the presence of one or more previous cardiovascular events\n\nExclusion Criteria:\n\n* Ejection fraction \\\u003C 30%\n* Chronic heart failure NYHA III-IV\n* Severe aortic or mitral valvulopathy\n* Severe physical or cognitive impairment\n* Exercise-induced complex arrhythmias",{"count":149,"type":21},5000,"10 Years","OBSERVATIONAL","The purpose of the study is to investigate the long-term effects of a personalized physical activity program on exercise capacity and quality of life in patients with stable cardiovascular disease. The analysis also intends to evaluate the prognostic value of cardiovascular function estimated through a walking test (1km Treadmill Walking Test, 1k-TWT) in relation to survival, hospitalization, and medical costs. The program considers clinical, socio-economic, and behavioural aspects, psychological support, and risk factor control. Patients receive indications for carrying out a home training program based on the performance of moderate-intensity aerobic activity at least 3-4 days a week for at least 30-60 minutes a day. All patients are also encouraged to improve their daily habits by preferring a more active lifestyle both at home and at work.",[154,155,156,157,29],"Cardiovascular Diseases","Physical Inactivity","Aging","Quality of Life",[159,160,161,162],"Cardiovascular disease","Physical activity","Epidemiology","Cardiorespiratory fitness","2025-04-07",{"date":165,"type":41},"2025-04-10",{"date":167,"type":41},"1997-01-01",{"date":169,"type":21},"2047-12-31",{"name":171,"class":48},"Università degli Studi di Ferrara"]