NCT05168579

Developing a Deliberate Practice Intervention to Recalibrate Physician Heuristics in Trauma Triage

Completed NA Results posted Last updated 5 April 2023

What this trial tests

NA trial testing Deliberate practice in Trauma Injury in 72 participants. Completed in 1 December 2022.

Timeline

15 December 2021

Primary endpoint
11 March 2022

1 December 2022

Quick facts

Lead sponsor	University of Pittsburgh
Phase	NA
Status	Completed
Study type	INTERVENTIONAL
Allocation	randomized
Design	parallel
Masking	single
Primary purpose	treatment
Enrollment	72
Start date	15 December 2021
Primary completion	11 March 2022
Estimated completion	1 December 2022
Sites	1 location across United States

Drugs / interventions tested

• Deliberate practice

Conditions studied

• Trauma Injury — all drugs for Trauma Injury →

Sponsor

University of Pittsburgh

Who can join

Adults 25 to 70, any sex, with Trauma Injury. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Percentage of Participants Who Signed up for the Intervention That Completed All 3 Coaching Sessions. Primary · 3 week intervention period

A summary of the number of trainees who signed up for coaching sessions and completed all three sessions as assigned.

Group	Value	95% CI
Deliberate Practice	28
Control	0
Deliberate Practice	2
Control	0
Deliberate Practice	0
Control	0
Deliberate Practice	6
Control	36

Under-triage Secondary · 3 weeks post-intervention (deliberate practice) or 3 weeks post-enrollment (control)

Proportion of severely injured patients NOT transferred to trauma centers/total number of severely injured patients evaluated during a validated virtual simulation

Group	Value	95% CI
Control	0.85	± 0.36
Deliberate Practice	0.51	± 0.50

Number of Participants Who Describe Coaching as Acceptable. Secondary · 2- weeks post intervention

Derived from semi-structured interviews conducted by members of the investigative team at the conclusion of the 3 week training period. These interviews will focus on participant perceptions of the acceptability of the intervention.

Group	Value	95% CI
Deliberate Practice	26
Control	0
Deliberate Practice	2
Control	0
Deliberate Practice	2
Control	0
Deliberate Practice	6
Control	36

Sponsor's own description

The objective of this study is to test the feasibility of using deliberate practice - goal-oriented training in the presence of a coach who can provide personalized, immediate feedback - to increase engagement. The research design involves recruitment of a national convenience sample of board-certified emergency physicians who will serve as trainees (n=30), pairing of the trainees with a coach, delivery of three 30-minute coaching sessions using the existing games as the training task, and assessment of the effect of the combined intervention on performance in the laboratory. The specific aims are:

1. To assess the fidelity of intervention delivery by measuring coaching skill acquisition, coaching skill drift and protocol adherence.
2. To assess the potential effect size of the intervention by comparing trainee performance on a validated virtual simulation with a control group of physicians (n=30).
3. To assess the acceptability of the intervention by using a mixture of validated instruments and semi-structured debriefing interviews with trainees to assess their engagement with the intervention.

Publications & conference data

2 peer-reviewed publications reference this trial (live from Europe PMC):

1. Testing the feasibility, acceptability, and preliminary effect of a novel deliberate practice intervention to reduce diagnostic error in trauma triage: a study protocol for a randomized pilot trial.
   Mohan D, Elmer J, Arnold RM, Forsythe RM, et al · · 2022 · cited 3× · PMID 36510328 · DOI 10.1186/s40814-022-01212-y
2. Testing a Novel Deliberate Practice Intervention to Improve Diagnostic Reasoning in Trauma Triage: A Pilot Randomized Clinical Trial.
   Mohan D, Elmer J, Arnold RM, Forsythe RM, et al · · 2023 · cited 2× · PMID 37195666 · DOI 10.1001/jamanetworkopen.2023.13569