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Completed

NCT Number: NCT05835063

A Study to Improve Physician-Youth Communication and Medical Decision Making

The goal of this study is improving patient-centered communication for young people with advanced heart disease.

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Key information

Conditions

Heart Failure NYHA Class II Heart Failure NYHA Class III Heart Failure NYHA Class IV

Age range

12 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

University of Michigan

Ann Arbor, Michigan, 48109, United States

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Physician Inclusion Criteria:

  • Physician participants will be recruited from the Division of Pediatric Cardiology at the University of Michigan. All physicians with dedicated clinical effort will be eligible.
  • Eligible physicians must anticipate remaining on staff >1 year

Patient/Caregiver Inclusion Criteria:

  • Patients 12-24 years old with heart failure symptoms meeting criteria for New York Heart Association (NYHA) Class II - IV heart failure
  • One parent/caregiver of patient participants meeting inclusion criteria will also be eligible

Physician Exclusion Criteria:

  • Not a physician at University of Michigan in the Division of Pediatric Cardiology

Patient/Caregiver Exclusion Criteria:

  • Patients with significant cognitive/developmental delay with potential to impact study participation will be excluded from the study due to the focus on physician-youth communication.
  • Parents and parent/caregivers that are non-English speaking will be excluded from this pilot study.

Treatment and study plan

We Chatt communication tool

Behavioral

This arm involves the collaborative completion of a 2-page communication preferences document between a primary physician and an adolescent/young adult patient. Physicians will participate in a 1-hour training led by study principal investigator featuring didactic, multimedia, and experiential-based learning to support the facilitation of the WE CHATT intervention with patients.

Usual/standard care

Behavioral

Usual/standard care will be provided. Physicians randomized to the control arm will not receive training in the WE CHATT communication intervention.

Primary outcomes

  1. Physician Overall Satisfaction With the We Chatt Intervention Based on the Post Clinician Survey

    Time frame: 2 weeks (after intervention)

    Satisfaction was based on the answers for 12 questions in which clinicians selected from a Likert scale from strongly disagree (1) -Strongly agree (5). The scores ranged from 12-60; higher scores indicated greater satisfaction.

  2. Patient/Caregiver Overall Satisfaction With the We Chatt Intervention Based on the Patient/Caregiver Survey

    Time frame: 2 weeks (after intervention)

    Parent/Caregiver completed 12 questions in which participants selected from a Likert scale from Strongly disagree (1) to Strongly agree (5). The scores ranged from 12-60; higher scores indicated greater satisfaction.

Secondary outcomes

  1. Physician Satisfaction With the We Chatt Intervention From Physicians Based on the Post Clinician Survey

    Time frame: 2 weeks (after intervention)

    Physicians answered 1 question on a scale from 0 to 10 (with 0 being worst and 10 being best)

  2. Patient/Caregiver Satisfaction With the We Chatt Intervention Based on the Patient/Caregiver Survey

    Time frame: 2 weeks (after intervention)

    Patient/Caregiver answered 1 question on a scale from 0 to 10 (with 0 being worst and 10 being best)

  3. Time (Measured in Minutes) to Complete We Chatt the Intervention by Clinicians

    Time frame: 30 minutes (approximately)

    Number of minutes to complete the intervention was collected on clinician survey.

Sponsors and collaborators

Lead sponsor

University of Michigan

Other

Collaborators

  • National Heart, Lung, and Blood Institute (NHLBI)

Registry information

Official study title

We Chatt (Communication, Hopes, Action, Tips and Team) A Study to Improve Physician-Youth Communication and Medical Decision Making

Acronym: CHATT

Important dates

Study start
2023
Primary completion
2024
Study completion
2024
First posted
Apr 28, 2023
Registry last updated
Jun 18, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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