A Trial Comparing Approaches to Shared Decision Making Skills Training for Clinicians

Depression Clinical Trial

Official title:

A Pilot Randomized Trial Comparing Approaches to Shared Decision Making Skills Training for Clinicians

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT02871739
• Other study ID #: 2016P000470
• Status: Completed
• Phase: N/A
• Start date: July 2016
• Est. completion date: December 2016

Study information

• Verified date: September 2018
• Source: Massachusetts General Hospital
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The Health Decision Sciences Center (HDSC) staff has deployed different approaches to training clinicians to engage patients in shared decision making for common medical tests and treatments. The purpose of the study is to compare the effectiveness of shared decision making (SDM) skills training courses using standardized patient interactions (SPI) and written evaluations.

Description:

There is limited evidence on approaches to training clinicians to engage patients in shared decision making for common medical tests and treatments. The purpose of the study is to compare the effectiveness of different approaches to shared decision making (SDM) skills training. Participants will be randomly assigned to either receive two decision aids or a webinar to review. Participants will also be randomly assigned to receive feedback on standardized patient interaction rating their shared decision making skills and highlighting opportunities for improvement or not. Clinician participants will be assigned to one of four intervention groups using a 2x2 factorial design:

Group 1: Decision aid viewing with feedback Group 2: Decision aid viewing and no feedback Group 3: webinar with feedback Group 4: webinar and no feedback

The pilot study will provide evidence on the comparative effectiveness and feasibility on training formats to determine if:

• Clinicians improved in SDM communication skills

• Clinicians have an increased confidence to use SDM with their patients

• The training is acceptable to clinicians

Recruitment information / eligibility

• Status: Completed
• Enrollment: 23
• Est. completion date: December 2016
• Est. primary completion date: December 2016
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• Adults 18 and older

• English speaking

• Physician

• Nurse Practitioner

• Physician Assistant

• Registered Nurse

Exclusion Criteria:

• Not clinically active (research faculty only)

• Medical Trainees

• Medical Students

• Medical Assistants

• Social Workers

Related Conditions & MeSH terms

• Back Pain
• Depression
• Low Back Pain

Intervention

Behavioral:
• Webinar
1 hour online, interactive webinar that covers shared decision making skills in clinical encounters.
• DA viewing
Participants will receive 3 decisions aids to review.
• SPI feedback
Rating of shared decision making skills and opportunities for improvement based on transcript of a standardized patient interaction

Locations

Country	Name	City	State
n/a

Sponsors (2)

Lead Sponsor	Collaborator
Massachusetts General Hospital	Partners HealthCare

References & Publications (3)

Davis D. Does CME work? An analysis of the effect of educational activities on physician performance or health care outcomes. Int J Psychiatry Med. 1998;28(1):21-39. Review. — View Citation

Légaré F, Stacey D, Turcotte S, Cossi MJ, Kryworuchko J, Graham ID, Lyddiatt A, Politi MC, Thomson R, Elwyn G, Donner-Banzhoff N. Interventions for improving the adoption of shared decision making by healthcare professionals. Cochrane Database Syst Rev. 2014 Sep 15;(9):CD006732. doi: 10.1002/14651858.CD006732.pub3. Review. Update in: Cochrane Database Syst Rev. 2018 Jul 19;7:CD006732. — View Citation

Price EL, Bereknyei S, Kuby A, Levinson W, Braddock CH 3rd. New elements for informed decision making: a qualitative study of older adults' views. Patient Educ Couns. 2012 Mar;86(3):335-41. doi: 10.1016/j.pec.2011.06.006. Epub 2011 Jul 14. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Change in Braddock's Informed Decision Making Score	Transcripts from standardized patient interactions (SPI) will be scored using Braddock's Informed Decision Making (IDM) framework to assess shared decision making skills. Scores with the Braddock's Informed Decision Making Framework range from 0 to 9; the higher scores are better. We subtracted the scores of the baseline SPI collected before the intervention from the second SPI collected 4-6 weeks later, after the intervention, to determine the change in IDM score for each participant and then compared change scores across study arms.	Baseline (before intervention) and 4-6 weeks (after intervention)