Introducing the Palliative Care Comprehensive Tool in Family Medicine

Palliative Care Clinical Trial

Official title:

Introducing the Comprehensive Palliative Care Tool in Family Medicine : A Pilot Randomized Controlled Trial

Clinical Trial Details — Status: Not yet recruiting

Administrative data

• NCT number: NCT03267706
• Other study ID #: PaCCT
• Status: Not yet recruiting
• Phase: N/A
• First received: August 29, 2017
• Last updated: August 29, 2017
• Start date: September 2017
• Est. completion date: June 2018

Study information

• Verified date: August 2017
• Source: McMaster University
• Contact: Sarah Xu, MD
• Phone: 9055751300
• Email: sarah.xu[@]medportal.ca
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The purpose of this study is to pilot the introduction of a newly developed palliative care tool to clinicians in a family health team. The intent of the tool is to improve the quality and comprehensiveness of palliative care, which effects caregiver and patient satisfaction with care received, as well as clinician satisfaction with their delivery of care. Tool effectiveness will be evaluated by measuring satisfaction scores of caregivers, patients and clinicians who receive training and access to the tool compared to caregivers, patients and clinicians providing usual care (without the tool). Uptake of the tool and user feedback will be collected

Description:

A newly developed tool to guide clinicians in best palliative care practices was developed based on a combination of published tools and consultation with primary care, end users (clinicians). The tool will be introduced as a pilot to clinicians who will receive training on use of the tool and access to the tool within a family health team in Ontario, Canada. The tool will be applied in a controlled study environment that randomly assigns clinicians to one of two groups. One group will receive training and access to the tool and the other group of clinicians will continue to provide usual care.The tool will be evaluated based on validated satisfaction surveys completed by caregivers, patients and clinicians. Satisfaction scores of those randomly assigned to care enhanced by the tool will be compared to those receiving usual care at the beginning and end of the study. Uptake of the tool will be measured, as well as user experience with the tool (feasibility and acceptability)

Recruitment information / eligibility

• Status: Not yet recruiting
• Enrollment: 149
• Est. completion date: June 2018
• Est. primary completion date: March 2018
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• Inclusive sample of all clinicians employed at Stonechurch Family Health Centre

• Inclusive sample of all patients over 18 years of age, registered as palliative within Stonechurch Family Health Centre and who are English speaking

Exclusion Criteria: Patients younger than 18 years of age, patients who are non-English speaking

Related Conditions & MeSH terms

• Palliative Care
• Primary Care
• Satisfaction

Intervention

Other:
• Palliative Care Comprehensive Tool
Clinicians assigned to the newly developed Palliative Care Comprehensive Tool will be trained during a 1 hour period on the application of the tool; Including rationale for tool development, objective of the tool and demonstration of the tool in action

Locations

Country	Name	City	State
Canada	Stonechurch Family Health Centre, Department of Family Medicine McMaster University	Hamilton	Ontario

Sponsors (1)

Lead Sponsor	Collaborator
McMaster University

Country where clinical trial is conducted

Canada, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Caregiver satisfaction	FAMCARE-2 survey to measure caregiver satisfaction	3 months
Secondary	Patient satisfaction	FAMCARE-P13	3 months
Secondary	Clinician satisfaction	Physician Satisfaction with Aspects of Chronic Care (modified)	3 months
Secondary	User feedback	Acceptability and feasibility of the Palliative Care Comprehensive Tool will be sought using the Clinical Sensibility Questionnaire	3 months
Secondary	Uptake of tool	Tool implementation will be (rate of tool uptake by clinician)	3 month