Implementing Shared Decision Making in Interprofessional Home Care Teams

Aging Clinical Trial

— IPSDM-SW  

Official title:

Implementing Shared Decision Making in Interprofessional Home Care Teams : a Stepped Wedge Cluster Randomized Trial

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT02592525
• Other study ID #: 2015-2016 01-01-E
• Status: Completed
• Phase: N/A
• Start date: November 2015
• Est. completion date: December 2018

Study information

• Verified date: December 2019
• Source: CHU de Quebec-Universite Laval
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

This study will train health providers in home care teams across Quebec in shared decision making about the decision to stay at home or move to another location. This decision is one of the toughest for older Canadians. Decisions that are informed, shared and supported produce better results. An interprofessional approach to shared decision making is when older persons and their caregivers are supported by not just one but by all the professionals involved in their care.The impact of the training program in interprofessional shared decision making (IPSDM) above that of the passive dissemination of a decision guide will be assessed by measuring to what extent older persons caregivers say they took active part in the decision-making process.

Other outcome measures will be:

i) what option they chose, whether they feel conflict or regret about their decision, and the burden of care they feel; ii) the quality of life of clients;

Recruitment information / eligibility

• Status: Completed
• Enrollment: 653
• Est. completion date: December 2018
• Est. primary completion date: December 2018
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: N/A and older

Eligibility

Inclusion Criteria:

Clients or caregivers of clients :

• Aged =65 years;

• Receiving care from the IP home care team of the enrolled CISSS/CIUSSS

• Have made a decision about whether to stay at home or move to another location during the recruitment periods

• Are able to read, understand and write French or English

• Can give informed consent

In the case clients are not able to provide informed consent, their caregiver will be eligible.

Exclusion Criteria:

• Clients who are not able to provide informed consent and who don't have a caregiver

Related Conditions & MeSH terms

• Aging

Intervention

Behavioral:
• IP-SDM training for health professionals
Multifaceted SDM training program for providers: i) 1.5-hour online tutorial, ii) 3.5-hour skills building workshop; iii) video-clip demonstrating SDM in the context of an IP home care team with an aging adult making a decision about location of care (to be used with clients and providers as well); and iv) performance feedback to providers (role play during the workshop).

Locations

Country	Name	City	State
Canada	Centre de recherche sur les soins et les services de première ligne de l'Université Laval (CERSSPL-UL)	Québec	Quebec

Sponsors (2)

Lead Sponsor	Collaborator
CHU de Quebec-Universite Laval	Canadian Institutes of Health Research (CIHR)

Country where clinical trial is conducted

Canada, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Assumed Role in decision making	To assess the proportion of caregivers reporting an active role, a modified version of the Control Preferences Scale designed to assess the role assumed in the decision making process will be used. The scale consists of a single question and is the one most frequently used in studies assessing the implementation of SDM in clinical practice.	7 months
Secondary	Patient involvement in decision making	Assessed with the Dyadic-OPTION scale, a 12-item self-administered instrument that assesses 12 specific SDM behaviours during the decision-making process	7 months
Secondary	Decisional Regret	Assessed with the Decisional Regret Scale	7 months
Secondary	Decisional Conflict	Assessed with the Decisional Conflict Scale	7 months
Secondary	Health-related quality of life	Assessed with two subscales (Social isolation and Emotional reactions) of the HR-QoL questionnaire from the Nottingham Health Profile, clients only	7 months
Secondary	Burden of care	Assessed with the Zarit Burden Inventory Scale (ZBI), caregivers only	7 months
Secondary	Preferred and chosen option (remain at home or move to another location)	Questionnaire assessing the prefered and chosen option	7 months

External Links

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