Impact of Decision Quality by Using Question Prompt List

Status Enrolling by invitation

Clinical Trial Summary

To investigate the effects of a question prompt list (QPL) on a shared decision-making consultation among facing decision for dialysis in end-stage renal disease (ESRD) patients. A randomized controlled trial was conducted at the university medical center of North Taiwan. Subjects were randomized assigned to QPL group or usual care group. Decisional quality and decision control preferences were assessed with questionnaires. Measurements were performed at before the counseling (T0), immediately after counseling (T1), and evaluate decision regret at one month after treatment.

Clinical Trial Description

The aim of this study was to investigate the effectiveness of decisional quality and decisional control preferences by using a specific question prompt list (QPL) during a shared decision-making consultation among facing decision for dialysis in end-stage renal disease (ESRD) patients. A randomized controlled trial was conducted at the university medical center of North Taiwan. Recruit subjects are those who are about to receive the nurse-led coaching of shared decision-making (SDM) for patients with ESRD and attend the program. By using blocked Randomization design, the investigators assigned participants to QPL group or usual care. Prior to a clinic visit to discuss treatment, two-pages ESRD QPL leaflets are provided to QPL group, while usual care group without receiving provision of QPL. Measurements of outcome included decision quality (decision conflict, decisional self-efficiency) and decision control preference at before the counseling (T0), immediately after counseling (T1), and evaluate decision regret at one month after treatment (T2), at this time the patient has decided and started to accept the selected treatment (hemodialysis, peritoneal dialysis or conservative treatment). All statistical analyses were performed in SAS statistical software, version 9.4 (SAS, Cary, NC). The effects of the intervention were assessed by generalized estimating equation (GEE) analysis with the coefficient of interaction ( group × time) term. Statistical tests were two-sided with a significance level of 0.05. Hierarchical Linear Model was used to detect the impact of nested within physician. ;

Study Design

Related Conditions & MeSH terms

Clinical Trial Details

NCT number	NCT04985175
Study type	Interventional
Source	National Taiwan University Hospital
Contact
Status	Enrolling by invitation
Phase	N/A
Start date	August 15, 2021
Completion date	August 31, 2022

View Details

See also
Status	Clinical Trial	Phase
Completed	`NCT01799291` - Cognitive De-Biasing and the Assessment of Pediatric Bipolar Disorder	N/A
Recruiting	`NCT03886025` - Combined Anodal Transcranial Direct Current Stimulation (tDCS) and Cognitive Training and Decision-making	N/A
Completed	`NCT03185715` - Oocyte Recipient's Decision in the Number of Embryos to be Transferred	N/A
Completed	`NCT05974943` - The Effect of Problem Solving and Decision Making Training Given to Nurses Managers	N/A
Terminated	`NCT05024903` - A Novel E-health Platform	Phase 2/Phase 3
Completed	`NCT04509063` - Investigating Public Enthusiasm for Mammography Screening in Denmark	N/A
Completed	`NCT03762239` - Effect of Air Pollution on the Cognitive Function of Adolescents	N/A
Not yet recruiting	`NCT06081842` - Strengthening Contraceptive Counseling Services: Research Protocol for a Multi-phase Complex Intervention in Pakistan and Nigeria	N/A
Completed	`NCT01190488` - Feasibility Of An Advanced Care Decision Aid Among Patients And Physicians_Matlock	N/A
Active, not recruiting	`NCT04466865` - A Communication Tool to Assist Older Adults Facing Dialysis Choices	N/A
Active, not recruiting	`NCT06046625` - Needs and Preferences of Patients With Head-neck Cutaneous SCC
Completed	`NCT03181841` - Effects of PF-06412562 on Value-based Decision-making in Healthy Individuals	Phase 1
Recruiting	`NCT03554694` - Gut-brain Axis, Brain Function, and Behaviour.	N/A
Recruiting	`NCT05201534` - Interventions in Mathematics and Cognitive Skills	N/A
Completed	`NCT04000802` - Evaluation of the Decision-making During Multidisciplinary Meetings for Digestive Cancers
Completed	`NCT04034979` - Evaluation of a Decision Aid About Life-sustaining Therapies	N/A
Active, not recruiting	`NCT05173922` - "Safety in Dementia": An Online Caregiver Intervention	N/A
Withdrawn	`NCT01098864` - Transcranial Magnetic Stimulation of the Prefrontal Cortex: Effects on Risky Decision Making and Temporal Discounting.	N/A
Recruiting	`NCT05364801` - Impact of Anxiety on the Decision-making Processes of Anesthesiologists
Completed	`NCT06355999` - Levari Exp.20: 2D - Partial Feedback	N/A

Clinical trials are conducted in a series of steps, called phases - each phase is designed to answer a separate research question.

Phase 1: Researchers test a new drug or treatment in a small group of people for the first time to evaluate its safety, determine a safe dosage range, and identify side effects.
Phase 2: The drug or treatment is given to a larger group of people to see if it is effective and to further evaluate its safety.
Phase 3: The drug or treatment is given to large groups of people to confirm its effectiveness, monitor side effects, compare it to commonly used treatments, and collect information that will allow the drug or treatment to be used safely.
Phase 4: Studies are done after the drug or treatment has been marketed to gather information on the drug's effect in various populations and any side effects associated with long-term use.