Study of Advice and Decision-making on Prognosis Using the Judge-advisor System Within Multi-disciplinary Teams (ADJUST)
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 323
- 试验地点
- 1
- 主要终点
- Probability of survival estimate
研究概览
简要总结
This study investigates how clinicians form intuitive judgements about the prognoses of palliative care patients after receiving advice perceived as coming from either a team member or an algorithm.
详细描述
Using the Judge-Advisor System, the investigators will recruit clinicians working in palliative care for adults. Participants will be asked to complete an online survey and review five patient summaries ("vignettes") based on real cases derived from a previous study. Clinicians will be presented with key prognostic information and will be asked to provide an estimate of the probability that the patient will survive for two weeks (0-100%). After providing this initial estimate, participants will receive prognostic advice. While in reality all participants will receive the same advice, participants will be randomised into two groups and these groups will be informed that the advice is either: (1) provided by an algorithm; or (2) provided by a team colleague. Participants will then be given the opportunity to give a second, possibly revised estimate in the light of the advice received.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Other
- 盲法
- Double (Participant, Investigator)
盲法说明
The research team and participants were blind to intervention allocation, whilst the database specialist was not blinded to allocation. Group allocation was only revealed once the database had been locked and analyses had been completed.
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Clinicians working in an adult palliative care service
- •Willing and able to provide written informed consent
排除标准
- 未提供
研究组 & 干预措施
Algorithm Arm
Participants received prognostic advice from a prognostic algorihm.
干预措施: Advice from the PiPS-B14 prognostic tool (Other)
Clinician arm
Participants recieved prognostic advice from another clinician.
干预措施: Advice from another clinician (Other)
结局指标
主要结局
Probability of survival estimate
时间窗: Participants will have up to 7 months (until the study closes) to provide an estimate for each vignette
Clinicians' estimates of the probability of a patient surviving for two weeks (0-100%)
次要结局
- Participants' weighting policies (characteristics of the participants)(Participants will have up to 7 months (until the study closes) to provide an estimate for each vignette)
- Participants' weighting policies (the advice itself)(Participants will have up to 7 months (until the study closes) to provide an estimate for each vignette)