Helping Patients, Families, and Clinicians Make Shared Decisions About Therapies for Dementia
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 100
- 试验地点
- 2
- 主要终点
- Shared Decision Making
研究概览
简要总结
The purpose of this study is to develop a decision aid to support patients and families making decisions about medications for dementia.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Health Services Research
- 盲法
- None
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
- •UCHealth patient
- •Ages 18 y/o and above
- •Documented neurocognitive deficits suggestive of mild cognitive impairment or early dementia as determined by their treating clinician.
- •English or Spanish speaking
- •Ages 18 y/o and above
- •Identified by the study participant as the person who helps the most with their medical care outside the hospital or clinic.
- •English or Spanish speaking
- •Clinicians:
- •Neurologists, primary care clinicians, pharmacists, or psychologists involved in dementia decision-making.
- •English or Spanish speaking
排除标准
- •Not English or Spanish-speaking
- •Neurocognitive deficits suggestive of moderate or severe cognitive impairment or late stage dementia.
- •Not able to consent for themselves
- •Ages 17 y/o and below
- •Not English or Spanish-speaking
- •Clinicians:
- •Neurologists, primary care clinicians, pharmacists, or psychologists involved in dementia decision-making.
- •English or Spanish-speaking
结局指标
主要结局
Shared Decision Making
时间窗: From enrollment at start of year 2 to the end of year 2
To determine the extent that health care providers engage with patients as a part of their shared decision making, specifically looking at the discussion of treatment options and their pros and cons as well as the patient's preferences. Shared Decision Making Process Scale - Higher numbers mean more shared decision making. https://mghdecisionsciences.org/tools-training/sdm-process-survey/
Decisional Conflict
时间窗: From enrollment at start of year 2 to the end of year 2
To access the preliminary efficacy on decisional conflict including personal perceptions of uncertainty in choosing options, factors that contribute to feelings of uncertainty and effective decision making. Decisional Conflict Scale - Higher numbers mean more uncertainty. O'Connor, A. M. (1995). Validation of a decisional conflict scale. Medical decision making, 15(1), 25-30. https://decisionaid.ohri.ca/docs/develop/User\_Manuals/UM\_Decisional\_Conflict.pdf
Decisional Self-Efficacy
时间窗: From enrollment at start of year 2 to the end of year 2
To determine the patient's perception of their self-efficacy in decision making including measuring their self-confidence in their ability to make decisions. Decision Self-Efficacy Scale where higher numbers mean they patient has a higher perception of self-efficacy. https://decisionaid.ohri.ca/docs/develop/Tools/Decision\_SelfEfficacy.pdf
Decisional Conflict
时间窗: From enrollment at start of year 2 to the end of year 2
To access the preliminary efficacy on decisional conflict including personal perceptions of uncertainty in choosing options, factors that contribute to feelings of uncertainty and effective decision making. Decisional Conflict Scale - Higher numbers mean more uncertainty. O'Connor, A. M. (1995). Validation of a decisional conflict scale. Medical decision making, 15(1), 25-30. https://decisionaid.ohri.ca/docs/develop/User\_Manuals/UM\_Decisional\_Conflict.pdf
Shared Decision Making
时间窗: From enrollment at start of year 2 to the end of year 2
To determine the extent that health care providers engage with patients as a part of their shared decision making, specifically looking at the discussion of treatment options and their pros and cons as well as the patient's preferences. Shared Decision Making Process Scale - Higher numbers mean more shared decision making. https://mghdecisionsciences.org/tools-training/sdm-process-survey/
Decisional Self-Efficacy
时间窗: From enrollment at start of year 2 to the end of year 2
To determine the patient's perception of their self-efficacy in decision making including measuring their self-confidence in their ability to make decisions. Decision Self-Efficacy Scale where higher numbers mean they patient has a higher perception of self-efficacy. https://decisionaid.ohri.ca/docs/develop/Tools/Decision\_SelfEfficacy.pdf
次要结局
未报告次要终点