Exploring Self-regulatory Processes in Anesthesiologists During Massive Transfusion

Not Applicable

• Conditions: Self-regulation; Forethought; Performance
• Interventions: Other: Prompting forethought

• Registration Number: NCT02199210
• Lead Sponsor: Unity Health Toronto

Brief Summary

The purpose of the project is to investigate the function of self-regulatory processes in anesthesiologists and how application of these processes influence performance in a crisis situation.The investigators intend to explore specifically the first phase of self-regulation, i.e. the forethought phase which describes processes related to strategic planning, goal setting, goal orientation, and outcome expectation. The investigators hypothesize that prompting forethought before engaging in a simulated massive transfusion crisis situation will result in better task performance in anesthesiologists.

Detailed Description

The investigators will conduct 3 studies building on each other.

* Pilot Study: the purpose of this study is to develop measurement tools for forethought, performance and a tool for prompting forethought. This study will include 2 attending anesthesiologists and 2 anesthesia residents (PGY2, 5).

* Study I: the purpose of this study is to validate the measurement tools for forethought, performance and the tool for prompting forethought. This will include 6 attending anesthesiologists, 6 PGY5 and 6 PGY2 anesthesia residents.

* Study II: the purpose of this study is to investigate if prompting forethought in anesthesia residents will result in better performance in a simulated massive transfusion than no prompting.

Study Timeline

• Study First Submitted: 2014-07-21
• Study First Submitted QC: 2014-07-23
• Study First Posted: 2014-07-24
• Study Start: 2014-08
• Status Verified: 2016-08
• Primary Completion: 2016-08
• Study Completion: 2016-08
• Last Update Submitted: 2016-08-09
• Last Update Posted: 2016-08-10

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 40

Inclusion Criteria

• Pilot study: attending anesthesiologists at St. Michael's Hospital , PGY5, PGY2 anesthesia residents at University of Toronto
• Study I: attending anesthesiologists at St. Michael's Hospital, PGY5, PGY2 anesthesia residents at University of Toronto
• Study II: PGY2, PGY3, PGY4 anesthesia residents at University of Toronto

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Exclusion Criteria

• Refusal to take part in the study

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Prompting forethought	Prompting forethought	A demographic questionnaire will be filled out by each participant. After randomization, participants will be presented with the background information of the simulated scenario.Subsequently: * participants forethought will be prompted and each participant will be asked to report his/her forethought, * participants then will be asked to manage a simulated massive transfusion scenario, * at completion of the scenario, each participant will undergo individualized debriefing and a syllabus on massive transfusion will be briefly discussed with them and also provided as a reading material for learning.

Primary Outcome Measures

Name	Time	Method
Performance in managing simulated massive transfusion scenario	Each individual's performance will be video recorded and subsequently evaluated within 8 weeks.	Task specific performance tool will be developed in the Pilot study and will be validated in Study I. Each performance will be video recorded and two independent, blinded rater will evaluate the videos and assess performance. Performance assessment tool will be numerical including a 1-5 point scale for each performance element and a Global Rating Scale. Difference between massive transfusion management performance will be compared in anesthesia residents whose forethought is prompted to residents who don't receive prompting.

Secondary Outcome Measures

Name	Time	Method
Correlation between forethought scores and performance scores.	Forethought scores and performance scores will be determined within 8 weeks after individuals participated in the study.	The investigators will determine if quality of forethought relates to quality of performance in anesthesia residents managing the simulated massive transfusion scenario. The Pilot study and Study I will be used to develop and validate a scoring form for forethought. This will include scores (1-5) for each forethought elements (strategic planning, goal setting, goal orientation, imaginary, outcome expectation) and a GRS (1-5).

Trial Locations

Locations (1)

St. Michael's Hospital; 🇨🇦 Toronto, Ontario, Canada