Introducing the Palliative Care Comprehensive Tool in Family Medicine

Not Applicable

• Conditions: Palliative Care; Primary Care; Satisfaction
• Interventions: Other: Palliative Care Comprehensive Tool

• Registration Number: NCT03267706
• Lead Sponsor: McMaster University

Brief Summary

The purpose of this study is to pilot the introduction of a newly developed palliative care tool to clinicians in a family health team. The intent of the tool is to improve the quality and comprehensiveness of palliative care, which effects caregiver and patient satisfaction with care received, as well as clinician satisfaction with their delivery of care. Tool effectiveness will be evaluated by measuring satisfaction scores of caregivers, patients and clinicians who receive training and access to the tool compared to caregivers, patients and clinicians providing usual care (without the tool). Uptake of the tool and user feedback will be collected

Detailed Description

A newly developed tool to guide clinicians in best palliative care practices was developed based on a combination of published tools and consultation with primary care, end users (clinicians). The tool will be introduced as a pilot to clinicians who will receive training on use of the tool and access to the tool within a family health team in Ontario, Canada. The tool will be applied in a controlled study environment that randomly assigns clinicians to one of two groups. One group will receive training and access to the tool and the other group of clinicians will continue to provide usual care.The tool will be evaluated based on validated satisfaction surveys completed by caregivers, patients and clinicians. Satisfaction scores of those randomly assigned to care enhanced by the tool will be compared to those receiving usual care at the beginning and end of the study. Uptake of the tool will be measured, as well as user experience with the tool (feasibility and acceptability)

Basic Information
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Recruitment & Eligibility
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Study & Design
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Trial Locations

Study Timeline

• Status Verified: 2017-08
• Study First Submitted: 2017-08-29
• Study First Submitted QC: 2017-08-29
• Last Update Submitted: 2017-08-29
• Study First Posted: 2017-08-30
• Last Update Posted: 2017-08-30
• Study Start: 2017-09
• Primary Completion: 2018-03
• Study Completion: 2018-06

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 149

Inclusion Criteria

• Inclusive sample of all clinicians employed at Stonechurch Family Health Centre
• Inclusive sample of all patients over 18 years of age, registered as palliative within Stonechurch Family Health Centre and who are English speaking

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Exclusion Criteria

Patients younger than 18 years of age, patients who are non-English speaking

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Palliative Care Comprehensive Tool	Palliative Care Comprehensive Tool	Clinicians within the study will be randomly assigned and trained on the use of the Palliative Care Comprehensive Tool

Primary Outcome Measures

Name	Time	Method
Caregiver satisfaction	3 months	FAMCARE-2 survey to measure caregiver satisfaction

Secondary Outcome Measures

Name	Time	Method
Patient satisfaction	3 months	FAMCARE-P13
Clinician satisfaction	3 months	Physician Satisfaction with Aspects of Chronic Care (modified)
User feedback	3 months	Acceptability and feasibility of the Palliative Care Comprehensive Tool will be sought using the Clinical Sensibility Questionnaire
Uptake of tool	3 month	Tool implementation will be (rate of tool uptake by clinician)

Trial Locations

Locations (1)

Stonechurch Family Health Centre, Department of Family Medicine McMaster University; 🇨🇦 Hamilton, Ontario, Canada