Implementing Shared Decision Making in Interprofessional Home Care Teams

Not Applicable

Completed

• Conditions: Aging

• Registration Number: NCT02592525
• Lead Sponsor: CHU de Quebec-Universite Laval

Brief Summary

This study will train health providers in home care teams across Quebec in shared decision making about the decision to stay at home or move to another location. This decision is one of the toughest for older Canadians. Decisions that are informed, shared and supported produce better results. An interprofessional approach to shared decision making is when older persons and their caregivers are supported by not just one but by all the professionals involved in their care.The impact of the training program in interprofessional shared decision making (IPSDM) above that of the passive dissemination of a decision guide will be assessed by measuring to what extent older persons caregivers say they took active part in the decision-making process.

Other outcome measures will be:

i) what option they chose, whether they feel conflict or regret about their decision, and the burden of care they feel; ii) the quality of life of clients;

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2015-10-28
• Study First Submitted QC: 2015-10-29
• Study First Posted: 2015-10-30
• Study Start: 2015-11
• Primary Completion: 2018-12
• Study Completion: 2018-12
• Status Verified: 2019-12
• Last Update Submitted: 2019-12-18
• Last Update Posted: 2019-12-20

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 653

Inclusion Criteria

Clients or caregivers of clients :

• Aged ≥65 years;
• Receiving care from the IP home care team of the enrolled CISSS/CIUSSS
• Have made a decision about whether to stay at home or move to another location during the recruitment periods
• Are able to read, understand and write French or English
• Can give informed consent

In the case clients are not able to provide informed consent, their caregiver will be eligible.

Exclusion Criteria

• Clients who are not able to provide informed consent and who don't have a caregiver

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: CROSSOVER

Primary Outcome Measures

Name	Time	Method
Assumed Role in decision making	7 months	To assess the proportion of caregivers reporting an active role, a modified version of the Control Preferences Scale designed to assess the role assumed in the decision making process will be used. The scale consists of a single question and is the one most frequently used in studies assessing the implementation of SDM in clinical practice.

Secondary Outcome Measures

Name	Time	Method
Patient involvement in decision making	7 months	Assessed with the Dyadic-OPTION scale, a 12-item self-administered instrument that assesses 12 specific SDM behaviours during the decision-making process
Decisional Regret	7 months	Assessed with the Decisional Regret Scale
Decisional Conflict	7 months	Assessed with the Decisional Conflict Scale
Preferred and chosen option (remain at home or move to another location)	7 months	Questionnaire assessing the prefered and chosen option
Health-related quality of life	7 months	Assessed with two subscales (Social isolation and Emotional reactions) of the HR-QoL questionnaire from the Nottingham Health Profile, clients only
Burden of care	7 months	Assessed with the Zarit Burden Inventory Scale (ZBI), caregivers only

Trial Locations

Locations (1)

Centre de recherche sur les soins et les services de première ligne de l'Université Laval (CERSSPL-UL); 🇨🇦 Québec, Quebec, Canada