Implementing Shared Decision Making in Interprofessional Home Care Teams : a Stepped Wedge Cluster Randomized Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 653
- 试验地点
- 1
- 主要终点
- Assumed Role in decision making
研究概览
简要总结
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;
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Crossover
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •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.
排除标准
- •Clients who are not able to provide informed consent and who don't have a caregiver
研究组 & 干预措施
Cluster A
IP-SDM training for health professionals (intervention at 4 months)
干预措施: IP-SDM training for health professionals (Behavioral)
Cluster B
IP-SDM training for health professionals (intervention at 11 months)
干预措施: IP-SDM training for health professionals (Behavioral)
Cluster C
IP-SDM training for health professionals (intervention at 18 months)
干预措施: IP-SDM training for health professionals (Behavioral)
Cluster D
IP-SDM training for health professionals (intervention at 25 months)
干预措施: IP-SDM training for health professionals (Behavioral)
结局指标
主要结局
Assumed Role in decision making
时间窗: 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.
次要结局
- Patient involvement in decision making(7 months)
- Decisional Regret(7 months)
- Decisional Conflict(7 months)
- Preferred and chosen option (remain at home or move to another location)(7 months)
- Health-related quality of life(7 months)
- Burden of care(7 months)
研究者
France Legare
Canada Research Chair in Implementation of Shared Decision Making in Primary Care
CHU de Quebec-Universite Laval