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Clinical Trials/NCT02871739
NCT02871739
Completed
Not Applicable

A Pilot Randomized Trial Comparing Approaches to Shared Decision Making Skills Training for Clinicians

Massachusetts General Hospital0 sites23 target enrollmentJuly 2016

Overview

Phase
Not Applicable
Intervention
Not specified
Conditions
Depression
Sponsor
Massachusetts General Hospital
Enrollment
23
Primary Endpoint
Change in Braddock's Informed Decision Making Score
Status
Completed
Last Updated
7 years ago

Overview

Brief Summary

The Health Decision Sciences Center (HDSC) staff has deployed different approaches to training clinicians to engage patients in shared decision making for common medical tests and treatments. The purpose of the study is to compare the effectiveness of shared decision making (SDM) skills training courses using standardized patient interactions (SPI) and written evaluations.

Detailed Description

There is limited evidence on approaches to training clinicians to engage patients in shared decision making for common medical tests and treatments. The purpose of the study is to compare the effectiveness of different approaches to shared decision making (SDM) skills training. Participants will be randomly assigned to either receive two decision aids or a webinar to review. Participants will also be randomly assigned to receive feedback on standardized patient interaction rating their shared decision making skills and highlighting opportunities for improvement or not. Clinician participants will be assigned to one of four intervention groups using a 2x2 factorial design: Group 1: Decision aid viewing with feedback Group 2: Decision aid viewing and no feedback Group 3: webinar with feedback Group 4: webinar and no feedback The pilot study will provide evidence on the comparative effectiveness and feasibility on training formats to determine if: * Clinicians improved in SDM communication skills * Clinicians have an increased confidence to use SDM with their patients * The training is acceptable to clinicians

Registry
clinicaltrials.gov
Start Date
July 2016
End Date
December 2016
Last Updated
7 years ago
Study Type
Interventional
Study Design
Factorial
Sex
All

Investigators

Responsible Party
Principal Investigator
Principal Investigator

Karen Sepucha

Director Health Decision Sciences Center

Massachusetts General Hospital

Eligibility Criteria

Inclusion Criteria

  • Adults 18 and older
  • English speaking
  • Physician
  • Nurse Practitioner
  • Physician Assistant
  • Registered Nurse

Exclusion Criteria

  • Not clinically active (research faculty only)
  • Medical Trainees
  • Medical Students
  • Medical Assistants
  • Social Workers

Outcomes

Primary Outcomes

Change in Braddock's Informed Decision Making Score

Time Frame: Baseline (before intervention) and 4-6 weeks (after intervention)

Transcripts from standardized patient interactions (SPI) will be scored using Braddock's Informed Decision Making (IDM) framework to assess shared decision making skills. Scores with the Braddock's Informed Decision Making Framework range from 0 to 9; the higher scores are better. We subtracted the scores of the baseline SPI collected before the intervention from the second SPI collected 4-6 weeks later, after the intervention, to determine the change in IDM score for each participant and then compared change scores across study arms.

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