A Pilot Randomized Trial Comparing Approaches to Shared Decision Making Skills Training for Clinicians
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 23
- 主要终点
- Change in Braddock's Informed Decision Making Score
研究概览
简要总结
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.
详细描述
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
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Factorial
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Adults 18 and older
- •English speaking
- •Physician
- •Nurse Practitioner
- •Physician Assistant
- •Registered Nurse
排除标准
- •Not clinically active (research faculty only)
- •Medical Trainees
- •Medical Students
- •Medical Assistants
- •Social Workers
研究组 & 干预措施
DA viewing with SPI Feedback
Group 1 receives three decision aids and feedback on their standardized patient (SPI) interaction rating their shared decision making skills and highlighting opportunities for improvement.
干预措施: DA viewing (Behavioral)
DA viewing with SPI Feedback
Group 1 receives three decision aids and feedback on their standardized patient (SPI) interaction rating their shared decision making skills and highlighting opportunities for improvement.
干预措施: SPI feedback (Behavioral)
DA viewing with no SPI Feedback
Group 2 receives three decision aids. This group does not receive any feedback from the SPI.
干预措施: DA viewing (Behavioral)
Webinar with SPI Feedback
Group 3 receives an online, interactive webinar that focuses on SDM skills in clinical encounters and feedback on their standardized patient (SPI) interaction rating their shared decision making skills and highlighting opportunities for improvement.
干预措施: Webinar (Behavioral)
Webinar with SPI Feedback
Group 3 receives an online, interactive webinar that focuses on SDM skills in clinical encounters and feedback on their standardized patient (SPI) interaction rating their shared decision making skills and highlighting opportunities for improvement.
干预措施: SPI feedback (Behavioral)
Webinar with no SPI Feedback
Group 4 receives an online, interactive webinar that focuses on SDM skills in clinical encounters. This group does not receive any feedback from the SPI.
干预措施: Webinar (Behavioral)
结局指标
主要结局
Change in Braddock's Informed Decision Making Score
时间窗: 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.
次要结局
未报告次要终点
研究者
Karen Sepucha
Director Health Decision Sciences Center
Massachusetts General Hospital