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Completed

NCT Number: NCT02871739

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

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.

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Key information

Conditions

Depression Back Pain Behavior Behavioral Symptoms Low Back Pain Neurologic Manifestations Pain Pathological Conditions, Signs and Symptoms Signs and Symptoms

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

About this study

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

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

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

Treatment and study plan

Webinar

Behavioral

1 hour online, interactive webinar that covers shared decision making skills in clinical encounters.

DA viewing

Behavioral

Participants will receive 3 decisions aids to review.

SPI feedback

Behavioral

Rating of shared decision making skills and opportunities for improvement based on transcript of a standardized patient interaction

Primary outcomes

  1. 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.

Sponsors and collaborators

Lead sponsor

Massachusetts General Hospital

Other

Collaborators

  • Partners HealthCare

Registry information

Official study title

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

Important dates

Study start
2016
Primary completion
2016
Study completion
2016
First posted
Aug 18, 2016
Registry last updated
Feb 8, 2019

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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