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Completed

NCT Number: NCT02592525

Implementing Shared Decision Making in Interprofessional Home Care Teams

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;

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Key information

Conditions

Aging

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Centre de recherche sur les soins et les services de première ligne de l'Université Laval (CERSSPL-UL)

Québec, Quebec, G1J 0A4, Canada

Who can participate

Healthy volunteers accepted: Yes

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

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

Treatment and study plan

IP-SDM training for health professionals

Behavioral

Multifaceted SDM training program for providers: i) 1.5-hour online tutorial, ii) 3.5-hour skills building workshop; iii) video-clip demonstrating SDM in the context of an IP home care team with an aging adult making a decision about location of care (to be used with clients and providers as well); and iv) performance feedback to providers (role play during the workshop).

Primary outcomes

  1. Assumed Role in decision making

    Time frame: 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 outcomes

  1. Patient involvement in decision making

    Time frame: 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

  2. Decisional Regret

    Time frame: 7 months

    Assessed with the Decisional Regret Scale

  3. Decisional Conflict

    Time frame: 7 months

    Assessed with the Decisional Conflict Scale

  4. Health-related quality of life

    Time frame: 7 months

    Assessed with two subscales (Social isolation and Emotional reactions) of the HR-QoL questionnaire from the Nottingham Health Profile, clients only

  5. Burden of care

    Time frame: 7 months

    Assessed with the Zarit Burden Inventory Scale (ZBI), caregivers only

  6. Preferred and chosen option (remain at home or move to another location)

    Time frame: 7 months

    Questionnaire assessing the prefered and chosen option

Sponsors and collaborators

Lead sponsor

CHU de Quebec-Universite Laval

Other

Collaborators

  • Canadian Institutes of Health Research (CIHR)

Registry information

Official study title

Implementing Shared Decision Making in Interprofessional Home Care Teams : a Stepped Wedge Cluster Randomized Trial

Acronym: IPSDM-SW

Important dates

Study start
2015
Primary completion
2018
Study completion
2018
First posted
Oct 30, 2015
Registry last updated
Dec 20, 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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