Implementing Shared Decision Making in Interprofessional Home Care Teams

NCT ID: NCT02592525

Last Updated: 2019-12-20

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

653 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-11-30

Study Completion Date

2018-12-31

Brief Summary

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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;

Detailed Description

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Conditions

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Aging

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

NONE

Study Groups

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Cluster A

IP-SDM training for health professionals (intervention at 4 months)

Group Type EXPERIMENTAL

IP-SDM training for health professionals

Intervention Type 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).

Cluster B

IP-SDM training for health professionals (intervention at 11 months)

Group Type EXPERIMENTAL

IP-SDM training for health professionals

Intervention Type 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).

Cluster C

IP-SDM training for health professionals (intervention at 18 months)

Group Type EXPERIMENTAL

IP-SDM training for health professionals

Intervention Type 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).

Cluster D

IP-SDM training for health professionals (intervention at 25 months)

Group Type EXPERIMENTAL

IP-SDM training for health professionals

Intervention Type 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).

Interventions

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IP-SDM training for health professionals

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).

Intervention Type BEHAVIORAL

Eligibility Criteria

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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
Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Canadian Institutes of Health Research (CIHR)

OTHER_GOV

Sponsor Role collaborator

CHU de Quebec-Universite Laval

OTHER

Sponsor Role lead

Responsible Party

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France Legare

Canada Research Chair in Implementation of Shared Decision Making in Primary Care

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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France Légaré, Ph. D.

Role: PRINCIPAL_INVESTIGATOR

Laval University

Locations

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

Québec, Quebec, Canada

Site Status

Countries

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Canada

References

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Adisso EL, Taljaard M, Stacey D, Briere N, Zomahoun HTV, Durand PJ, Rivest LP, Legare F. Shared Decision-Making Training for Home Care Teams to Engage Frail Older Adults and Caregivers in Housing Decisions: Stepped-Wedge Cluster Randomized Trial. JMIR Aging. 2022 Sep 20;5(3):e39386. doi: 10.2196/39386.

Reference Type DERIVED
PMID: 35759791 (View on PubMed)

Legare F, Briere N, Stacey D, Lacroix G, Desroches S, Dumont S, Fraser KD, Rivest LP, Durand PJ, Turcotte S, Taljaard M, Bourassa H, Roy L, Painchaud Guerard G. Implementing shared decision-making in interprofessional home care teams (the IPSDM-SW study): protocol for a stepped wedge cluster randomised trial. BMJ Open. 2016 Nov 24;6(11):e014023. doi: 10.1136/bmjopen-2016-014023.

Reference Type DERIVED
PMID: 27884857 (View on PubMed)

Related Links

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Other Identifiers

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2015-2016 01-01-E

Identifier Type: -

Identifier Source: org_study_id