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

NCT ID: NCT02871739

Last Updated: 2019-02-08

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

23 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-07-31

Study Completion Date

2016-12-31

Brief Summary

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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

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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

Conditions

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Depression Low Back Pain

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

FACTORIAL

Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

NONE

Study Groups

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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.

Group Type EXPERIMENTAL

DA viewing

Intervention Type BEHAVIORAL

Participants will receive 3 decisions aids to review.

SPI feedback

Intervention Type BEHAVIORAL

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

DA viewing with no SPI Feedback

Group 2 receives three decision aids. This group does not receive any feedback from the SPI.

Group Type EXPERIMENTAL

DA viewing

Intervention Type BEHAVIORAL

Participants will receive 3 decisions aids to review.

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.

Group Type EXPERIMENTAL

Webinar

Intervention Type BEHAVIORAL

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

SPI feedback

Intervention Type BEHAVIORAL

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

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.

Group Type EXPERIMENTAL

Webinar

Intervention Type BEHAVIORAL

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

Interventions

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Webinar

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

Intervention Type BEHAVIORAL

DA viewing

Participants will receive 3 decisions aids to review.

Intervention Type BEHAVIORAL

SPI feedback

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

Intervention Type BEHAVIORAL

Eligibility Criteria

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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
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Partners HealthCare

OTHER

Sponsor Role collaborator

Massachusetts General Hospital

OTHER

Sponsor Role lead

Responsible Party

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Karen Sepucha

Director Health Decision Sciences Center

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Karen Sepucha, PhD

Role: PRINCIPAL_INVESTIGATOR

Massachusetts General Hospital

References

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Legare F, Stacey D, Turcotte S, Cossi MJ, Kryworuchko J, Graham ID, Lyddiatt A, Politi MC, Thomson R, Elwyn G, Donner-Banzhoff N. Interventions for improving the adoption of shared decision making by healthcare professionals. Cochrane Database Syst Rev. 2014 Sep 15;(9):CD006732. doi: 10.1002/14651858.CD006732.pub3.

Reference Type BACKGROUND
PMID: 25222632 (View on PubMed)

Davis D. Does CME work? An analysis of the effect of educational activities on physician performance or health care outcomes. Int J Psychiatry Med. 1998;28(1):21-39. doi: 10.2190/UA3R-JX9W-MHR5-RC81.

Reference Type BACKGROUND
PMID: 9617647 (View on PubMed)

Price EL, Bereknyei S, Kuby A, Levinson W, Braddock CH 3rd. New elements for informed decision making: a qualitative study of older adults' views. Patient Educ Couns. 2012 Mar;86(3):335-41. doi: 10.1016/j.pec.2011.06.006. Epub 2011 Jul 14.

Reference Type BACKGROUND
PMID: 21757315 (View on PubMed)

Other Identifiers

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2016P000470

Identifier Type: -

Identifier Source: org_study_id

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