Advance Care Planning in Primary Care: a Cluster Randomized Clinical Trial
NCT ID: NCT04867005
Last Updated: 2021-04-30
Study Results
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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COMPLETED
NA
10 participants
INTERVENTIONAL
2019-09-01
2020-04-01
Brief Summary
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Aim: To measure the effectiveness of a training program on ACP in Primary healthcare professionals in a population area of Catalonia. Design: Cluster Randomized clinical trial with a measure of pre-post effectiveness between groups of intervention based on the measurement of self-efficacy in advance care planning. Scope: Barcelona Nord and Maresme (BNM). Population: Primary care doctors and nurses. Sample: doctors and nurses from the Primary Care Service (SAP) of the BNM. The study is divided into 3 phases: 1) Planning: training design, randomization and parallel assignment in 2 arms, online training versus online and face-to-face training; 2) Implementation: data collection pre-intervention and training; 3) Evaluation: post data collection (1 follow-up 4 months after recruitment/ after training) and data analysis. Intervention: both arms (A and B) will carry out the online training which consists of a 10 hours course. Arm B will also do the 6-hour face-to-face workshop, divided into two sessions of 3 hours. Primary outcome: ACP Self-efficacy (using a validated scale Advance Care Planning-Self Efficacy Spanish (ACP\_SEs). Secondary outcomes: Socio-demographic: age, gender, years of professional experience and in the professional field, previous knowledge in ACP, previous training in ACP; training Satisfaction; ACP Registration Variables in the medical records of patients identified as chronic advanced patients:% clinical records with ACP processes registration, identification of the surrogate decision-maker, values, preferences, and specific decisions records, identification of the place of care and of death preferred, adequacy of the place of death in case of death. Analysis: calculation of the sample applying correction values for the cluster effect; mean, median, range, confidence interval, and standard deviation of quantitative variables and absolute and relative frequency of qualitative variables. Pre- and post-comparison for the measurement of variance (ANOVA) resulting between the intervention groups from the chi-square test; multivariate logistic regression model and 5% significance level
Detailed Description
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Conditions
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Keywords
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Study Design
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RANDOMIZED
PARALLEL
HEALTH_SERVICES_RESEARCH
NONE
Study Groups
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Online traininig group. A
This arm included 5 primary care teams, that carried out a 10 hours online course.
Impact of a training program
Measurement of the effectiveness of a training program based on the skills and knowledge learning on advance care planning. A 10 hours online course was administered to both arms through an online platform; the 6 hours face-to-face course was administered to each primary care team (5) included in this arm. The 6 hours course was split into 2 sessions of 3 hours each.
online and face-to-face training group. B
This arm included 5 primary care teams, that carried out a 10 hours online course plus a 6h hours face-to-face course
Impact of a training program
Measurement of the effectiveness of a training program based on the skills and knowledge learning on advance care planning. A 10 hours online course was administered to both arms through an online platform; the 6 hours face-to-face course was administered to each primary care team (5) included in this arm. The 6 hours course was split into 2 sessions of 3 hours each.
Interventions
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Impact of a training program
Measurement of the effectiveness of a training program based on the skills and knowledge learning on advance care planning. A 10 hours online course was administered to both arms through an online platform; the 6 hours face-to-face course was administered to each primary care team (5) included in this arm. The 6 hours course was split into 2 sessions of 3 hours each.
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
* Being a doctor or a nurse working at the primary care teams recruited.
* 280 will take part in the study, belonging to the 10 primary care teams recruited.
• Being teams that share Primary Care Center, in order to avoid contamination between clusters as long as they share patient assignment.
* Professionals who refuse to be part of the study.
18 Years
ALL
No
Sponsors
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University of Vic - Central University of Catalonia
OTHER
Responsible Party
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Cristina Lasmarias
PhD
Locations
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Eap Arenys de Mar
Arenys de Mar, Barcelona, Spain
Eap Gatassa - Mataró 6
Mataró, Barcelona, Spain
Eap La Riera - Mataró-1
Mataró, Barcelona, Spain
Eap Rocafonda-El Palau - Mataró 3
Mataró, Barcelona, Spain
Eap Ronda Cerdanya - Mataró 5
Mataró, Barcelona, Spain
Eap Ronda Prim - Mataró 7
Mataró, Barcelona, Spain
Eap Premià de Mar
Premià de Mar, Barcelona, Spain
Eap Sant Andreu de Llavaneres
Sant Andreu de Llavaneres, Barcelona, Spain
Eap Vilassar de Dalt
Vilassar de Dalt, Barcelona, Spain
Eap Vilassar de Mar
Vilassar de Mar, Barcelona, Spain
Countries
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Other Identifiers
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PDA001
Identifier Type: -
Identifier Source: org_study_id