An interventional study of IP-SDM training for health professionals in Aging, sponsored by CHU de Quebec-Universite Laval. Completed at 1 site in Canada. Per ClinicalTrials.gov, last updated 2019-12-20.
Sponsored by CHU de Quebec-Universite Laval · Not applicable, Interventional, and Health services research
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;
CHU de Quebec-Universite Laval is the lead sponsor of 134 studies on the registry; 27 are open to participants now.
Counted across the registry records on this site, refreshed daily.
Clients or caregivers of clients :
In the case clients are not able to provide informed consent, their caregiver will be eligible.
Exclusion Criteria:
IP-SDM training for health professionals (intervention at 4 months)
Behavioral: IP-SDM training for health professionals
IP-SDM training for health professionals (intervention at 11 months)
Behavioral: IP-SDM training for health professionals
IP-SDM training for health professionals (intervention at 18 months)
Behavioral: IP-SDM training for health professionals
IP-SDM training for health professionals (intervention at 25 months)
Behavioral: 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).
Assumed Role in decision making
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.
Time frame: 7 months
Patient involvement in decision making
Assessed with the Dyadic-OPTION scale, a 12-item self-administered instrument that assesses 12 specific SDM behaviours during the decision-making process
Time frame: 7 months
Decisional Regret
Assessed with the Decisional Regret Scale
Time frame: 7 months
Decisional Conflict
Assessed with the Decisional Conflict Scale
Time frame: 7 months
Health-related quality of life
Assessed with two subscales (Social isolation and Emotional reactions) of the HR-QoL questionnaire from the Nottingham Health Profile, clients only
Time frame: 7 months
Burden of care
Assessed with the Zarit Burden Inventory Scale (ZBI), caregivers only
Time frame: 7 months
Preferred and chosen option (remain at home or move to another location)
Questionnaire assessing the prefered and chosen option
Time frame: 7 months
This study is completed, as verified in Dec 2019. You cannot join it, but the record below documents what was studied.
Get an email when the registry record changes — status, dates, results — or when someone posts here.
Sign in to followQuestions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.
Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.
Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.
CHU de Quebec-Universite Laval