Implementing Shared Decision Making in Interprofessional Home Care Teams
IPSDM-SW
1 other identifier
interventional
653
1 country
1
Brief Summary
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;
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Nov 2015
Typical duration for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
October 28, 2015
CompletedFirst Posted
Study publicly available on registry
October 30, 2015
CompletedStudy Start
First participant enrolled
November 1, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2018
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2018
CompletedDecember 20, 2019
December 1, 2019
3.1 years
October 28, 2015
December 18, 2019
Conditions
Outcome Measures
Primary Outcomes (1)
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.
7 months
Secondary Outcomes (6)
Patient involvement in decision making
7 months
Decisional Regret
7 months
Decisional Conflict
7 months
Health-related quality of life
7 months
Burden of care
7 months
- +1 more secondary outcomes
Study Arms (4)
Cluster A
EXPERIMENTALIP-SDM training for health professionals (intervention at 4 months)
Cluster B
EXPERIMENTALIP-SDM training for health professionals (intervention at 11 months)
Cluster C
EXPERIMENTALIP-SDM training for health professionals (intervention at 18 months)
Cluster D
EXPERIMENTALIP-SDM training for health professionals (intervention at 25 months)
Interventions
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).
Eligibility Criteria
You may qualify if:
- 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.
You may not qualify if:
- Clients who are not able to provide informed consent and who don't have a caregiver
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Centre de recherche sur les soins et les services de première ligne de l'Université Laval (CERSSPL-UL)
Québec, Quebec, G1J 0A4, Canada
Related Publications (2)
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.
PMID: 35759791DERIVEDLegare 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.
PMID: 27884857DERIVED
Related Links
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
France Légaré, Ph. D.
Laval University
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- HEALTH SERVICES RESEARCH
- Intervention Model
- CROSSOVER
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Canada Research Chair in Implementation of Shared Decision Making in Primary Care
Study Record Dates
First Submitted
October 28, 2015
First Posted
October 30, 2015
Study Start
November 1, 2015
Primary Completion
December 1, 2018
Study Completion
December 1, 2018
Last Updated
December 20, 2019
Record last verified: 2019-12