A Trial Comparing Approaches to Shared Decision Making Skills Training for Clinicians
A Pilot Randomized Trial Comparing Approaches to Shared Decision Making Skills Training for Clinicians
1 other identifier
interventional
23
0 countries
N/A
Brief Summary
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.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable depression
Started Jul 2016
Shorter than P25 for not_applicable depression
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
Study Start
First participant enrolled
July 1, 2016
CompletedFirst Submitted
Initial submission to the registry
August 9, 2016
CompletedFirst Posted
Study publicly available on registry
August 18, 2016
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2016
CompletedResults Posted
Study results publicly available
February 8, 2019
CompletedFebruary 8, 2019
September 1, 2018
5 months
August 9, 2016
December 15, 2017
September 18, 2018
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Change in Braddock's Informed Decision Making Score
Transcripts from standardized patient interactions (SPI) will be scored using Braddock's Informed Decision Making (IDM) framework to assess shared decision making skills. Scores with the Braddock's Informed Decision Making Framework range from 0 to 9; the higher scores are better. We subtracted the scores of the baseline SPI collected before the intervention from the second SPI collected 4-6 weeks later, after the intervention, to determine the change in IDM score for each participant and then compared change scores across study arms.
Baseline (before intervention) and 4-6 weeks (after intervention)
Study Arms (4)
DA viewing with SPI Feedback
EXPERIMENTALGroup 1 receives three decision aids and feedback on their standardized patient (SPI) interaction rating their shared decision making skills and highlighting opportunities for improvement.
DA viewing with no SPI Feedback
EXPERIMENTALGroup 2 receives three decision aids. This group does not receive any feedback from the SPI.
Webinar with SPI Feedback
EXPERIMENTALGroup 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.
Webinar with no SPI Feedback
EXPERIMENTALGroup 4 receives an online, interactive webinar that focuses on SDM skills in clinical encounters. This group does not receive any feedback from the SPI.
Interventions
1 hour online, interactive webinar that covers shared decision making skills in clinical encounters.
Participants will receive 3 decisions aids to review.
Rating of shared decision making skills and opportunities for improvement based on transcript of a standardized patient interaction
Eligibility Criteria
You may qualify if:
- Adults 18 and older
- English speaking
- Physician
- Nurse Practitioner
- Physician Assistant
- Registered Nurse
You may not qualify if:
- Not clinically active (research faculty only)
- Medical Trainees
- Medical Students
- Medical Assistants
- Social Workers
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Massachusetts General Hospitallead
- Partners HealthCarecollaborator
Related Publications (3)
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.
PMID: 25222632BACKGROUNDDavis 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.
PMID: 9617647BACKGROUNDPrice 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.
PMID: 21757315BACKGROUND
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Results Point of Contact
- Title
- Karen Sepucha
- Organization
- Massachusetts General Hospital Health Decision Sciences Center
Study Officials
- PRINCIPAL INVESTIGATOR
Karen Sepucha, PhD
Massachusetts General Hospital
Publication Agreements
- PI is Sponsor Employee
- Yes
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- HEALTH SERVICES RESEARCH
- Intervention Model
- FACTORIAL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Director Health Decision Sciences Center
Study Record Dates
First Submitted
August 9, 2016
First Posted
August 18, 2016
Study Start
July 1, 2016
Primary Completion
December 1, 2016
Study Completion
December 1, 2016
Last Updated
February 8, 2019
Results First Posted
February 8, 2019
Record last verified: 2018-09
Data Sharing
- IPD Sharing
- Will not share