NCT03360812

Brief Summary

This study evaluates whether an online training resource can improve the performance of medical students in recognising imminently dying palliative care patients.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
170

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Apr 2018

Shorter than P25 for not_applicable

Geographic Reach
1 country

5 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

November 23, 2017

Completed
11 days until next milestone

First Posted

Study publicly available on registry

December 4, 2017

Completed
4 months until next milestone

Study Start

First participant enrolled

April 5, 2018

Completed
4 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 27, 2018

Completed
16 days until next milestone

Study Completion

Last participant's last visit for all outcomes

August 12, 2018

Completed
Last Updated

April 10, 2020

Status Verified

April 1, 2020

Enrollment Period

4 months

First QC Date

November 23, 2017

Last Update Submit

April 7, 2020

Conditions

Terminal Illness

Keywords

Medical StudentsEducationPrognosisOnline training resource

Outcome Measures

Primary Outcomes (1)

  • Survival estimates - immediate effect

    The primary outcome will be a continuous survival estimate provided from the students for the second series of vignettes; ranging from 0-100%.

    Second series of vignettes, taking into account the estimates from the first series. Students can participate at their convenience and will have a four week window to complete the first and second series of vignettes.

Secondary Outcomes (3)

  • Survival estimates - follow-up

    Third series of vignettes, taking into account the estimates from previous series. Two weeks after completing the first and second series of vignettes, students will be asked to complete a third series of vignettes within a four week window.

  • Cue weighting

    Change over time including all three series of vignettes. Students are given a four week window to complete the first and second series of vignettes. After two weeks, they will be asked to complete a third series of vignettes within a four week window.

  • Level of expertise

    Change over time including all three series of vignettes. Students are given a four week window to complete the first and second series of vignettes. After two weeks, they will be asked to complete a third series of vignettes within a four week window.

Study Arms (2)

Intervention group

EXPERIMENTAL

The intervention is an online training resource to improve the recognition of imminent death in palliative care patients. The intervention should take approximately 15 minutes to complete. During this time, the participants who are in the intervention arm will be shown the results of a previous study which identified how expert palliative care doctors recognise imminently dying palliative care patients. The intervention will be implemented via the website, immediately after participants have completed the first set of vignettes.

Other: Online training resource

Control group

NO INTERVENTION

The participants assigned to the control group will not receive this additional information and will simply be informed that they are approximately half way through the task and will be asked to continue on to the next set of vignettes.

Interventions

Online training resourceOTHER

Please see information included in the description of the intervention group.

Intervention group

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Over 18 years of age
  • Enrolled on a registered medical course within the United Kingdom
  • In the penultimate or final year of medical school
  • Sufficient English language proficiency
  • Willing and able to provide consent as indicated by taking part in the online survey

You may not qualify if:

  • None

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (5)

Brighton and Sussex Medical School

Brighton, United Kingdom

Location

Hull York Medical School

Hull, United Kingdom

Location

Imperial College London

London, United Kingdom

Location

St George's Medical School

London, United Kingdom

Location

UCL Medical School

London, United Kingdom

Location

Related Publications (2)

  • Oostendorp L, White N, Harries P, Yardley S, Tomlinson C, Ricciardi F, Gokalp H, Stone P. Protocol for the ORaClES study: an online randomised controlled trial to improve clinical estimates of survival using a training resource for medical students. BMJ Open. 2019 Mar 3;9(3):e025265. doi: 10.1136/bmjopen-2018-025265.

    PMID: 30833321BACKGROUND

  • White N, Oostendorp LJ, Tomlinson C, Yardley S, Ricciardi F, Gokalp H, Minton O, Boland JW, Clark B, Harries P, Stone P. Online training improves medical students' ability to recognise when a person is dying: The ORaClES randomised controlled trial. Palliat Med. 2020 Jan;34(1):134-144. doi: 10.1177/0269216319880767. Epub 2019 Nov 14.

    PMID: 31722611BACKGROUND

Study Officials

  • Patrick Stone, PhD, MD

    UCL

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
TRIPLE
Who Masked
PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
OTHER
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

November 23, 2017

First Posted

December 4, 2017

Study Start

April 5, 2018

Primary Completion

July 27, 2018

Study Completion

August 12, 2018

Last Updated

April 10, 2020

Record last verified: 2020-04

Data Sharing

IPD Sharing
Will share

Data (suitably anonymised) may be shared with other research groups if a reasonable request is submitted to and agreed by the Chief Investigator.

Shared Documents
STUDY PROTOCOL, SAP, ICF
Time Frame
The data will become available after the publication of results and will be archived securely by the Chief Investigator for a minimum of 20 years from the declaration of end of trial.
Access Criteria
The data will be shared upon reasonable request.

Locations

GB(5)