Integrating Sex and Gender Into CPD for Depression/Diabetes

NCT03928132 | Completed DMC

• 1 other identifier: 384530
• Study Type: interventional
• Target: 127
• Locations: 1 country
• Sites: 1

Brief Summary

People with type 2 diabetes are twice as likely to experience depression as nondiabetic individuals, and depression in turn increases the risk of diabetes. Clinical care for patients for either condition usually fails to consider the impact of sex and gender on tests, diagnosis and treatment, and evidence on these impacts is limited. The investigators aim to assess the impact of a continuing professional education activity (CPD) on diabetes and depression that includes considerations of sex and gender on the clinical behaviours of French-speaking healthcare professionals in Canada. In a non-randomised controlled trial, the investigators are assessing the impacts of two CPD activities on depression and diabetes, one that includes considerations of sex and gender, and an identical one that omits sex and gender considerations, on French-speaking healthcare professionals' self-reported clinical behaviors regarding sex and gender considerations post-intervention and at 3 months. Data collection will occur in three distinct locations in Canada. Project development, data collection and analysis and dissemination of results will all integrate considerations of sex and gender. The process of creating a CPD activity that integrates considerations of sex and gender could be scaled up to other CPD activities in other clinical subjects and in other minority languages.

Conditions

Health Knowledge, Attitudes, Practice

Keywords

Diabetes and depression; Continuing professional development; Continuing medical education; Sex and gender; Minority languages; Knowledge translation

Outcome Measures

Primary Outcomes (2)

• Immediate clinical behavioural intention, as measured by CPD-REACTION questionnaire

  Clinical behavioural intention to integrate considerations of sex and gender into the diagnosis and treatment of depression and diabetes, using the validated CPD-REACTION scale. CPD=continuing professional development, REACTION=a theoRy-basEd instrument to assess the impACT of continuing professional development activities on professional behavIOr chaNge. A 12-item Likert-type scale (i.e., Strongly disagree = 1, Strongly agree = 7; Never = 1, Always = 7, etc.) evaluates 5 constructs: 1) intention; 2) social influence; 3) beliefs about capabilities; 4) moral norms; and 5) beliefs about consequences. Sociodemographic questions are asked on sex, age (10 age ranges), province, rural/urban/semi-rural practice, and language of consultation. Mean, standard deviation, median and frequencies are calculated to summarize participant characteristics and questionnaire item responses. Construct scores are obtained by calculating the mean score for the items.

  Immediately following the intervention

• Change from immediate clinical behavioural intention at 3 months, as measured by CPD-REACTION questionnaire

  Evolution of clinical behavioural intention to integrate considerations of sex and gender into the diagnosis and treatment of depression and diabetes, using the validated CPD-REACTION scale, after a 3-month period.

  3 months after the intervention

Secondary Outcomes (1)

• Acceptability Questionnaire

  Immediately following the intervention.

Study Arms (2)

CPD Workshop on Depression and Diabetes

EXPERIMENTAL

Participants in this arm will take part in a clinical CPD activity on depression and diabetes. The activity will include considerations of sex and gender, e.g. the different risk factors and impacts of treatment among women and men.

Behavioral: CPD Workshop on Depression and Diabetes

CPD Workshop on Depression and Diabetes II

SHAM COMPARATOR

Participants in this arm will take part in a clinical CPD activity on depression and diabetes. The activity will exclude considerations of sex and gender, e.g. the different risk factors and impacts of treatment among women and men.

Behavioral: CPD Workshop on Depression and Diabetes

Interventions

CPD Workshop on Depression and Diabetes BEHAVIORAL

2 parallel face-to-face onsite workshops on diabetes and depression in primary care given by experts in French (control and experimental) using Powerpoint presentations.

CPD Workshop on Depression and Diabetes; CPD Workshop on Depression and Diabetes II

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• French-speaking health professionals (in practice and in training).

Sponsors & Collaborators

• CHU de Quebec-Universite Laval: lead
• Canadian Institutes of Health Research (CIHR): collaborator
• Chaire Claire-Bonenfant-Femmes, Savoir et Société: collaborator
• Institut du Savoir Montfort: collaborator

Study Sites (1)

CERSSPL

Québec, Quebec, Canada

Location

Related Publications (1)

• Deom Tardif A, Gogovor A, Guay-Belanger S, Audet D, Parent N, Gaudreau A, Remy-Lamarche D, Vigneault L, Ngueta G, Bilodeau A, Legare F; mATrICES-F Group. Integration of sex and gender in a continuing professional development course on diabetes and depression: a mixed methods feasibility study. BMJ Open. 2022 Apr 22;12(4):e050890. doi: 10.1136/bmjopen-2021-050890.

  PMID: 35459660 DERIVED

MeSH Terms

Conditions

Behavior; Diabetes Mellitus; Depression; Coitus

Condition Hierarchy (Ancestors)

Glucose Metabolism Disorders; Metabolic Diseases; Nutritional and Metabolic Diseases; Endocrine System Diseases; Behavioral Symptoms; Sexual Behavior

Study Officials

• France Légaré, MD, PhD

  CERSSPUL

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Masking Details: Health professionals will self-select their attendance at one or other of the interventions (control or experimental CPD activity) without knowing that they are different (one including sex and gender considerations, the other excluding them).
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: A non-randomized controlled trial

Study Record Dates

• First Submitted: April 23, 2019
• First Posted: April 25, 2019
• Study Start: April 1, 2017
• Primary Completion: July 23, 2020
• Study Completion: July 23, 2020
• Last Updated: February 12, 2021

Record last verified: 2021-02

Data Sharing

• IPD Sharing: Will not share

Locations

CA (1)