NCT04327830

Brief Summary

Most Canadians wish to stay at home in their old age. As older adults stay at home with the support of home and community services, they are often faced with difficult decisions, such as "Who will look after me when I can't look after myself any more, or if I have dementia?" or "Should I move to a nursing home, or stay here?" Care providers in the home and community can support older adults and their families make these difficult decisions by providing them with information they need and asking them about their values and preferences. By helping older adults and their families know more about their choices and choose options that reflect what is important to them, care providers can work with their clients to help them make informed health decisions together. In this fellowship, the investigators will study what supports are needed for older adults to make informed health decisions from the perspective of older adults, caregivers and front-line care providers in the home and community setting across Canada. This can help improve the home and community services provided to older adults (and their caregivers) so that older adults (and their caregivers) can make better decisions together with their health care team.

Trial Health

43
At Risk

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
5,000

participants targeted

Target at P75+ for all trials

Timeline
Completed

Started Aug 2019

Geographic Reach
1 country

1 active site

Status
unknown

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

Study Start

First participant enrolled

August 15, 2019

Completed
8 months until next milestone

First Submitted

Initial submission to the registry

March 27, 2020

Completed
4 days until next milestone

First Posted

Study publicly available on registry

March 31, 2020

Completed
1 month until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 4, 2020

Completed
10 months until next milestone

Study Completion

Last participant's last visit for all outcomes

March 1, 2021

Completed
Last Updated

February 21, 2021

Status Verified

February 1, 2021

Enrollment Period

9 months

First QC Date

March 27, 2020

Last Update Submit

February 19, 2021

Conditions

Aging

Keywords

Shared decision makingHome care

Outcome Measures

Primary Outcomes (2)

  • Decision making needs of older adults who receive home care services and their caregivers.

    Interview of older adults and their caregivers. Open-ended questions guide by the Ottawa Decision Support Framework (ODSF).

    About 60 minutes

  • What health and social care providers need to support older adults and their caregivers with making decisions.

    Survey of interdisciplinary health and social care providers, based on the Ottawa Decision Support Framework (ODSF) factors contributing to difficulty.

    5 to 10 minutes

Secondary Outcomes (1)

  • -Health and social care providers opinion how often older adults faced difficult decisions. -Shared decision-making. -Others participants involved in the decision making.

    5 to 10 minutes

Study Arms (2)

Older adults and their caregivers

Older adults who have received or are receiving home care services and their caregivers

Other: Decisional needs assessment

Interdisciplinary health and social care providers

Interdisciplinary health and social care providers who provide home care services to older adults

Other: Decisional needs assessment

Interventions

Decisional needs assessmentOTHER

Assessment of decision-making needs

Interdisciplinary health and social care providersOlder adults and their caregivers

Eligibility Criteria

Age18 Years+
Sexall(Gender-based eligibility)
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

Older adults who have received or are receive home care services (and their caregivers)

You may qualify if:

  • older adults who have received, or are receiving home care services
  • caregivers of older adults who have received, or are receiving home care services
  • interdisciplinary health and social care providers who provide home care services for older adults

You may not qualify if:

  • no experience receiving or providing home care services

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

CERSSPL

Québec, Quebec, Canada

Location

Related Publications (3)

  • 1. Statistics Canada. Home health care and related services [Report on the Internet]. Ottawa: Statitics Canada, 2017 (cited July 31, 2019). Accessed on Feb 10, 2020 from: https://www150.statcan.gc.ca/n1/daily-quotidien/190731/dq190731c-eng.htm

    BACKGROUND

  • 2. Canadian Institute for Health Information. Home care expenditures in the NHEX Database [Technical note on the Internet] Ottawa: The Institute; 2017 (cited November 2017). Accessed on Feb 20, 2020 from: https://www.cihi.ca/sites/default/files/document/technical_notes_on_home_care-nhex2017-en.pdf.

    BACKGROUND

  • Lai C, Holyoke P, Plourde KV, Decary S, Legare F. What older adults and their caregivers need for making better health-related decisions at home: a participatory mixed methods protocol. BMJ Open. 2020 Nov 9;10(11):e039102. doi: 10.1136/bmjopen-2020-039102.

    PMID: 33168556DERIVED

Study Officials

  • France Legare

    Laval University /SE Health

    STUDY CHAIR

Study Design

Study Type
observational
Observational Model
CASE ONLY
Time Perspective
RETROSPECTIVE
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

March 27, 2020

First Posted

March 31, 2020

Study Start

August 15, 2019

Primary Completion

May 4, 2020

Study Completion

March 1, 2021

Last Updated

February 21, 2021

Record last verified: 2021-02

Data Sharing

IPD Sharing
Will not share

Locations

CA(1)