Improving Decision Making On Location of Care With the Fr... | NCT02244359

Studies
Improving Decision Making On Location of Care With the Frail Elderly and Their Caregivers

NCT02244359

Sponsor

CHU de Quebec-Universite Laval

Status

Completed

Last Update Posted

Aug 25, 2016Estimated

Enrollment

455Actual

Phase

Not Applicable

Conditions

Decision Process About the Location of Care Among Frail Elderly

Interventions

Training
Usual care

Countries

Canada

Protocol Section

Identification Module Status Module Sponsor/Collaborators Module Oversight Module Description Module Conditions Module Design Module Arms/Interventions Module Outcomes Module Eligibility Module Contacts/Locations Module References Module IPD Sharing Statement Module

Results Section

Participant Flow Module Baseline Characteristics Module Outcome Measures Module Adverse Events Module More Info Module

Annotation Section

Annotation Module

Document Section

Large Document Module

Derived Section

Miscellaneous Info Module Condition Browse Module Intervention Browse Module

Protocol Section

Identification Module

NCT ID

Results Section

No data available

No data is available for this block.

Annotation Section

No data available

No data is available for this block.

Document Section

No data available

No data is available for this block.

Derived Section

Miscellaneous Info Module

Version Holder

Status Module

Record Verification Date

Aug 2016

Overall Recruitment Status or Expanded Access Status

Completed

Last Known Status

Not provided

Delayed Posting

Not provided

Why Stopped

Not provided

Expanded Access Info

Start Date

Sep 2014

Primary Completion Date

Aug 2016Actual

Completion Date

Aug 2016Actual

First Submitted Date

Sep 17, 2014

First Submission Date that Met QC Criteria

Sep 18, 2014

First Posted Date

Sep 19, 2014Estimated

Results Waived

Not provided

Results First Submitted Date

Not provided

Results First Submitted that Met QC Criteria

Not provided

Results First Posted Date

Not provided

Certification/Extension (aka Delayed Results) First Submitted Date

Not provided

Certification/Extension First Submitted that Passed QC Review

Not provided

Certification/Extension First Posted Date

Not provided

Last Update Submitted Date

Aug 24, 2016

Last Update Posted Date

Aug 25, 2016Estimated

Sponsor/Collaborators Module

Responsible Party, by Official Title

France Legare, B. Sc. Arch, MD, PhD, CCMF, FCMF, CHU de Quebec-Universite LavalPrincipal Investigator

Lead Sponsor

CHU de Quebec-Universite LavalOTHER

Collaborators

Name	Class
TVN 2013 Core Research Grant Program	UNKNOWN
Ministere de la Sante et des Services Sociaux	OTHER
Health and Social Services Agency, Montreal	OTHER

Description Module

Brief Summary

One of the toughest decisions faced by the frail elderly in Canada is whether to stay at home or move to a care facility. It is certainly difficult to make this decision alone, but can be even harder if someone else makes it for you. Shared decision making is when, instead of making decisions for the patient, healthcare professionals share information about what the evidence says, and they talk about what's important with the patient, and then make the decision together. In the case of the frail elderly in home care services, there are many health care professionals involved, e.g. the doctor, nurse and social worker. In this case decisions should be shared by all the professionals involved with the elderly person along with his or her caregivers. Unfortunately, in this context, shared decision making rarely occurs.

We have designed a training program that teaches interprofessional teams how to share decisions with their frail elderly patients, and tested it in one Quebec City and one Edmonton home care team. This project tests the training program on a broader scale with 16 home care teams attached to community health centres across the province of Quebec, and will compare the results with what happens when no one has completed the training (usual care). Home care is a rapidly growing sector and this study will lay the foundations for a national strategy to ensure that no one has to make this difficult decision alone.

Detailed Description

Not provided

Design Module

Study Type

Interventional

Number of References to an Expanded Access Study

Not provided

Expanded Access Types

Not provided

Patient Registry

Not provided

Target Follow-Up Duration

Not provided

Phases

Not Applicable

Interventional Study Design

Allocation

Biospecimen

No data available

No data is available for this block.

Enrollment

455Actual

Arms/Interventions Module

Arm Groups

Label	Type	Description	Intervention Names
Training	Experimental	Online tutorial, decision aid and interactive workshop	Behavioral: Training
Usual care	Other	Usual care	Behavioral: Usual care

Interventions

Name	Type	Description	Arm Group Labels	Other Names
Training	Behavioral		Training
Usual care

Outcomes Module

Primary Outcomes

Measure	Description	Time Frame
The assumed role in the decision making process, and the preferred and chosen options.	We will use the modified version of the Control Preferences Scale designed to assess the assumed role in the decision making process reported by the client.	3 to 6 months

Secondary Outcomes

Not provided

Other Outcomes

Not provided

Eligibility Module

Eligibility Criteria

Inclusion Criteria:

Receiving care from the home care team
Faced the decision about whether to stay at home or move to a care facility in the previous 3 to 6 months
Able to read, understand and write french or english
Able to give informed consent
For the case of clients unable to provide informed consent, their caregivers who was involved into decision making process will be eligible

Exclusion Criteria:

Clients who cannot provide informed consent (e. g. clients with cognitive impairment) without a caregiver
Clients who require acute care hospitalization and whom the location of care decision is transferred to hospital-based social services

Accepts Healthy Volunteers

Sex

All

Sex/Gender Based

Not provided

Sex/Gender Description

Not provided

Minimum Age

65 Years

Maximum Age

Not provided

Standard Ages

Older Adult

Study Population

Not provided

Sampling Method

Not provided

Contacts/Locations Module

Central Contacts

Not provided

Overall Officials

Name	Affiliation	Role
France Légaré, MD, PhD	CHUQ Research Center	Principal Investigator

Locations

Facility	Status	City	State	ZIP	Country	Contacts
CHU de Québec		Québec	Quebec	G1L 3L5	Canada

References Module

Citations

PubMed Identifier	Type	Citation	Retractions
32164669	Derived	Adekpedjou R, Haesebaert J, Stacey D, Briere N, Freitas A, Rivest LP, Legare F. Variations in factors associated with healthcare providers' intention to engage in interprofessional shared decision making in home care: results of two cross-sectional surveys. BMC Health Serv Res. 2020 Mar 12;20(1):203. doi: 10.1186/s12913-020-5064-3.
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