Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Class |
|---|---|
| Canadian Institutes of Health Research (CIHR) | OTHER_GOV |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
This study will train health providers in home care teams across Quebec in shared decision making about the decision to stay at home or move to another location. This decision is one of the toughest for older Canadians. Decisions that are informed, shared and supported produce better results. An interprofessional approach to shared decision making is when older persons and their caregivers are supported by not just one but by all the professionals involved in their care.The impact of the training program in interprofessional shared decision making (IPSDM) above that of the passive dissemination of a decision guide will be assessed by measuring to what extent older persons caregivers say they took active part in the decision-making process.
Other outcome measures will be:
i) what option they chose, whether they feel conflict or regret about their decision, and the burden of care they feel; ii) the quality of life of clients;
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Cluster A | Experimental | IP-SDM training for health professionals (intervention at 4 months) |
|
| Cluster B | Experimental | IP-SDM training for health professionals (intervention at 11 months) |
|
| Cluster C | Experimental | IP-SDM training for health professionals (intervention at 18 months) |
|
| Cluster D | Experimental | IP-SDM training for health professionals (intervention at 25 months) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| IP-SDM training for health professionals | Behavioral | Multifaceted SDM training program for providers: i) 1.5-hour online tutorial, ii) 3.5-hour skills building workshop; iii) video-clip demonstrating SDM in the context of an IP home care team with an aging adult making a decision about location of care (to be used with clients and providers as well); and iv) performance feedback to providers (role play during the workshop). |
| Measure | Description | Time Frame |
|---|---|---|
| Assumed Role in decision making | To assess the proportion of caregivers reporting an active role, a modified version of the Control Preferences Scale designed to assess the role assumed in the decision making process will be used. The scale consists of a single question and is the one most frequently used in studies assessing the implementation of SDM in clinical practice. | 7 months |
| Measure | Description | Time Frame |
|---|---|---|
| Patient involvement in decision making | Assessed with the Dyadic-OPTION scale, a 12-item self-administered instrument that assesses 12 specific SDM behaviours during the decision-making process | 7 months |
| Decisional Regret |
Not provided
Inclusion Criteria:
Clients or caregivers of clients :
In the case clients are not able to provide informed consent, their caregiver will be eligible.
Exclusion Criteria:
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Affiliation | Role |
|---|---|---|
| France Légaré, Ph. D. | Laval University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Centre de recherche sur les soins et les services de première ligne de l'Université Laval (CERSSPL-UL) | Québec | Quebec | G1J 0A4 | Canada |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 35759791 | Derived | Adisso EL, Taljaard M, Stacey D, Briere N, Zomahoun HTV, Durand PJ, Rivest LP, Legare F. Shared Decision-Making Training for Home Care Teams to Engage Frail Older Adults and Caregivers in Housing Decisions: Stepped-Wedge Cluster Randomized Trial. JMIR Aging. 2022 Sep 20;5(3):e39386. doi: 10.2196/39386. | |
| 27884857 | Derived |
| Label | URL |
|---|---|
| Related Info | View source |
Not provided
Not provided
| ID | Term |
|---|---|
| D006282 | Health Personnel |
| ID | Term |
|---|---|
| D005159 | Health Care Facilities Workforce and Services |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
|
Assessed with the Decisional Regret Scale
| 7 months |
| Decisional Conflict | Assessed with the Decisional Conflict Scale | 7 months |
| Health-related quality of life | Assessed with two subscales (Social isolation and Emotional reactions) of the HR-QoL questionnaire from the Nottingham Health Profile, clients only | 7 months |
| Burden of care | Assessed with the Zarit Burden Inventory Scale (ZBI), caregivers only | 7 months |
| Preferred and chosen option (remain at home or move to another location) | Questionnaire assessing the prefered and chosen option | 7 months |
| Legare F, Briere N, Stacey D, Lacroix G, Desroches S, Dumont S, Fraser KD, Rivest LP, Durand PJ, Turcotte S, Taljaard M, Bourassa H, Roy L, Painchaud Guerard G. Implementing shared decision-making in interprofessional home care teams (the IPSDM-SW study): protocol for a stepped wedge cluster randomised trial. BMJ Open. 2016 Nov 24;6(11):e014023. doi: 10.1136/bmjopen-2016-014023. |