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The purpose of this study is to pilot the introduction of a newly developed palliative care tool to clinicians in a family health team. The intent of the tool is to improve the quality and comprehensiveness of palliative care, which effects caregiver and patient satisfaction with care received, as well as clinician satisfaction with their delivery of care. Tool effectiveness will be evaluated by measuring satisfaction scores of caregivers, patients and clinicians who receive training and access to the tool compared to caregivers, patients and clinicians providing usual care (without the tool). Uptake of the tool and user feedback will be collected
A newly developed tool to guide clinicians in best palliative care practices was developed based on a combination of published tools and consultation with primary care, end users (clinicians). The tool will be introduced as a pilot to clinicians who will receive training on use of the tool and access to the tool within a family health team in Ontario, Canada. The tool will be applied in a controlled study environment that randomly assigns clinicians to one of two groups. One group will receive training and access to the tool and the other group of clinicians will continue to provide usual care.The tool will be evaluated based on validated satisfaction surveys completed by caregivers, patients and clinicians. Satisfaction scores of those randomly assigned to care enhanced by the tool will be compared to those receiving usual care at the beginning and end of the study. Uptake of the tool will be measured, as well as user experience with the tool (feasibility and acceptability)
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Palliative Care Comprehensive Tool | Active Comparator | Clinicians within the study will be randomly assigned and trained on the use of the Palliative Care Comprehensive Tool |
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| Usual Care | No Intervention | Clinicians within the study will be randomly assigned to usual palliative care (without the newly introduced tool) |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Palliative Care Comprehensive Tool | Other | Clinicians assigned to the newly developed Palliative Care Comprehensive Tool will be trained during a 1 hour period on the application of the tool; Including rationale for tool development, objective of the tool and demonstration of the tool in action |
| Measure | Description | Time Frame |
|---|---|---|
| Caregiver satisfaction | FAMCARE-2 survey to measure caregiver satisfaction | 3 months |
| Measure | Description | Time Frame |
|---|---|---|
| Patient satisfaction | FAMCARE-P13 | 3 months |
| Clinician satisfaction | Physician Satisfaction with Aspects of Chronic Care (modified) | 3 months |
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Inclusion Criteria:
Exclusion Criteria: Patients younger than 18 years of age, patients who are non-English speaking
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Sarah Xu, MD | Contact | 9055751300 | sarah.xu@medportal.ca | |
| Amanpaul Bhamber, MD | Contact | 9055751300 | amanpaul.bhamber@medportal.ca |
| Name | Affiliation | Role |
|---|---|---|
| Ainsley Moore, MD | Department of Family Medicine McMaster University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Stonechurch Family Health Centre, Department of Family Medicine McMaster University | Hamilton | Ontario | L8W3J6 | Canada |
No plan to share data. Data will be stored on secured facility servers.
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| ID | Term |
|---|---|
| D010549 | Personal Satisfaction |
| ID | Term |
|---|---|
| D001519 | Behavior |
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Pilot prospective randomized controlled trial
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Patients and caregivers are blinded as to whether their clinician received training and access to the newly introduced comprehensive palliative care tool. Clinicians delivering care are not blinded to use of the tool, outcome assessors are not blinded to the data
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| User feedback | Acceptability and feasibility of the Palliative Care Comprehensive Tool will be sought using the Clinical Sensibility Questionnaire | 3 months |
| Uptake of tool | Tool implementation will be (rate of tool uptake by clinician) | 3 month |