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AgingIPSDM-SWNCT02592525

Implementing Shared Decision Making in Interprofessional Home Care Teams

A study testing IP-SDM training for health professionals in people with Aging, run by CHU de Quebec-Universite Laval at 1 site in Canada.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

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. Read more about this study

Who is it for?
Any ageHealthy volunteers can take part
Conditions the study is for
Aging
What is being tested?
IP-SDM training for health professionals
Could I receive a placebo?
No, everyone receives an active treatment
How many people
653 participants
Where
1 siteCanada
Study dates
Nov 2015to Dec 2018
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages Any age
  • All sexes
  • Healthy volunteers accepted
  • Child, Adult, Older adult

Who may be able to join

  • Clients or caregivers of clients :
  • Aged ≥65 years;
  • Receiving care from the IP home care team of the enrolled CISSS/CIUSSS
  • Have made a decision about whether to stay at home or move to another location during the recruitment periods
  • Are able to read, understand and write French or English
  • Can give informed consent
  • In the case clients are not able to provide informed consent, their caregiver will be eligible.

Who cannot join

  • Clients who are not able to provide informed consent and who don't have a caregiver

Trial locations and contacts

1 site in 1 country.

Canada1 site

  • Centre de recherche sur les soins et les services de première ligne de l'Université Laval (CERSSPL-UL)

    Québec, Quebec, G1J 0A4

Other trials in Canada

About this study

Official title: Implementing Shared Decision Making in Interprofessional Home Care Teams : a Stepped Wedge Cluster Randomized Trial

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:

  1. 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;
Conditions
Aging
Being tested
IP-SDM training for health professionals

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • IP-SDM training for health professionalsBehavioural

    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).

Study groups in NCT02592525
Study groupRoleWhat they receive
Cluster AExperimentalIP-SDM training for health professionals (intervention at 4 months)
Receives: Behavioral: IP-SDM training for health professionals
Cluster BExperimentalIP-SDM training for health professionals (intervention at 11 months)
Receives: Behavioral: IP-SDM training for health professionals
Cluster CExperimentalIP-SDM training for health professionals (intervention at 18 months)
Receives: Behavioral: IP-SDM training for health professionals
Cluster DExperimentalIP-SDM training for health professionals (intervention at 25 months)
Receives: Behavioral: IP-SDM training for health professionals

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. 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.

    Measured: 7 months

Secondary outcomes (6)

  1. 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

    Measured: 7 months

  2. Decisional Regret

    Assessed with the Decisional Regret Scale

    Measured: 7 months

  3. Decisional Conflict

    Assessed with the Decisional Conflict Scale

    Measured: 7 months

  4. 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

    Measured: 7 months

  5. Burden of care

    Assessed with the Zarit Burden Inventory Scale (ZBI), caregivers only

    Measured: 7 months

  6. Preferred and chosen option (remain at home or move to another location)

    Questionnaire assessing the prefered and chosen option

    Measured: 7 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted30 Oct 2015 (estimated)
  2. Study startNov 2015
  3. Primary completionDec 2018
  4. Study completionDec 2018

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Health services research
Allocation
Randomised
Intervention model
Crossover
Masking
None (open label)
Enrolment
653 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02592525
Sponsor's protocol ID
2015-2016 01-01-E
Acronym
IPSDM-SW
Status last verified
Dec 2019
First submitted
28 Oct 2015
Last updated
20 Dec 2019
Results posted
No
Data monitoring committee
Yes

Publications

  • 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.

    PubMed 35759791

  • 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.

    PubMed 27884857

Questions about this trial

What is this clinical trial studying?

A study testing IP-SDM training for health professionals in people with Aging, run by CHU de Quebec-Universite Laval at 1 site in Canada.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 7 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 20 Dec 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Canada. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Assumed Role in decision making (time frame: 7 months). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02592525, which also lists 2 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 20 Dec 2019.

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IPSDM-SW Clinical Trial NCT02592525 | AzTrials