Chronic DiseaseNCT07589673
Development and Evaluation of an Online Shared Decision-Making Educational Program for Nurses and Patients With Chronic Diseases
A study testing Online Shared Decision-Making Educational Program for Nurses, Online Shared Decision-Making Educational Program for Patients With Chronic Diseases and General Communication Education for Nurses in people with Chronic Disease and Shared Decision-making, run by Chungnam National University at 1 site in South Korea.
Trial summary
This study aims to develop and evaluate an online shared decision-making (SDM) educational program for nurses and patients with chronic diseases. Shared decision-making is a process in which healthcare professionals and patients make health-related decisions together based on the best available evidence and the… Read more about this study
- Who is it for?
- Ages 19 years and older
- Conditions the study is for
- Chronic Disease, Shared Decision-making
- What is being tested?
- Online Shared Decision-Making Educational Program for Nurses, Online Shared Decision-Making Educational Program for Patients With Chronic Diseases and General Communication Education for Nurses
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 270 participants
- Where
- 1 siteSouth Korea
- Study dates
- 10 May 2026to 16 Sep 2026
- 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 19 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Registered nurses currently providing direct patient care in participating general hospitals
- Able to understand the purpose and procedures of the study and provide informed consent
- Able to use a computer, tablet, or smartphone to access the online program
- Adults aged 19 years or older living in the community
- Diagnosed with one or more chronic diseases requiring ongoing management, including but not limited to hypertension, diabetes mellitus, dyslipidemia, arthritis, chronic respiratory disease, or cardiovascular disease, with at least 3 months elapsed since diagnosis
- Able to understand the purpose and procedures of the study and provide informed consent
- Able to read and respond to survey questions
- Able to use a computer, tablet, or smartphone to access the online program
Who cannot join
- Not currently engaged in direct patient care
- Unable to clearly express willingness to participate
- Unable to complete the educational program or questionnaires because of technical or language limitations
- Cognitive impairment or communication problems that make participation difficult
- Unable to complete the educational program or questionnaires because of technical or language limitations
Trial locations and contacts
1 site in 1 country.
About this study
This study aims to develop and evaluate an online shared decision-making (SDM) educational program for nurses and patients with chronic diseases. Shared decision-making is a process in which healthcare professionals and patients make health-related decisions together based on the best available evidence and the patient's values and preferences. The study includes an evaluation phase. In the evaluation phase, the program will be tested among nurses working in general hospitals and adults with chronic diseases living in the community. Outcomes related to shared decision-making will be assessed at baseline, immediately after the 4-week program, and 1 month later. The study is expected to improve shared decision-making competence, experience, and preparedness among both nurses and patients.
Read the detailed description
Shared decision-making is a key component of patient-centered care and is particularly important in chronic disease management, where patients often face repeated decisions about treatment options, symptom management, lifestyle modification, and long-term care. Effective shared decision-making requires healthcare professionals and patients to exchange information, consider available options, and make decisions that reflect both clinical evidence and patient values and preferences. Nurses play an important role in chronic disease care by providing education, coordinating communication, and supporting patient participation in health-related decision-making. Patients with chronic diseases also need support to understand their options, clarify their values, and participate actively in decisions about their care. However, structured educational opportunities to strengthen shared decision-making competence are limited for both nurses and patients. This study will develop an online shared decision-making educational program for nurses and patients with chronic diseases and will evaluate its effectiveness in two parallel sub-studies. For nurses, the study will be conducted as a cluster-randomized pretest-posttest controlled trial in general hospitals in Daejeon and Chungcheong-do, Republic of Korea. Hospitals will serve as clusters, and one hospital will be assigned to the intervention group and the other to the control group by coin toss conducted by a third researcher who is not involved in study implementation or data analysis. For patients with chronic diseases, the study will be conducted as a cluster-randomized pretest-posttest controlled trial in community health and welfare institutions. Institutions will serve as clusters and will be assigned in a 1:1 ratio to intervention or control conditions using a computer-generated random allocation sequence prepared by a third researcher not involved in study implementation or data analysis. The intervention will consist of a 4-week online SDM educational program delivered through a web-based platform. Nurses in the intervention group will receive an online program consisting of 12 educational videos. Patients in the intervention group will receive an online program consisting of 5 educational videos. Control participants will receive comparison materials according to the study protocol. Outcome measures will be collected at baseline, immediately after the 4-week intervention, and 1 month after the first post-intervention assessment. The study will evaluate whether the program improves shared decision-making-related competence, experience, knowledge, decisional preparedness, and related outcomes in the two target populations.
- Conditions
- Chronic Disease, Shared Decision-making
- Being tested
- Online Shared Decision-Making Educational Program for Nurses, Online Shared Decision-Making Educational Program for Patients With Chronic Diseases, General Communication Education for Nurses, General Health Information for Patients With Chronic Diseases
- Keywords
- Shared decision-making, Chronic disease, Online education, Decision support
- Medical subject headings
- Chronic Disease
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Online Shared Decision-Making Educational Program for NursesBehavioural
The nurse program is a 4-week web-based shared decision-making educational program for nurses working in general hospitals. It is designed to enhance nurses' knowledge and skills in shared decision-making, decision support, and patient communication through self-directed online learning.
Online Shared Decision-Making Educational Program for Patients With Chronic DiseasesBehavioural
The patient program is a 4-week web-based shared decision-making educational program for adults with chronic diseases. It is designed to support patients in participating in shared decision-making by helping them prepare for decisions, explore options, and clarify their values and preferences.
General Communication Education for NursesBehavioural
The control condition consists of access to publicly available communication-related educational materials, such as those provided by the Nursing Human Resources Employment Education Center.
General Health Information for Patients With Chronic DiseasesBehavioural
The control condition consists of access to publicly available health management information, such as that provided by the National Health Information Portal.
| Study group | Role | What they receive |
|---|---|---|
| Online SDM Educational Program Group | Experimental | Participants will receive access to a web-based shared decision-making educational program tailored for nurses or patients with chronic diseases for 4 weeks. Receives: Behavioral: Online Shared Decision-Making Educational Program for Nurses; Behavioral: Online Shared Decision-Making Educational Program for Patients With Chronic Diseases |
| Control Group | Active comparator | Participants will be provided access to publicly available comparison materials during the 4-week study period. Receives: Behavioral: General Communication Education for Nurses; Behavioral: General Health Information for Patients With Chronic Diseases |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change in nurses' shared decision-making competence
Nurses' shared decision-making competence will be assessed using a shared decision-making competence scale for nurses. The scale consists of 26 items with total scores ranging from 26 to 130. Higher scores indicate greater shared decision-making competence. Changes in scores from baseline to each follow-up assessment will be compared between the intervention and control groups.
Measured: Baseline, immediately after the 4-week intervention, and 1 month after the first post-intervention assessment
Change in patients' shared decision-making experience
Patients' shared decision-making experience will be assessed using the Shared Decision-Making Questionnaire-9 items(SDM-Q-9). The SDM-Q-9 consists of 9 items, with total raw scores ranging from 0 to 45. Higher scores indicate a greater level of patient-perceived shared decision-making. Changes in scores from baseline to each follow-up assessment will be compared between the intervention and control groups.
Measured: Baseline, immediately after the 4-week intervention, and 1 month after the first post-intervention assessment
Secondary outcomes (4)
Change in nurses' shared decision-making experience
Nurses' perceived shared decision-making practice will be assessed using the Shared Decision-Making Questionnaire-Physician version(SDM-Q-Doc). The SDM-Q-Doc consists of 9 items, with total raw scores ranging from 0 to 45. Higher scores indicate a greater level of clinician-perceived shared decision-making. Changes in scores across assessment points will be compared between the intervention and control groups.
Measured: Baseline, immediately after the 4-week intervention, and 1 month after the first post-intervention assessment
Change in patients' decisional conflict
Patients' decisional conflict will be assessed using the Decision Conflict Scale(DCS) Korean version. Scores range from 0 to 100, with higher scores indicating greater decisional conflict. Therefore, lower scores indicate a better outcome. Changes in scores across assessment points will be compared between the intervention and control groups.
Measured: Baseline, immediately after the 4-week intervention, and 1 month after the first post-intervention assessment
Change in shared decision-making knowledge
Shared decision-making knowledge and understanding of the educational content will be assessed using pre- and post-program quizzes developed for each study population. For nurses, the quiz consists of 24 items, and the number of correct answers will range from 0 to 24. For patients, the quiz consists of 10 items, and the number of correct answers will range from 0 to 10. A higher number of correct answers indicates greater knowledge and understanding of the educational content. Changes in the number of correct answers from baseline to post-intervention will be compared between the intervention and control groups.
Measured: Baseline and immediately after the 4-week intervention
Preparation for decision making after the intervention
Preparation for decision making will be assessed using the Preparation for Decision Making(PrepDM), including the practitioner version for nurses and the participant version for patients, as applicable. Scores range from 0 to 100, with higher scores indicating a higher perceived level of preparation for decision making. Scores will be compared between the intervention and control groups after the intervention and at follow-up.
Measured: Immediately after the 4-week intervention and 1 month after the first post-intervention assessment
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted15 May 2026
- Study start10 May 2026
- Primary completion16 Sep 2026
- Study completion16 Sep 2026
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Chronic DiseaseStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Supportive care
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- A parallel-group cluster-randomized two-arm controlled trial comparing the intervention with a control condition among nurses and patients with chronic diseases.
- Masking
- Single blind
- Who is masked
- Participant
- Enrolment
- 270 participants (actual)
Sponsor and investigators
- Lead sponsor
- Chungnam National University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Myonghwa Park, Chungnam National University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07589673
- Sponsor's protocol ID
- 202511-SB-236-01
- Status last verified
- Oct 2026
- First submitted
- 10 May 2026
- Last updated
- 23 Oct 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 23 Oct 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Development and Evaluation of an Online Shared Decision-Making Educational Program for Nurses and Patients With Chronic Diseases
- ClinicalTrials.gov ID
- NCT07589673
- Acronym / sponsor ID
- 202511-SB-236-01
- Conditions
- Chronic Disease, Shared Decision-making
- Keywords
- Shared decision-making, Chronic disease, Online education, Decision support
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 270 participants (actual)
- Lead sponsor
- Chungnam National UniversityUniversity, hospital or other
- Study start
- 10 May 2026 (actual)
- Primary completion
- 16 Sep 2026 (actual)
- Study completion
- 16 Sep 2026 (actual)
- First posted
- 15 May 2026 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study aims to develop and evaluate an online shared decision-making (SDM) educational program for nurses and patients with chronic diseases. Shared decision-making is a process in which healthcare professionals and patients make health-related decisions together based on the best available evidence and the patient's values and preferences. The study includes an evaluation phase. In the evaluation phase, the program will be tested among nurses working in general hospitals and adults with chronic diseases living in the community. Outcomes related to shared decision-making will be assessed at baseline, immediately after the 4-week program, and 1 month later. The study is expected to improve shared decision-making competence, experience, and preparedness among both nurses and patients.
Detailed description
Shared decision-making is a key component of patient-centered care and is particularly important in chronic disease management, where patients often face repeated decisions about treatment options, symptom management, lifestyle modification, and long-term care. Effective shared decision-making requires healthcare professionals and patients to exchange information, consider available options, and make decisions that reflect both clinical evidence and patient values and preferences. Nurses play an important role in chronic disease care by providing education, coordinating communication, and supporting patient participation in health-related decision-making. Patients with chronic diseases also need support to understand their options, clarify their values, and participate actively in decisions about their care. However, structured educational opportunities to strengthen shared decision-making competence are limited for both nurses and patients. This study will develop an online shared decision-making educational program for nurses and patients with chronic diseases and will evaluate its effectiveness in two parallel sub-studies. For nurses, the study will be conducted as a cluster-randomized pretest-posttest controlled trial in general hospitals in Daejeon and Chungcheong-do, Republic of Korea. Hospitals will serve as clusters, and one hospital will be assigned to the intervention group and the other to the control group by coin toss conducted by a third researcher who is not involved in study implementation or data analysis. For patients with chronic diseases, the study will be conducted as a cluster-randomized pretest-posttest controlled trial in community health and welfare institutions. Institutions will serve as clusters and will be assigned in a 1:1 ratio to intervention or control conditions using a computer-generated random allocation sequence prepared by a third researcher not involved in study implementation or data analysis. The intervention will consist of a 4-week online SDM educational program delivered through a web-based platform. Nurses in the intervention group will receive an online program consisting of 12 educational videos. Patients in the intervention group will receive an online program consisting of 5 educational videos. Control participants will receive comparison materials according to the study protocol. Outcome measures will be collected at baseline, immediately after the 4-week intervention, and 1 month after the first post-intervention assessment. The study will evaluate whether the program improves shared decision-making-related competence, experience, knowledge, decisional preparedness, and related outcomes in the two target populations.
Study design
- Primary purpose
- Supportive care
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (participant)
- Number of arms
- 2
- Model description
- A parallel-group cluster-randomized two-arm controlled trial comparing the intervention with a control condition among nurses and patients with chronic diseases.
| Arm | Type | Receives |
|---|---|---|
| Online SDM Educational Program Group | Experimental | Behavioral: Online Shared Decision-Making Educational Program for Nurses, Behavioral: Online Shared Decision-Making Educational Program for Patients With Chronic DiseasesParticipants will receive access to a web-based shared decision-making educational program tailored for nurses or patients with chronic diseases for 4 weeks. |
| Control Group | Active comparator | Behavioral: General Communication Education for Nurses, Behavioral: General Health Information for Patients With Chronic DiseasesParticipants will be provided access to publicly available comparison materials during the 4-week study period. |
Who may qualify
- Ages
- 19 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (8 listed)
- Registered nurses currently providing direct patient care in participating general hospitals
- Able to understand the purpose and procedures of the study and provide informed consent
- Able to use a computer, tablet, or smartphone to access the online program
- Adults aged 19 years or older living in the community
- Diagnosed with one or more chronic diseases requiring ongoing management, including but not limited to hypertension, diabetes mellitus, dyslipidemia, arthritis, chronic respiratory disease, or cardiovascular disease, with at least 3 months elapsed since diagnosis
Key exclusion criteria (5 listed)
- Not currently engaged in direct patient care
- Unable to clearly express willingness to participate
- Unable to complete the educational program or questionnaires because of technical or language limitations
- Cognitive impairment or communication problems that make participation difficult
- Unable to complete the educational program or questionnaires because of technical or language limitations
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Online Shared Decision-Making Educational Program for NursesThe nurse program is a 4-week web-based shared decision-making educational program for nurses working in general hospitals. It is designed to enhance nurses' knowledge and skills in shared decision-making, decision support, and patient communication through self-directed online learning. | Behavioural | Online SDM Educational Program Group |
| Online Shared Decision-Making Educational Program for Patients With Chronic DiseasesThe patient program is a 4-week web-based shared decision-making educational program for adults with chronic diseases. It is designed to support patients in participating in shared decision-making by helping them prepare for decisions, explore options, and clarify their values and preferences. | Behavioural | Online SDM Educational Program Group |
| General Communication Education for NursesThe control condition consists of access to publicly available communication-related educational materials, such as those provided by the Nursing Human Resources Employment Education Center. | Behavioural | Control Group |
| General Health Information for Patients With Chronic DiseasesThe control condition consists of access to publicly available health management information, such as that provided by the National Health Information Portal. | Behavioural | Control Group |
Primary outcome
Change in nurses' shared decision-making competence
Time frame: Baseline, immediately after the 4-week intervention, and 1 month after the first post-intervention assessment
Nurses' shared decision-making competence will be assessed using a shared decision-making competence scale for nurses. The scale consists of 26 items with total scores ranging from 26 to 130. Higher scores indicate greater shared decision-making competence. Changes in scores from baseline to each follow-up assessment will be compared between the intervention and control groups.
Change in patients' shared decision-making experience
Time frame: Baseline, immediately after the 4-week intervention, and 1 month after the first post-intervention assessment
Patients' shared decision-making experience will be assessed using the Shared Decision-Making Questionnaire-9 items(SDM-Q-9). The SDM-Q-9 consists of 9 items, with total raw scores ranging from 0 to 45. Higher scores indicate a greater level of patient-perceived shared decision-making. Changes in scores from baseline to each follow-up assessment will be compared between the intervention and control groups.
4 secondary outcomes
Change in nurses' shared decision-making experience
Time frame: Baseline, immediately after the 4-week intervention, and 1 month after the first post-intervention assessment
Change in patients' decisional conflict
Time frame: Baseline, immediately after the 4-week intervention, and 1 month after the first post-intervention assessment
Change in shared decision-making knowledge
Time frame: Baseline and immediately after the 4-week intervention
Preparation for decision making after the intervention
Time frame: Immediately after the 4-week intervention and 1 month after the first post-intervention assessment
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 23 Oct 2026.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Online Shared Decision-Making Educational Program for Nurses, Online Shared Decision-Making Educational Program for Patients With Chronic Diseases and General Communication Education for Nurses in people with Chronic Disease and Shared Decision-making, run by Chungnam National University at 1 site in South Korea.
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 8 inclusion and 5 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 23 Oct 2026. 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 South Korea. 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?
Change in nurses' shared decision-making competence (time frame: Baseline, immediately after the 4-week intervention, and 1 month after the first post-intervention assessment). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 23 Oct 2026.