Implementing Shared Decision Making in Interprofessional Home Care Teams (IPSDM-SW)

Laval University

Status: Completed

Conditions: Aging

Treatments: Behavioral: IP-SDM training for health professionals

Study type: Interventional

Funder types: Other

Identifiers

NCT02592525

2015-2016 01-01-E

Details and patient eligibility

About

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;

Enrollment: 653 patients

Sex: All

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

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.

Exclusion criteria

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

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Crossover Assignment

Masking: None (Open label)

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653 participants in 4 patient groups

Cluster A

Experimental group

Description:

IP-SDM training for health professionals (intervention at 4 months)

Treatment:

Behavioral: IP-SDM training for health professionals

Cluster B

Experimental group

Description:

IP-SDM training for health professionals (intervention at 11 months)

Treatment:

Behavioral: IP-SDM training for health professionals

Cluster C

Experimental group

Description:

IP-SDM training for health professionals (intervention at 18 months)

Treatment:

Behavioral: IP-SDM training for health professionals

Cluster D

Experimental group

Description:

IP-SDM training for health professionals (intervention at 25 months)

Treatment:

Behavioral: IP-SDM training for health professionals