Introducing the Palliative Care Comprehensive Tool in Family Medicine

Study Overview
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Brief Summary
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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

Detailed Description
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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)

Official Title
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Introducing the Comprehensive Palliative Care Tool in Family Medicine : A Pilot Randomized Controlled Trial

Conditions
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Palliative Care, Primary Care, Satisfaction

Intervention / Treatment
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* Other: Palliative Care Comprehensive Tool


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Inclusive sample of all clinicians employed at Stonechurch Family Health Centre Inclusive sample of all patients over 18 years of age, registered as palliative within Stonechurch Family Health Centre and who are English speaking Exclusion Criteria: Patients younger than 18 years of age, patients who are non-English speaking -

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: Pilot prospective randomized controlled trial
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Palliative Care Comprehensive Tool<br>Clinicians within the study will be randomly assigned and trained on the use of the Palliative Care Comprehensive Tool | Other: Palliative Care Comprehensive Tool<br>* 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<br>* Other names: PaCCT;|
| No Intervention: Usual Care<br>Clinicians within the study will be randomly assigned to usual palliative care (without the newly introduced tool) | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Caregiver satisfaction | FAMCARE-2 survey to measure caregiver satisfaction | 3 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Patient satisfaction | FAMCARE-P13 | 3 months | 
| Clinician satisfaction | Physician Satisfaction with Aspects of Chronic Care (modified) | 3 months | 
| 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 | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Primary care, Palliative care