Clinical trial NCT02674360: RCT Regarding SDM Online Training and Face-to-face SDM Training
Official title: Randomized Controlled Trial Regarding (RCT) Innovative Dissemination Strategies for a Brief Shared Decision Making (SDM) Intervention for Oncologists: Web-based SDM Online Training and Individualized, Context-based Face-to-face SDM Training
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Doctor-Patient-Communication
Lead sponsor: University Hospital Heidelberg
Sponsor class: OTHER
Collaborators: name: Universitätsklinikum Hamburg-Eppendorf
First posted: 2016-02-04
Enrollment: 161
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: OTHER

Brief summary: Cancer patients often report that they are not included in important treatment decisions. Numerous studies have shown that a training concerning Shared Decision Making (SDM) for physicians can improve this situation. This does not only lead to a better quality of the doctor-patient interaction, but may have a positive long term impact on treatment adherence, the psychological well-being and the coping abilities of the patients. However, previous experience regarding the implementation of SDM training programs show that it is difficult to recruit physicians for an external SDM group training due to the extensive workload of the physicians. In light of the available evidence on the effectiveness of SDM training and the low motivation by oncologists for traditional SDM group training, this study aims to develop and evaluate a brief SDM intervention. This intervention is disseminated in two different ways which both might be attractive for oncologists. On the one hand an individual face-to-face context-based SDM training is designed and conducted by a trainer at the workplace of the participating oncologists. On the other hand a web-based SDM online training is developed. Both SDM interventions are developed on the basis of an SDM manual evaluated in previous studies.

This study therefore aims to examine the effectiveness of different disseminations strategies (individualized face-to-face context-based SDM individual training vs. web-based SDM online training) compared to a control group without any training. It will be analyzed which improvements in medical SDM competence can be accomplished by the different SDM trainings. Further the effects of the training on SDM knowledge, quality of the doctor-patient interaction and SDM self-efficacy expectation will be evaluated.


Eligibility criteria: Inclusion Criteria:

1. Oncologists or physicians treating a significant percentage of breast and/or colorectal cancer patients
2. Internet access

Exclusion Criteria:

* No Exclusion Criteria

Primary outcomes:
measure: Change from baseline in SDM competence measured by an objective Rating (OPTION)
timeFrame: T0 (2 weeks before Training) and T1 (1 weeks after Training)
Secondary outcomes:
measure: Change from baseline in SDM competence by subjective standardized patient rating (Dyadic Option)
timeFrame: T0 (2 weeks before Training), T1 (1 weeks after Training), T2 (3 month after T1)
measure: Change from baseline in SDM competence by subjective standardized patient rating (Patient Perception Scale)
timeFrame: T0 (2 weeks before Training), T1 (1 weeks after Training), T2 (3 month after T1)
measure: Change from baseline in SDM competence by subjective standardized patient rating (SDM-Q-9)
timeFrame: T0 (2 weeks before Training), T1 (1 weeks after Training), T2 (3 month after T1)
measure: Change from baseline in SDM competence by subjective physician rating (Dyadic Option)
timeFrame: T0 (2 weeks before Training), T1 (1 weeks after Training), T2 (3 month after T1)
measure: Change from baseline in SDM competence by subjective physician rating (Physician-Perception-Scale)
timeFrame: T0 (2 weeks before Training), T1 (1 weeks after Training), T2 (3 month after T1)
measure: Change from baseline in SDM competence by subjective physician rating (SDM-Q-9)
timeFrame: T0 (2 weeks before Training), T1 (1 weeks after Training), T2 (3 month after T1)
measure: Change from baseline in quality of doctor-patient-interaction by subjective Patient rating (Questionnaire on the Quality of physician-patient interaction)
timeFrame: T0 (2 weeks before Training), T1 (1 weeks after Training), T2 (3 month after T1)
measure: Change from baseline in quality of doctor-patient-interaction by subjective Physician rating (Questionnaire on the Quality of physician-patient interaction)
timeFrame: T0 (2 weeks before Training), T1 (1 weeks after Training), T2 (3 month after T1)
Other outcomes:
Locations:
city: Heidelberg
country: Germany
facility: University Hospital Heidelberg
state: Baden-Wuerttemberg
city: Hamburg
country: Germany
facility: University Hospital Hamburg-Eppendorf
Study officials:
affiliation: University Hospital Heidelberg
name: Christiane Bieber, PD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Janz NK, Wren PA, Copeland LA, Lowery JC, Goldfarb SL, Wilkins EG. Patient-physician concordance: preferences, perceptions, and factors influencing the breast cancer surgical decision. J Clin Oncol. 2004 Aug 1;22(15):3091-8. doi: 10.1200/JCO.2004.09.069.
citation: Melbourne E, Sinclair K, Durand MA, Legare F, Elwyn G. Developing a dyadic OPTION scale to measure perceptions of shared decision making. Patient Educ Couns. 2010 Feb;78(2):177-83. doi: 10.1016/j.pec.2009.07.009. Epub 2009 Aug 3.
citation: Kriston L, Scholl I, Holzel L, Simon D, Loh A, Harter M. The 9-item Shared Decision Making Questionnaire (SDM-Q-9). Development and psychometric properties in a primary care sample. Patient Educ Couns. 2010 Jul;80(1):94-9. doi: 10.1016/j.pec.2009.09.034. Epub 2009 Oct 30.
citation: Scholl I, Kriston L, Dirmaier J, Buchholz A, Harter M. Development and psychometric properties of the Shared Decision Making Questionnaire--physician version (SDM-Q-Doc). Patient Educ Couns. 2012 Aug;88(2):284-90. doi: 10.1016/j.pec.2012.03.005. Epub 2012 Apr 3.
citation: Bieber C, Muller KG, Nicolai J, Hartmann M, Eich W. How does your doctor talk with you? Preliminary validation of a brief patient self-report questionnaire on the quality of physician-patient interaction. J Clin Psychol Med Settings. 2010 Jun;17(2):125-36. doi: 10.1007/s10880-010-9189-0.
citation: Elwyn G, Edwards A, Wensing M, Hood K, Atwell C, Grol R. Shared decision making: developing the OPTION scale for measuring patient involvement. Qual Saf Health Care. 2003 Apr;12(2):93-9. doi: 10.1136/qhc.12.2.93.
citation: Elwyn G, Hutchings H, Edwards A, Rapport F, Wensing M, Cheung WY, Grol R. The OPTION scale: measuring the extent that clinicians involve patients in decision-making tasks. Health Expect. 2005 Mar;8(1):34-42. doi: 10.1111/j.1369-7625.2004.00311.x.
citation: Goss C, Fontanesi S, Mazzi MA, Del Piccolo L, Rimondini M, Elwyn G, Zimmermann C. Shared decision making: the reliability of the OPTION scale in Italy. Patient Educ Couns. 2007 Jun;66(3):296-302. doi: 10.1016/j.pec.2007.01.002. Epub 2007 Apr 11.
citation: Muller N, Gschwendtner KM, Dwinger S, Bergelt C, Eich W, Harter M, Bieber C. Study protocol of a randomized controlled trial on two new dissemination strategies for a brief, shared-decision-making (SDM) training for oncologists: web-based interactive SDM online-training versus individualized context-based SDM face-to-face training. Trials. 2019 Jan 7;20(1):18. doi: 10.1186/s13063-018-3112-7.