Clinical trial NCT06121076: Effects of the Shared-decision Making Training Program
Official title: A Cross-cultural Project of the Tailored EBP-SDM Training Program Empowers Nurses and Midwives in Competency and Performance.
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Competence
Keywords: shared-decision making
evidence-based practice
midwife
Lead sponsor: University of Medicine and Pharmacy at Ho Chi Minh City
Sponsor class: OTHER
Collaborators: name: National Taipei University of Nursing and Health Sciences
First posted: 2023-11-07
Enrollment: 72
Sex: ALL
Minimum age (years): 18
Maximum age (years): 60
Standard ages: ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: OTHER

Brief summary: The goal of this intervention study is to test the effectiveness of a training program for hospital-based midwives. The main questions it aims to answer are: •Does SDM combined EBP training improve midwives' SDM and EBP competency? • What are factors related to SDM competency in midwives? Participants will participate in a 20-hour training program, including lectures and hands-on practice sessions. Researchers will compare groups that receive SDM training with or without EBP training to see if there are changes in midwives' SDM and EBP competency.

Detailed description: This study aimed to evaluate the effect of SDM training program, with or without EBP, on the level of midwives' SDM and EBP competency. This randomized controlled trial recruited participants from 18 departments of an obstetrics and gynecology hospital in Vietnam. 72 midwives (36 in each group) and 404 patients were required. Eligible midwives were ones who provided the hands-on care of patients for at least three months, were licensed to practice midwifery, and were willing to participate in the study. Each participating midwife conducted three encounters with real patients who were conveniently selected. Patients at least 18 years old, having SURE test scores less than 4, and willing to participate in the study were invited. Patients requiring emergency medical attention were excluded. The intervention group received a tailored training program that combined SDM with EBP, while the control group received SDM training alone. The outcomes related to SDM (measured by SDM-Q-Doc, SDM-Q-9, DSC, OPTION5, DSAT10, and 4HCS) and EBP (measured by HS-EBP) were evaluated at baseline, Week 2, and/or Week 4.

Eligibility criteria: Inclusion Criteria for midwives:

* provide hands-on care to patients for at least three months
* licensed to practice midwifery
* willing to participate in the study.

Inclusion Criteria for patients:

* having SURE test score less than 4 (SURE was a decisional conflict screening tool. A score less than 4 was a positive result for decisional conflict)
* willing to participate in the study

Exclusion Criteria for patients:

* Patients requiring emergency medical attention

Primary outcomes:
measure: SDM competency from midwives' perspective
timeFrame: baseline, week 2, week 4
measure: SDM competency from observers' perspective
timeFrame: baseline, week 2, week 4
measure: SDM competency from patients' perspective
timeFrame: baseline, week 2, week 4
measure: Decision support skill
timeFrame: baseline, week 2, week 4
measure: Communication skill
timeFrame: baseline, week 2, week 4
Secondary outcomes:
measure: Level of EBP competency
timeFrame: baseline, week 2, week 4
measure: Decision conflict
timeFrame: baseline, week 2, week 4
Other outcomes:
Locations:
city: Ho Chi Minh
country: Vietnam
facility: Obstetric hospital
Study officials:
affiliation: National Taipei University of Nursing and Health Sciences
name: Mei-ling Yeh, PhD
role: STUDY_DIRECTOR
References: