Clinical trial NCT04026698: Implementing an Intervention to Foster Resident and Family Engagement in Care Planning
Official title: Implementing an Intervention to Foster Meaningful Engagement and Shared Decision-making in Long-term Care: A Mixed Methods Approach
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Quality of Life
Lead sponsor: University of Toronto
Sponsor class: OTHER
Collaborators: name: Canadian Institutes of Health Research (CIHR)
name: Baycrest
First posted: 2019-07-19
Enrollment: 110
Sex: ALL
Minimum age (years): 65
Standard ages: OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: NA
Intervention model: SINGLE_GROUP
Intervention model description: This intervention study has a single group of participants who will receive the intervention. There is no control group or randomization.
Primary purpose: HEALTH_SERVICES_RESEARCH

Brief summary: This study is a pilot test of an intervention to engage residents and their family and the healthcare team in a collaborative approach to decisions about care planning in long-term care. The intervention includes leadership coaching with the management team, an educational bundle that includes a one-day education session for staff and managers on communication strategies and ways to engage family and residents in care planning and follow-up visits, and a series of resident and family led huddles (brief, 15 minute meetings) to discuss a care related topic with staff to foster proactive communication and information sharing for care planning.

Detailed description: This study is a pilot test of an intervention to engage residents and their family and the healthcare team in a collaborative approach to decisions about care planning in long-term care. The intervention includes leadership coaching with the management team, an educational bundle that includes a one-day education session for staff and managers on communication strategies and ways to engage family and residents in care planning and follow-up visits, and a series of resident and family led huddles (brief, 15 minute meetings) to discuss a care related topic with staff to foster proactive communication and information sharing and care planning.

The study aims are to describe the feasibility and acceptability of the resident and family engagement intervention, and to evaluate the following outcomes: resident quality of life, resident and family satisfaction with care, and staff quality of work life. The investigators aim to recruit 20 staff, the leadership team, and 12 resident-family dyads from four long-term care facilities who will receive the intervention and complete the survey measures. The expected outcome from this study is an increased understanding of how to engage residents and family in care decisions impacting quality of life.

Amendment: Due to the COVID-19 pandemic, the anticipated sample size is smaller and as a result, our outcomes will be explored qualitatively through interviews.

Eligibility criteria: Inclusion Criteria for Residents:

* residents who can communicate in English
* residents (aged 65 or older) who have a visiting family member who is their substitute decision maker- both the resident and their family member will participate in the huddles

Exclusion Criteria:

* residents with severe cognitive impairment
* residents who do not speak English

Primary outcomes:
measure: Quality of life- a change is being assessed
timeFrame: Pre-intervention and post-intervention- within 3 months after intervention completion
Secondary outcomes:
measure: Resident satisfaction with care- a change is being assessed
timeFrame: Pre-intervention and post-intervention- within 3 months after intervention completion
measure: Family satisfaction with resident care- a change is being assessed
timeFrame: Pre-intervention and post-intervention- within 3 months after intervention completion
measure: Staff quality of work life- a change is being assessed
timeFrame: Pre-intervention and post-intervention- within 3 months after intervention completion
Other outcomes:
Locations:
city: Toronto
country: Canada
facility: University of Toronto
state: Ontario
Study officials:
affiliation: University of Toronto
name: Lisa A Cranley, PhD
role: PRINCIPAL_INVESTIGATOR
References: