Clinical trial NCT02592525: Implementing Shared Decision Making in Interprofessional Home Care Teams
Official title: Implementing Shared Decision Making in Interprofessional Home Care Teams : a Stepped Wedge Cluster Randomized Trial
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Aging
Lead sponsor: CHU de Quebec-Universite Laval
Sponsor class: OTHER
Collaborators: name: Canadian Institutes of Health Research (CIHR)
First posted: 2015-10-30
Enrollment: 653
Sex: ALL
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: CROSSOVER
Primary purpose: HEALTH_SERVICES_RESEARCH

Brief summary: 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;


Eligibility criteria: 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

Primary outcomes:
measure: Assumed Role in decision making
timeFrame: 7 months
Secondary outcomes:
measure: Patient involvement in decision making
timeFrame: 7 months
measure: Decisional Regret
timeFrame: 7 months
measure: Decisional Conflict
timeFrame: 7 months
measure: Health-related quality of life
timeFrame: 7 months
measure: Burden of care
timeFrame: 7 months
measure: Preferred and chosen option (remain at home or move to another location)
timeFrame: 7 months
Other outcomes:
Locations:
city: Québec
country: Canada
facility: Centre de recherche sur les soins et les services de première ligne de l'Université Laval (CERSSPL-UL)
state: Quebec
Study officials:
affiliation: Laval University
name: France Légaré, Ph. D.
role: PRINCIPAL_INVESTIGATOR
References:
citation: Adisso EL, Taljaard M, Stacey D, Briere N, Zomahoun HTV, Durand PJ, Rivest LP, Legare F. Shared Decision-Making Training for Home Care Teams to Engage Frail Older Adults and Caregivers in Housing Decisions: Stepped-Wedge Cluster Randomized Trial. JMIR Aging. 2022 Sep 20;5(3):e39386. doi: 10.2196/39386.
citation: Legare F, Briere N, Stacey D, Lacroix G, Desroches S, Dumont S, Fraser KD, Rivest LP, Durand PJ, Turcotte S, Taljaard M, Bourassa H, Roy L, Painchaud Guerard G. Implementing shared decision-making in interprofessional home care teams (the IPSDM-SW study): protocol for a stepped wedge cluster randomised trial. BMJ Open. 2016 Nov 24;6(11):e014023. doi: 10.1136/bmjopen-2016-014023.