Clinical trial NCT03267706: Introducing the Palliative Care Comprehensive Tool in Family Medicine
Official title: Introducing the Comprehensive Palliative Care Tool in Family Medicine : A Pilot Randomized Controlled Trial
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: NA
Conditions: Palliative Care
Primary Care
Satisfaction
Keywords: Primary care
Palliative care
Lead sponsor: McMaster University
Sponsor class: OTHER
First posted: 2017-08-30
Enrollment: 149
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: Pilot prospective randomized controlled trial
Primary purpose: SUPPORTIVE_CARE

Brief summary: 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: 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)

Eligibility criteria: 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

-

Primary outcomes:
measure: Caregiver satisfaction
timeFrame: 3 months
Secondary outcomes:
measure: Patient satisfaction
timeFrame: 3 months
measure: Clinician satisfaction
timeFrame: 3 months
measure: User feedback
timeFrame: 3 months
measure: Uptake of tool
timeFrame: 3 month
Other outcomes:
Locations:
city: Hamilton
country: Canada
facility: Stonechurch Family Health Centre, Department of Family Medicine McMaster University
state: Ontario
Study officials:
affiliation: Department of Family Medicine McMaster University
name: Ainsley Moore, MD
role: PRINCIPAL_INVESTIGATOR
References: