Clinical trial NCT04204109: Interprofessional Versus Monoprofessional Case-based Learning in Childhood Cancer
Official title: Interprofessional Versus Monoprofessional Case-based Learning in Childhood Cancer and the Effect on Healthcare Professionals' Interprofessional Attitudes: a Randomized Trial
Study type: INTERVENTIONAL
Overall status: TERMINATED
Phase: NA
Conditions: Interprofessional Education
Continuing Professional Development
Education
Case-based Learning
Lead sponsor: Rigshospitalet, Denmark
Sponsor class: OTHER
Collaborators: name: Danish Child Cancer Foundation
First posted: 2019-12-18
Enrollment: 49
Sex: ALL
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: HEALTH_SERVICES_RESEARCH

Brief summary: Interprofessional education in childhood cancer is a multifaceted field. It involves multiple healthcare professionals with general and specialised knowledge and skills. Complex treatment, care and rehabilitation require continuous professional development and maintenance of healthcare professionals' competencies in their own professional field. Limited knowledge exists on comparing interprofessional and monoprofessional education and only few randomised studies have evaluated the effectiveness and efficiency of interprofessional education. One clinical area among others where healthcare professionals collaborate is in gastrointestinal toxicities and side effects. These are frequent and potentially severe clinical problems in childhood cancer that involve multiple healthcare professionals.

Objectives: To study the effect of interprofessional versus monoprofessional case-based learning on healthcare professionals' attitudes on interprofessional learning and collaboration.

Trial design: single centre investigator-initiated cluster randomized trial

Methods:

Participants: Employees with patient-related work at the childhood cancer departments and affiliated with childhood cancer at Rigshospitalet are eligible for inclusion. The setting is the childhood cancer department.

Outcome: The primary outcome is to improve healthcare professionals' interprofessional attitude.

Measurements:

The primary outcome is attitudes measured by the Assessment of Interprofessional Team Collaboration Scale (AITCS). Secondary outcome is Readiness for Interprofessional Learning Scale (RIPLS) Questionnaire, and Safety Attitudes Questionnaire (SAQ). Knowledge will be measured by written test as multiple choice questionnaire (MCQ).

Timepoints: The self-reported questionnaires will be distributed to the participants approximately one month before and one month after the educational intervention. On the day of the educational intervention, participants will answer the multiple choice questionnaire.

Analysis: Linear mixed regression will be used to compare differences in mean scores postintervention, adjusted for differences between the two groups.

Results: We hypothesise that interprofessional case-based learning positively affects the healthcare professionals' interprofessional attitudes.


Eligibility criteria: Inclusion Criteria:

* Healthcare professionals at the in-patient department for children and adolescents with cancer
* Healthcare professionals at the in-patient department for transplantation of children and adolescents with cancer
* Healthcare professionals at the out-patient departments for children and adolescents with cancer department
* Healthcare professionals affiliated with Juliane Marie Centre at Rigshospitalet
* Employees in a supportive function to the department for children and adolescents with cancer, such as psychologists, priests, pedagogues, social workers, experts in pain relief in children, physiotherapists, occupational therapists and dieticians.
* Teachers employed at a local public school but have their main working hours at the department.

Exclusion Criteria:

* Staff taking part in the intervention or in the planning of the intervention
* Management with staff responsibilities
* Lack of informed consent

Primary outcomes:
measure: Change in the participants' interprofessional collaboration
timeFrame: Measured 1 month before intervention and 1-3 months after intervention in both groups
Secondary outcomes:
measure: Change in the participants' interprofessional attitudes
timeFrame: Measured 1 month before intervention and 1-3 months after intervention in both groups
measure: Change in participants' knowledge of gastrointestinal toxicities and side effects
timeFrame: measured at the actual intervention day 30 minutes prior to the session and immediately after the education session (maximum 15 minutes after)
Other outcomes:
Locations:
city: Copenhagen
country: Denmark
facility: Juliane Marie Centre for Women, Children and Reproduction (JMC), Rigshospitalet (RH), Copenhagen University Hospital, Denmark.
Study officials:
affiliation: Juliane Marie Centre for Women, Children and Reproduction (JMC), Rigshospitalet (RH), Copenhagen University Hospital, Denmark.
name: Jette L Sørensen
role: STUDY_CHAIR
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