Aging
Conditions
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;
Interventions
BEHAVIORALIP-SDM training for health professionals
Multifaceted SDM training program for providers: i) 1.5-hour online tutorial, ii) 3.5-hour skills building workshop; iii) video-clip demonstrating SDM in the context of an IP home care team with an aging adult making a decision about location of care (to be used with clients and providers as well); and iv) performance feedback to providers (role play during the workshop).
Sponsors
Canadian Institutes of Health Research (CIHR)
CHU de Quebec-Universite Laval
Study design
Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Healthy volunteers
Yes
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
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Assumed Role in decision making | 7 months | To assess the proportion of caregivers reporting an active role, a modified version of the Control Preferences Scale designed to assess the role assumed in the decision making process will be used. The scale consists of a single question and is the one most frequently used in studies assessing the implementation of SDM in clinical practice. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Decisional Regret | 7 months | Assessed with the Decisional Regret Scale |
| Decisional Conflict | 7 months | Assessed with the Decisional Conflict Scale |
| Patient involvement in decision making | 7 months | Assessed with the Dyadic-OPTION scale, a 12-item self-administered instrument that assesses 12 specific SDM behaviours during the decision-making process |
| Burden of care | 7 months | Assessed with the Zarit Burden Inventory Scale (ZBI), caregivers only |
| Preferred and chosen option (remain at home or move to another location) | 7 months | Questionnaire assessing the prefered and chosen option |
| Health-related quality of life | 7 months | Assessed with two subscales (Social isolation and Emotional reactions) of the HR-QoL questionnaire from the Nottingham Health Profile, clients only |
Countries
Canada
Outcome results
None listed