Palliative Care, Primary Care, Satisfaction
Conditions
Keywords
Primary care, Palliative 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)
Interventions
OTHERPalliative Care Comprehensive Tool
Clinicians assigned to the newly developed Palliative Care Comprehensive Tool will be trained during a 1 hour period on the application of the tool; Including rationale for tool development, objective of the tool and demonstration of the tool in action
Sponsors
McMaster University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
SINGLE (Subject)
Masking description
Patients and caregivers are blinded as to whether their clinician received training and access to the newly introduced comprehensive palliative care tool. Clinicians delivering care are not blinded to use of the tool, outcome assessors are not blinded to the data
Intervention model description
Pilot prospective randomized controlled trial
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
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 \-
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Caregiver satisfaction | 3 months | FAMCARE-2 survey to measure caregiver satisfaction |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Patient satisfaction | 3 months | FAMCARE-P13 |
| Clinician satisfaction | 3 months | Physician Satisfaction with Aspects of Chronic Care (modified) |
| User feedback | 3 months | Acceptability and feasibility of the Palliative Care Comprehensive Tool will be sought using the Clinical Sensibility Questionnaire |
| Uptake of tool | 3 month | Tool implementation will be (rate of tool uptake by clinician) |
Countries
Canada
Contacts
Primary ContactSarah Xu, MD
Backup ContactAmanpaul Bhamber, MD
Outcome results
None listed