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;
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Enrollment
653
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).
Centre de recherche sur les soins et les services de première ligne de l'Université Laval (CERSSPL-UL)
Québec, Quebec, Canada
Assumed Role in decision making
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.
Time frame: 7 months
Patient involvement in decision making
Assessed with the Dyadic-OPTION scale, a 12-item self-administered instrument that assesses 12 specific SDM behaviours during the decision-making process
Time frame: 7 months
Decisional Regret
Assessed with the Decisional Regret Scale
Time frame: 7 months
Decisional Conflict
Assessed with the Decisional Conflict Scale
Time frame: 7 months
Health-related quality of life
Assessed with two subscales (Social isolation and Emotional reactions) of the HR-QoL questionnaire from the Nottingham Health Profile, clients only
Time frame: 7 months
Burden of care
Assessed with the Zarit Burden Inventory Scale (ZBI), caregivers only
Time frame: 7 months
Preferred and chosen option (remain at home or move to another location)
Questionnaire assessing the prefered and chosen option
Time frame: 7 months
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