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Improving Decision Making On Location of Care With the Frail Elderly and Their Caregivers (DOLCE)

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ClinicalTrials.gov Identifier: NCT02244359
Recruitment Status : Completed
First Posted : September 19, 2014
Last Update Posted : August 25, 2016
Sponsor:
Collaborators:
TVN 2013 Core Research Grant Program
Ministere de la Sante et des Services Sociaux
Health and Social Services Agency, Montreal
Information provided by (Responsible Party):
France Legare, CHU de Quebec-Universite Laval

Study Description
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Brief Summary:

One of the toughest decisions faced by the frail elderly in Canada is whether to stay at home or move to a care facility. It is certainly difficult to make this decision alone, but can be even harder if someone else makes it for you. Shared decision making is when, instead of making decisions for the patient, healthcare professionals share information about what the evidence says, and they talk about what's important with the patient, and then make the decision together. In the case of the frail elderly in home care services, there are many health care professionals involved, e.g. the doctor, nurse and social worker. In this case decisions should be shared by all the professionals involved with the elderly person along with his or her caregivers. Unfortunately, in this context, shared decision making rarely occurs.

We have designed a training program that teaches interprofessional teams how to share decisions with their frail elderly patients, and tested it in one Quebec City and one Edmonton home care team. This project tests the training program on a broader scale with 16 home care teams attached to community health centres across the province of Quebec, and will compare the results with what happens when no one has completed the training (usual care). Home care is a rapidly growing sector and this study will lay the foundations for a national strategy to ensure that no one has to make this difficult decision alone.


Condition or disease Intervention/treatment Phase
Decision Process About the Location of Care Among Frail Elderly Behavioral: Training Behavioral: Usual care Not Applicable

Study Design
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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 455 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Participant)
Primary Purpose: Health Services Research
Official Title: Improving the Decision Making Process About Location of Care With the Frail Elderly and Their Caregivers
Study Start Date : September 2014
Actual Primary Completion Date : August 2016
Actual Study Completion Date : August 2016

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Caregivers

Arms and Interventions
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Arm Intervention/treatment
Experimental: Training
Online tutorial, decision aid and interactive workshop
 Behavioral: Training
Usual care
Usual care
 Behavioral: Usual care


Outcome Measures
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Primary Outcome Measures :
  1. The assumed role in the decision making process, and the preferred and chosen options. [ Time Frame: 3 to 6 months ]
    We will use the modified version of the Control Preferences Scale designed to assess the assumed role in the decision making process reported by the client.


Eligibility Criteria
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Ages Eligible for Study:   65 Years and older   (Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Receiving care from the home care team
  • Faced the decision about whether to stay at home or move to a care facility in the previous 3 to 6 months
  • Able to read, understand and write french or english
  • Able to give informed consent
  • For the case of clients unable to provide informed consent, their caregivers who was involved into decision making process will be eligible

Exclusion Criteria:

  • Clients who cannot provide informed consent (e. g. clients with cognitive impairment) without a caregiver
  • Clients who require acute care hospitalization and whom the location of care decision is transferred to hospital-based social services
Contacts and Locations
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Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02244359


Locations
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Canada
CHU de Québec
Quebec, Canada, G1L 3L5
Sponsors and Collaborators
CHU de Quebec-Universite Laval
TVN 2013 Core Research Grant Program
Ministere de la Sante et des Services Sociaux
Health and Social Services Agency, Montreal
Investigators
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Principal Investigator: France Légaré, MD, PhD CHUQ Research Center
More Information
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Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):

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Responsible Party: France Legare, B. Sc. Arch, MD, PhD, CCMF, FCMF, CHU de Quebec-Universite Laval
ClinicalTrials.gov Identifier: NCT02244359    
Other Study ID Numbers: CORE 2013-56
First Posted: September 19, 2014    Key Record Dates
Last Update Posted: August 25, 2016
Last Verified: August 2016
Keywords provided by France Legare, CHU de Quebec-Universite Laval:
Shared Decision making
Patient Centred care
Interprofessionalism
Home care
Frail elderly