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Randomized Controlled Trial
. 2016 Nov 24;6(11):e014023.
doi: 10.1136/bmjopen-2016-014023.

Implementing shared decision-making in interprofessional home care teams (the IPSDM-SW study): protocol for a stepped wedge cluster randomised trial

France Légaré  1   2 , Nathalie Brière  3 , Dawn Stacey  4   5 , Guy Lacroix  6 , Sophie Desroches  1   7 , Serge Dumont  6   7   8 , Kimberly D Fraser  9 , Louis-Paul Rivest  10 , Pierre J Durand  2   3 , Stéphane Turcotte  1 , Monica Taljaard  4   5   6   7   8   9   10   11 , Henriette Bourassa  12 , Lise Roy  12 , Geneviève Painchaud Guérard  1
Affiliations
Randomized Controlled Trial

Implementing shared decision-making in interprofessional home care teams (the IPSDM-SW study): protocol for a stepped wedge cluster randomised trial

France Légaré et al. BMJ Open. .

Abstract

Introduction: The frail elderly in Canada face a tough decision when they start to lose autonomy: whether to stay at home or move to another location. This study seeks to scale up and evaluate the implementation of shared decision-making (SDM) in interprofessional (IP) home care teams caring for elderly clients or their caregivers facing a decision about staying at home or moving elsewhere.

Methods: A stepped wedge cluster randomised trial involving 8 Health and Social Service Centers (HSSCs) will be conducted with IP home care teams. HSSCs are the unit of randomisation. A decision guide will be passively distributed to all of the participating HSSCs at the beginning of the project. The participating HSSCs will then be randomised to 1 of 4 intervention start times, separated by 7-month intervals. The primary outcome is whether or not clients and caregivers assumed an active role in decision-making, assessed with a modified version of the Control Preferences Scale. The intervention, targeted at IP home care teams, consists of a 1.5 hour online tutorial and a 3.5 hour skills building workshop in IP SDM. Clients will be eligible for outcome assessment if they (1) are aged ≥65; (2) are receiving care from the IP home care team of the enrolled HSSCs; (3) have made a decision about whether to stay at home or move to another location during the recruitment periods; (4) are able to read, understand and write French or English; (5) can give informed consent. If clients are not able to provide informed consent, their primary caregiver will become the eligible participant.

Ethics and dissemination: Ethics committee review approval has been obtained from the Multicenter Ethics Committee of CISSS-Laval. Results will be disseminated at conferences, on websites of team members and in peer-reviewed and professional journals intended for policymakers and managers.

Trial registration number: NCT02592525, Pre-results.

Keywords: Frail elderly; Home care services; Interprofessional collaboration; Knowledge translation; Shared decision making.

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Conflict of interest statement

DS reports personal fees from Washington State Health Authority Patient Decision Aid certification programme, outside the submitted work.

Figures

Figure 1
Figure 1
Study flow diagram.
Figure 2
Figure 2
Stepped wedge study design.
See this image and copyright information in PMC

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