Evidence map›Paper›PMID 25881122›Full record

Trial reportTrials2015

Improving Decision making On Location of Care with the frail Elderly and their caregivers (the DOLCE study): study protocol for a cluster randomized controlled trial.

France Légaré, Nathalie Brière, Dawn Stacey, Henriette Bourassa, Sophie Desroches, Serge Dumont, Kimberly Fraser, Adriana Freitas, Louis-Paul Rivest, Lise Roy

Registry-linked trialAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Trials, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02244359 (Improving the Decision Making Process About Location of Care With the Frail Elderly and Their Caregivers), which is not on this map. Cited by 22 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02244359 nacompletednot on this map

Improving the Decision Making Process About Location of Care With the Frail Elderly and Their Caregivers

TypeinterventionalSponsorCHU de Quebec-Universite LavalRan2014 to 2016Enrolled455ConditionsDecision Process About the Location of Care Among Frail ElderlyArmsTraining, Usual care
3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

France LégaréResearch Centre of the CHU de Québec, St-François D'Assise Hospital, 10, rue de l'Espinay D6-735, Quebec City, G1L 3 L5, Canada. France.Legare@mfa.ulaval.ca.
Nathalie BrièreCentre de santé et de services sociaux (CSSS) de la Vieille-Capitale, 880, rue Père-Marquette, Quebec City, G1M 2R9, Canada. nathalie.briere@csssvc.qc.ca.
Dawn StaceyOttawa Hospital Research Institute, 501 Smyth Road, Ottawa, K1H 8 L6, Canada. Dawn.stacey@uottawa.ca.
Henriette BourassaCaregivers' representative, Research Centre of the CHU de Québec, St-François D'Assise Hospital, 10, rue de l'Espinay, Quebec City, G1L 3 L5, Canada. Henriette_bourass@videotron.ca.
Sophie DesrochesResearch Centre of the CHU de Québec, St-François D'Assise Hospital, 10, rue de l'Espinay D6-735, Quebec City, G1L 3 L5, Canada. Sophie.Desroches@fsaa.ulaval.ca.
Serge DumontCentre de santé et de services sociaux (CSSS) de la Vieille-Capitale, 880, rue Père-Marquette, Quebec City, G1M 2R9, Canada. Serge.Dumont@svs.ulaval.ca.
Kimberly FraserFaculty of Nursing, University of Alberta, 11405 87 Avenue, Edmonton, T6G 1C9, Canada. kdfraser@ualberta.ca.
Adriana FreitasResearch Centre of the CHU de Québec, St-François D'Assise Hospital, 10, rue de l'Espinay D6-735, Quebec City, G1L 3 L5, Canada. Adriana.Freitas@crchudequebec.ulaval.ca.
Louis-Paul RivestFaculty of Sciences and Engineering, Department of Mathematics and Statistics, Université Laval, 1045 rue de la médecine, Quebec City, G1V 0A6, Canada. Louis-Paul.Rivest@mat.ulaval.ca.
Lise RoyCaregivers' representative, Research Centre of the CHU de Québec, St-François D'Assise Hospital, 10, rue de l'Espinay, Quebec City, G1L 3 L5, Canada. Liseroy47@videotron.ca.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOne of the toughest decisions faced by elderly people is whether to stay at home or move to a care facility. This study seeks to evaluate the impact of training interprofessional home-care teams in shared decision making combined with a decision aid on the proportion of elderly people who report being active in the decision-making process regarding whether to stay at home or move to a care facility. METHODS/

designWe propose a multicenter cluster randomized trial conducted with home-care interprofessional teams in the Province of Quebec with 2 data collection phases: before and after the intervention. Units of randomization will be centers for primary healthcare and social services. We will enroll 16 of these and ask each to provide one home-care interprofessional team involved in decisions and care planning with eligible clients. Clients will be included if they i) are aged ≥65; ii) are receiving care from the participating home-care interprofessional team; iii) have faced the decision about staying at home or moving to a care facility in the past 3 to 6 months; iv) are able to read, understand and write French or English; and v) are able to give informed consent. If clients are unable to provide informed consent, their primary caregiver who was involved in the decision-making process will be eligible to participate. The intervention arm will receive training in shared decision making and use of a decision aid. The control arm will receive 'usual care'. The primary outcome of interest is the assumed role in the decision-making process as assessed in clients or caregivers with a modified version of the Control Preferences Scale. Multilevel modeling will be used to take the hierarchical structure of the data into account. The study has obtained full ethical approval. The trial will comply with CONSORT guidelines adapted for cluster randomized trials. DISCUSSION: Home care is a rapidly growing sector and this study will lay the foundations of a national strategy to ensure that IP home-care teams provide the highest quality of care for seriously ill elderly people and support for their families.

trial registrationClinicalTrials.gov NCT02244359 (registered 18 September 2014).

Indexed as

CaregiversClinical ProtocolsDecision MakingFrail ElderlyAgedHumansOutcome Assessment, Health CareSample Size

Identifiers

PMID25881122
PMCPMC4337186

What OpenQuestion holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.