Evidence map›Paper›PMID 27884857›Full record

Trial reportBMJ open2016

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

France Légaré, Nathalie Brière, Dawn Stacey, Guy Lacroix, Sophie Desroches, Serge Dumont, Kimberly D Fraser, Louis-Paul Rivest, Pierre J Durand, Stéphane Turcotte and 4 more

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMJ open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02592525 (Implementing Shared Decision Making in Interprofessional Home Care Teams), which is not on this map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 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.

NCT02592525 nacompletednot on this map

Implementing Shared Decision Making in Interprofessional Home Care Teams : a Stepped Wedge Cluster Randomized Trial

TypeinterventionalSponsorCHU de Quebec-Universite LavalRan2015 to 2018Enrolled653ConditionsAgingArmsIP-SDM training for health professionals
3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline 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

14 authors.

France LégaréCHU de Québec Research Centre, Saint-François d'Assise Hospital, Quebec City, Quebec, Canada.
Nathalie BrièreCentre intégré universitaire de santé et de services sociaux (CIUSSS) de la Capitale-Nationale, Direction des services multidisciplinaires, Quebec City, Quebec, Canada.
Dawn StaceyClinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, Ontario, Canada.
Guy LacroixFaculty of Social Sciences, Université Laval, Quebec City, Quebec, Canada.
Sophie DesrochesCHU de Québec Research Centre, Saint-François d'Assise Hospital, Quebec City, Quebec, Canada.
Serge DumontFaculty of Social Sciences, Université Laval, Quebec City, Quebec, Canada.
Kimberly D FraserFaculty of Nursing, University of Alberta, Edmonton, Alberta, Canada.
Louis-Paul RivestFaculty of Sciences and Engineering, Université Laval, Quebec City, Quebec, Canada.
Pierre J DurandFaculty of Medicine, Université Laval, Quebec City, Quebec, Canada.
Stéphane TurcotteCHU de Québec Research Centre, Saint-François d'Assise Hospital, Quebec City, Quebec, Canada.
Monica TaljaardClinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, Ontario, Canada.
Henriette BourassaCaregivers' representative, CHU de Québec Research Centre, Saint-François d'Assise Hospital, Quebec City, Quebec, Canada.
Lise RoyCaregivers' representative, CHU de Québec Research Centre, Saint-François d'Assise Hospital, Quebec City, Quebec, Canada.
Geneviève Painchaud GuérardCHU de Québec Research Centre, Saint-François d'Assise Hospital, Quebec City, Quebec, Canada.

Funding

CIHR 201403MOP-325236-KTR-CFBA-19158
6 · The paper itself

Abstract

introductionThe 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.

methodsA 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.

Indexed as

CaregiversDecision MakingFrail ElderlyPatient ParticipationAgedCanadaHome Care ServicesHumansInterprofessional RelationsOutcome Assessment, Health CarePatient Care TeamResearch DesignFrail elderlyHome care servicesInterprofessional collaborationKnowledge translationShared decision making

Identifiers

PMID27884857
PMCPMC5168494

What OpenQuestion holds

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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.