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Implementing shared decision-making in interprofessional home care teams (the IPSDM-SW study): protocol for a stepped
France Légaré1,2, Nathalie Brière3, Dawn Stacey4,5
1CHU de Québec Research Centre, Saint-François d'Assise Hospital, Quebec City, Quebec, Canada.
BMJ Open
|November 26, 2016
Summary
This study implemented shared decision-making (SDM) in interprofessional home care teams for frail elderly clients. The goal was to increase client and caregiver involvement in decisions about aging in place or relocating.
Area of Science:
- Gerontology
- Healthcare Management
- Decision Science
Background:
- Frail elderly individuals in Canada face significant decisions regarding autonomy and living arrangements.
- Interprofessional (IP) home care teams support these individuals, but decision-making processes require optimization.
Purpose of the Study:
- To scale up and evaluate the implementation of shared decision-making (SDM) within IP home care teams.
- To enhance the involvement of elderly clients and their caregivers in decisions about staying at home or moving.
Main Methods:
- A stepped wedge cluster randomized trial involving 8 Health and Social Service Centers (HSSCs).
- Intervention included an online tutorial and skills-building workshop on IP SDM for home care teams.
- Primary outcome measured client and caregiver active role in decision-making using the Control Preferences Scale.
Main Results:
- The study is pre-results; data collection and analysis are ongoing.
- Implementation of SDM strategies is being evaluated for effectiveness.
Conclusions:
- Findings will inform the integration of SDM in home care settings for improved patient-centered outcomes.
- Successful implementation can empower elderly clients and caregivers in critical life decisions.
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