Ready for SDM- evaluation of an interprofessional training module in shared decision making - A cluster randomized trial

Simone Kienlin; Dawn Stacey; Kari Nytrøen; Alexander Grafe; Jürgen Kasper

doi:10.1016/j.pec.2022.03.013

Ready for SDM- evaluation of an interprofessional training module in shared decision making - A cluster randomized trial

Patient Educ Couns. 2022 Jul;105(7):2307-2314. doi: 10.1016/j.pec.2022.03.013. Epub 2022 Mar 17.

Authors

Simone Kienlin¹, Dawn Stacey², Kari Nytrøen³, Alexander Grafe⁴, Jürgen Kasper⁵

Affiliations

¹ Faculty of Health Sciences, Department of Health and Caring Sciences, UiT The Arctic University of Norway, Postbox 6050, Langnes, Norway; E-Health, Integrative care and Innovation Center, University Hospital of North Norway HF, Postbox 100, 9038 Tromsø, Norway; The South-Eastern Norway Regional Health Authority, Department of Medicine and Healthcare, Postbox 404, N-2303 Hamar, Norway. Electronic address: simone.maria.kienlin@uit.no.
² School of Nursing, University of Ottawa, 451 Smyth Road, Ottawa, ON K1H 8M5, Canada and: Ottawa Hospital Research Institute, 501 Smyth Road, Ottawa, ON K1H 8L6, Canada. Electronic address: Dawn.Stacey@uottawa.ca.
³ University of Oslo, Faculty of Medicine, Postbox 1072, Blindern, N-0316 Oslo, Norway. Electronic address: kari.nytroen@medisin.uio.no.
⁴ MSH Medical School Hamburg - University of Applied Sciences and Medical University, Germany. Electronic address: alex_grafe@yahoo.fr.
⁵ Faculty of Health Sciences, Department of Nursing and Health Promotion, OsloMet, Metropolitan University, Pilestredet 46, 0167 Oslo, Norway. Electronic address: jurgenka@oslomet.no.

PMID: 35365369
DOI: 10.1016/j.pec.2022.03.013

Abstract

Objective: Ready for SDM was developed in Norway as a comprehensive modularized curriculum for health care providers (HCP). The current study evaluated the efficacy of one of the modules, a 2-hour interprofessional SDM training designed to enhance SDM competencies.

Methods: A cluster randomized controlled trial was conducted with eight District Psychiatric Centres randomized to wait-list control (CG) or intervention group (IG). Participants and trainers were not blinded to their allocation. The IG received a 2-hour didactic and interactive training, using video examples. The primary outcome was the agreement between the participants' and an expert assessment of patient involvement in a video recorded consultation. The SDM-knowledge score was a secondary outcome.

Results: Compared to the CG (n = 65), the IG (n = 69) judged involvement behavior in a communication example more accurately (mean difference of weighted T, adjusted for age and gender:=-0.098, p = 0.028) and demonstrated better knowledge (mean difference=-0.58; p = 0.014). A sensitivity analysis entering a random effect for cluster turned out not significant.

Conclusion: The interprofessional group training can improve HCPs' SDM-competencies.

Practice implications: Addressing interprofessional teams using SDM communication training could supplement existing SDM training approaches. More research is needed to evaluate the training module's effects as a component of large-scale implementation of SDM.

Keywords: Communication skills; Curriculum; Inter-professional Education; Randomized controlled trial; Shared decision-making.

Publication types

Randomized Controlled Trial
Research Support, Non-U.S. Gov't

MeSH terms

Aminoacridines
Communication
Decision Making*
Decision Making, Shared*
Humans
Patient Participation

Substances

Aminoacridines
SDM

Associated data

ISRCTN/ISRCTN14184328