Increasing palliative care capacity in primary care: study protocol of a cluster randomized controlled trial of the CAPACITI training program

被引：4

作者：

Seow, Hsien ^{[1
]}

Bainbridge, Daryl ^{[1
]}

Winemaker, Samantha ^{[1
]}

Stajduhar, Kelli ^{[2
]}

Pond, Gregory ^{[1
]}

Kortes-Miller, Kathy ^{[3
]}

Marshall, Denise ^{[4
]}

Kilbertus, Frances ^{[5
]}

Myers, Jeff ^{[6
]}

Steinberg, Leah ^{[6
]}

Incardona, Nadia ^{[7
]}

Levine, Oren ^{[1
]}

Pereira, Jose ^{[4
]}

机构：

[1] McMaster Univ, Dept Oncol, Hamilton, ON, Canada

[2] Univ Victoria, Sch Nursing, Victoria, BC, Canada

[3] Lakehead Univ, Dept Social Work, Thunder Bay, ON, Canada

[4] McMaster Univ, Dept Family Med, Hamilton, ON, Canada

[5] Med Univ, Northern Ontario Sch, Thunder Bay, ON, Canada

[6] Univ Toronto, Div Palliat Care, Toronto, ON, Canada

[7] Univ Toronto, Dept Family & Community Med, Toronto, ON, Canada

来源：

BMC PALLIATIVE CARE | 2023年 / 22卷 / 01期

基金：

加拿大健康研究院;

关键词：

Palliative Care; Education; Health Personnel; Training Programs; Professional Competence; Cluster Randomized Controlled Trial; OF-LIFE CARE; EDUCATION; HEALTH; FRAMEWORK; QUALITY; STAFF;

D O I：

10.1186/s12904-022-01124-x

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Background Primary care providers play a critical role in providing early palliative care to their patients. Despite the availability of clinical education on best practices in palliative care, primary care providers often lack practical guidance to help them operationalize this approach in practice. CAPACITI is a virtual training program aimed at providing practical tips, strategies, and action plans to provide an early palliative approach to care. The entire program consists of 12 sessions (1 h each), divided evenly across three modules: (1) Identify and Assess; (2) Enhance Communication Skills; (3) Coordinate for Ongoing Care. We report the protocol for our planned evaluation of CAPACITI on its effectiveness in helping primary care providers increase their identification of patients requiring a palliative approach to care and to strengthen other core competencies.Methods A cluster randomized controlled trial evaluating two modes of CAPACITI program delivery: 1) self-directed learning, consisting of online access to program materials; and 2) facilitated learning, which also includes live webinars where the online materials are presented and discussed. The primary outcomes are 1) percent of patients identified as requiring palliative care (PC), 2) timing of first initiation of PC, and self-reported PC competency (EPCS tool). Secondary outcomes include self-reported confidence in PC, practice change, and team collaboration (AITCS-II tool), as well as qualitative interviews. Covariates that will be examined are readiness for change (ORCA tool), learning preference, and team size.Primary care teams representing interdisciplinary providers, including physicians, nurse practitioners, registered nurses, care coordinators, and allied health professionals will be recruited from across Canada. The completion of all three modules is expected to take participating teams a total of six months.Discussion CAPACITI is a national trial aimed at behavior change in primary care providers. This research will help inform future palliative care educational initiatives for generalist health care providers. Specifically, our findings will examine the effectiveness of the two models of education delivery and the participant experience associated with each modality.

引用

页数：12

共 46 条

[1] Effectiveness of Training Programs About a Palliative Care Approach: A Systematic Review of Intervention Trials for Health Care Professionals [J].