Increasing palliative care capacity in primary care: study protocol of a cluster randomized controlled trial of the CAPACITI training program
Abstract 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...
| Main Authors: | , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-01-01
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| Series: | BMC Palliative Care |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12904-022-01124-x |
| _version_ | 1797958407320240128 |
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| author | Hsien Seow Daryl Bainbridge Samantha Winemaker Kelli Stajduhar Gregory Pond Kathy Kortes-Miller Denise Marshall Frances Kilbertus Jeff Myers Leah Steinberg Nadia Incardona Oren Levine Jose Pereira |
| author_facet | Hsien Seow Daryl Bainbridge Samantha Winemaker Kelli Stajduhar Gregory Pond Kathy Kortes-Miller Denise Marshall Frances Kilbertus Jeff Myers Leah Steinberg Nadia Incardona Oren Levine Jose Pereira |
| author_sort | Hsien Seow |
| collection | DOAJ |
| description | Abstract 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. Trial registration ClinicalTrials.gov NCT05120154. |
| first_indexed | 2024-04-11T00:19:37Z |
| format | Article |
| id | doaj.art-55b8a32722db4519b8092562d36cbecc |
| institution | Directory Open Access Journal |
| issn | 1472-684X |
| language | English |
| last_indexed | 2024-04-11T00:19:37Z |
| publishDate | 2023-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Palliative Care |
| spelling | doaj.art-55b8a32722db4519b8092562d36cbecc2023-01-08T12:23:28ZengBMCBMC Palliative Care1472-684X2023-01-0122111210.1186/s12904-022-01124-xIncreasing palliative care capacity in primary care: study protocol of a cluster randomized controlled trial of the CAPACITI training programHsien Seow0Daryl Bainbridge1Samantha Winemaker2Kelli Stajduhar3Gregory Pond4Kathy Kortes-Miller5Denise Marshall6Frances Kilbertus7Jeff Myers8Leah Steinberg9Nadia Incardona10Oren Levine11Jose Pereira12Department of Oncology, McMaster UniversityDepartment of Oncology, McMaster UniversityDepartment of Oncology, McMaster UniversitySchool of Nursing, University of VictoriaDepartment of Oncology, McMaster UniversityDepartment of Social Work, Lakehead UniversityDepartment of Family Medicine, McMaster UniversityNorthern Ontario School of Medicine UniversityDivision of Palliative Care, University of TorontoDivision of Palliative Care, University of TorontoDepartment of Family and Community Medicine, University of TorontoDepartment of Oncology, McMaster UniversityDepartment of Family Medicine, McMaster UniversityAbstract 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. Trial registration ClinicalTrials.gov NCT05120154.https://doi.org/10.1186/s12904-022-01124-xPalliative CareEducationHealth PersonnelTraining ProgramsProfessional CompetenceCluster Randomized Controlled Trial |
| spellingShingle | Hsien Seow Daryl Bainbridge Samantha Winemaker Kelli Stajduhar Gregory Pond Kathy Kortes-Miller Denise Marshall Frances Kilbertus Jeff Myers Leah Steinberg Nadia Incardona Oren Levine Jose Pereira Increasing palliative care capacity in primary care: study protocol of a cluster randomized controlled trial of the CAPACITI training program BMC Palliative Care Palliative Care Education Health Personnel Training Programs Professional Competence Cluster Randomized Controlled Trial |
| title | Increasing palliative care capacity in primary care: study protocol of a cluster randomized controlled trial of the CAPACITI training program |
| title_full | Increasing palliative care capacity in primary care: study protocol of a cluster randomized controlled trial of the CAPACITI training program |
| title_fullStr | Increasing palliative care capacity in primary care: study protocol of a cluster randomized controlled trial of the CAPACITI training program |
| title_full_unstemmed | Increasing palliative care capacity in primary care: study protocol of a cluster randomized controlled trial of the CAPACITI training program |
| title_short | Increasing palliative care capacity in primary care: study protocol of a cluster randomized controlled trial of the CAPACITI training program |
| title_sort | increasing palliative care capacity in primary care study protocol of a cluster randomized controlled trial of the capaciti training program |
| topic | Palliative Care Education Health Personnel Training Programs Professional Competence Cluster Randomized Controlled Trial |
| url | https://doi.org/10.1186/s12904-022-01124-x |
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