Long-Term Effects of Individual-Focused and Team-Based Training on Health Professionals’ Intention to Have Serious Illness Conversations: A Cluster Randomised Trial
We aimed to measure the sustainability of health professionals’ intention to have serious illness conversations with patients using the Serious Illness Conversation Guide (SICG) after individual-focused training versus team-based training. In a cluster randomised trial, we trained healthcare profess...
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| Language: | English |
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Taylor & Francis Group
2024-12-01
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| Series: | Journal of CME |
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| Online Access: | https://www.tandfonline.com/doi/10.1080/28338073.2024.2420475 |
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| author | Dalil Asmaou Bouba Lucas Gomes Souza Suélène Georgina Dofara Sabrina Guay-Bélanger Souleymane Gadio Diogo Mochcovitch Jean-Sébastien Paquette Shigeko (Seiko) Izumi Patrick Archambault Annette M. Totten Louis-Paul Rivest France Légaré |
| author_facet | Dalil Asmaou Bouba Lucas Gomes Souza Suélène Georgina Dofara Sabrina Guay-Bélanger Souleymane Gadio Diogo Mochcovitch Jean-Sébastien Paquette Shigeko (Seiko) Izumi Patrick Archambault Annette M. Totten Louis-Paul Rivest France Légaré |
| author_sort | Dalil Asmaou Bouba |
| collection | DOAJ |
| description | We aimed to measure the sustainability of health professionals’ intention to have serious illness conversations with patients using the Serious Illness Conversation Guide (SICG) after individual-focused training versus team-based training. In a cluster randomised trial, we trained healthcare professionals in 40 primary care clinics and measured their intention to hold serious illness conversations immediately (T1), after 1 year (T2) and after 2 years (T3). Primary care clinics (n = 40) were randomly assigned to individual-focused training (comparator) or team-based training (intervention). Average age of the 373 participants was 35–44 years, 79% were women. On a scale of 1 to 7, at T1, the mean intention was 5.33 (SD 0.20) in the individual-focused group and 5.36 (SD 0.18) in the team-based group; at T2, these scores were 4.94 (SD 0.23) and 4.87 (SD 0.21) and at T3, 5.14 (SD 0.24) and 4.59 (SD 0.21), respectively. At T3, the difference in mean intention between study groups had a significant p-value of 0.01. Intention to have serious illness conversations was lower at T2 and T3 after team-based training than after individual-focused training, with a significant difference at 2 years in favour of individual-focused training. Health professionals reported not enough time during consultations for serious illness conversations as a major barrier.Registration number: ClinicalTrials.gov (ID NCT03577002) for the parent clinical trial. |
| format | Article |
| id | doaj-art-2d37a0fb19e64ba8b5c03abdf1e9cc5b |
| institution | OA Journals |
| issn | 2833-8073 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Journal of CME |
| spelling | doaj-art-2d37a0fb19e64ba8b5c03abdf1e9cc5b2025-08-20T02:33:54ZengTaylor & Francis GroupJournal of CME2833-80732024-12-0113110.1080/28338073.2024.2420475Long-Term Effects of Individual-Focused and Team-Based Training on Health Professionals’ Intention to Have Serious Illness Conversations: A Cluster Randomised TrialDalil Asmaou Bouba0Lucas Gomes Souza1Suélène Georgina Dofara2Sabrina Guay-Bélanger3Souleymane Gadio4Diogo Mochcovitch5Jean-Sébastien Paquette6Shigeko (Seiko) Izumi7Patrick Archambault8Annette M. Totten9Louis-Paul Rivest10France Légaré11Department of Social and Preventive Medicine, Faculty of Medicine, Université Laval, Québec, QC, CanadaDepartment of Social and Preventive Medicine, Faculty of Medicine, Université Laval, Québec, QC, CanadaVITAM - Centre de recherche en santé durable, Centre intégré universitaire de santé et de services sociaux de la Capitale-Nationale, Québec, CanadaVITAM - Centre de recherche en santé durable, Centre intégré universitaire de santé et de services sociaux de la Capitale-Nationale, Québec, CanadaVITAM - Centre de recherche en santé durable, Centre intégré universitaire de santé et de services sociaux de la Capitale-Nationale, Québec, CanadaDepartment of Family and Emergency Medicine, Université Laval, VITAM - Centre de recherche en santé durable and Canada Research Chair in Shared Decision Making and Knowledge Translation, Québec, QC, CanadaDepartment of Family and Emergency Medicine, Université Laval, VITAM - Centre de recherche en santé durable, Québec, CanadaSchool of Nursing, Oregon Health & Science University, Portland, OR, USAVITAM - Centre de recherche en santé durable, Centre intégré universitaire de santé et de services sociaux de la Capitale-Nationale, Québec, CanadaDepartment of Medical Informatics & Clinical Epidemiology, School of Medicine, Oregon Health & Science University, Portland, OR, USADepartment of Mathematics and Statistics, Faculty of Science and Engineering, Laval University, Québec, QC, CanadaVITAM - Centre de recherche en santé durable, Centre intégré universitaire de santé et de services sociaux de la Capitale-Nationale, Québec, CanadaWe aimed to measure the sustainability of health professionals’ intention to have serious illness conversations with patients using the Serious Illness Conversation Guide (SICG) after individual-focused training versus team-based training. In a cluster randomised trial, we trained healthcare professionals in 40 primary care clinics and measured their intention to hold serious illness conversations immediately (T1), after 1 year (T2) and after 2 years (T3). Primary care clinics (n = 40) were randomly assigned to individual-focused training (comparator) or team-based training (intervention). Average age of the 373 participants was 35–44 years, 79% were women. On a scale of 1 to 7, at T1, the mean intention was 5.33 (SD 0.20) in the individual-focused group and 5.36 (SD 0.18) in the team-based group; at T2, these scores were 4.94 (SD 0.23) and 4.87 (SD 0.21) and at T3, 5.14 (SD 0.24) and 4.59 (SD 0.21), respectively. At T3, the difference in mean intention between study groups had a significant p-value of 0.01. Intention to have serious illness conversations was lower at T2 and T3 after team-based training than after individual-focused training, with a significant difference at 2 years in favour of individual-focused training. Health professionals reported not enough time during consultations for serious illness conversations as a major barrier.Registration number: ClinicalTrials.gov (ID NCT03577002) for the parent clinical trial.https://www.tandfonline.com/doi/10.1080/28338073.2024.2420475Sustainabilityintentionadvance care planningSerious Illness Care ProgramCPD-Reactionhealth professionals |
| spellingShingle | Dalil Asmaou Bouba Lucas Gomes Souza Suélène Georgina Dofara Sabrina Guay-Bélanger Souleymane Gadio Diogo Mochcovitch Jean-Sébastien Paquette Shigeko (Seiko) Izumi Patrick Archambault Annette M. Totten Louis-Paul Rivest France Légaré Long-Term Effects of Individual-Focused and Team-Based Training on Health Professionals’ Intention to Have Serious Illness Conversations: A Cluster Randomised Trial Journal of CME Sustainability intention advance care planning Serious Illness Care Program CPD-Reaction health professionals |
| title | Long-Term Effects of Individual-Focused and Team-Based Training on Health Professionals’ Intention to Have Serious Illness Conversations: A Cluster Randomised Trial |
| title_full | Long-Term Effects of Individual-Focused and Team-Based Training on Health Professionals’ Intention to Have Serious Illness Conversations: A Cluster Randomised Trial |
| title_fullStr | Long-Term Effects of Individual-Focused and Team-Based Training on Health Professionals’ Intention to Have Serious Illness Conversations: A Cluster Randomised Trial |
| title_full_unstemmed | Long-Term Effects of Individual-Focused and Team-Based Training on Health Professionals’ Intention to Have Serious Illness Conversations: A Cluster Randomised Trial |
| title_short | Long-Term Effects of Individual-Focused and Team-Based Training on Health Professionals’ Intention to Have Serious Illness Conversations: A Cluster Randomised Trial |
| title_sort | long term effects of individual focused and team based training on health professionals intention to have serious illness conversations a cluster randomised trial |
| topic | Sustainability intention advance care planning Serious Illness Care Program CPD-Reaction health professionals |
| url | https://www.tandfonline.com/doi/10.1080/28338073.2024.2420475 |
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