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Increasing palliative care capacity in primary care: study protocol of a cluster randomized controlled trial of the CAPACITI training program
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 practic...
Autores principales: | , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BioMed Central
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9813458/ https://www.ncbi.nlm.nih.gov/pubmed/36604714 http://dx.doi.org/10.1186/s12904-022-01124-x |
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author | Seow, Hsien Bainbridge, Daryl Winemaker, Samantha Stajduhar, Kelli Pond, Gregory Kortes-Miller, Kathy Marshall, Denise Kilbertus, Frances Myers, Jeff Steinberg, Leah Incardona, Nadia Levine, Oren Pereira, Jose |
author_facet | Seow, Hsien Bainbridge, Daryl Winemaker, Samantha Stajduhar, Kelli Pond, Gregory Kortes-Miller, Kathy Marshall, Denise Kilbertus, Frances Myers, Jeff Steinberg, Leah Incardona, Nadia Levine, Oren Pereira, Jose |
author_sort | Seow, Hsien |
collection | PubMed |
description | 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. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12904-022-01124-x. |
format | Online Article Text |
id | pubmed-9813458 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-98134582023-01-05 Increasing palliative care capacity in primary care: study protocol of a cluster randomized controlled trial of the CAPACITI training program Seow, Hsien Bainbridge, Daryl Winemaker, Samantha Stajduhar, Kelli Pond, Gregory Kortes-Miller, Kathy Marshall, Denise Kilbertus, Frances Myers, Jeff Steinberg, Leah Incardona, Nadia Levine, Oren Pereira, Jose BMC Palliat Care Study Protocol 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. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12904-022-01124-x. BioMed Central 2023-01-05 /pmc/articles/PMC9813458/ /pubmed/36604714 http://dx.doi.org/10.1186/s12904-022-01124-x Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Study Protocol Seow, Hsien Bainbridge, Daryl Winemaker, Samantha Stajduhar, Kelli Pond, Gregory Kortes-Miller, Kathy Marshall, Denise Kilbertus, Frances Myers, Jeff Steinberg, Leah Incardona, Nadia Levine, Oren Pereira, Jose Increasing palliative care capacity in primary care: study protocol of a cluster randomized controlled trial of the CAPACITI training program |
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 | Study Protocol |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9813458/ https://www.ncbi.nlm.nih.gov/pubmed/36604714 http://dx.doi.org/10.1186/s12904-022-01124-x |
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