Submission ID 78140
| Code | P47 |
|---|---|
| At the end of this workshop, participants will be able to: | |
| Category | Medical Education |
| Type | Poster |
| Will the presenter be a: | Student |
| Title | Impact of Interprofessional Training Compared to Individual Training on the Intention of Primary Healthcare Professionals to Have Serious Illness Conversations: Secondary Outcome Analysis of A Cluster Randomized Clinical Trial |
| Background/Purpose | Advance care planning (ACP) is essential for empowering seriously ill patients. However, many primary healthcare professionals' (PHCP's) lack the time to discuss it. A team approach to ACP may reduce the burden on individual PHCP's. Therefore, the Serious Illness Care Program (SICP), an ACP program was adapted to include an interprofessional-team-based training. Our aim was to compare the impact of an interprofessional-team-based SICP training with an individual-clinician-based SICP training on PHCP's intention to have serious illness conversations (SIC) with patients. |
| Methods | We conducted a comparative effectiveness study using post-intervention measures. We evaluated a secondary outcome of a cluster-randomized trial, the intention of PHCP's to have SIC with patients. Primary care practices located in five states in the US and in Canada, were recruited and assigned either to an interprofessional-team-based training (intervention) or to an individual-clinician-based training (comparator). Trainings in both approaches, lasted 3 hours. We measured PHCP's intention using the CPD-Reaction tool and compared the intention between arms using a linear mixed model. |
| Results | 84.4% eligible practices and 69.7% PHCP's participating in the training fully completed the intention construct in the CPD-Reaction. Intention scores for the interprofessional-team-based arm (n=223) and individual -clinician-based arm (n=150) were 6.0 ± 1.1 and 6.5 ± 0.7 (scale:1-7), respectively. Mean difference was -0.45 (p=0.01). Adjusted for education level and profession, mean difference was -0.05 (p=0.77). |
| Discussion | After adjustments no statistically significant differences were found between intervention and comparator. Our results could help to inform and adapt future public policies and training interventions regarding ACP in primary care. |
| Keyword 1 | Advance Care Planning |
| Keyword 2 | Inteprofessional Colaboration |
| Keyword 3 | Trainings |
| Abstract content most relevant to: (check all that apply) | Continuing Professional Development (CPD) (faculty development, CME) |
| Abstract Track - First Choice | Inter-professional Education |
| Authors | Lucas Gomes Souza Georgina Suélène Dofara Sabrina Guay-Bélanger Souleymane Gadio Sergio Cortez-Ghio Shigeko (Seiko) Izumi Annette Totten Patrick Archambault France Légaré Lucas Gomes Souza |
