{"id":21466,"date":"2025-11-10T16:50:20","date_gmt":"2025-11-10T20:50:20","guid":{"rendered":"https:\/\/ssaquebec.wp.vortexdev.com?p=21466"},"modified":"2025-11-10T16:51:40","modified_gmt":"2025-11-10T20:51:40","slug":"decision-aid-elderly","status":"publish","type":"post","link":"https:\/\/ssaquebec.wp.vortexdev.com\/en\/news\/decision-aid-elderly\/","title":{"rendered":"Shared Decision-Making Training for Home Care Teams to Engage Frail Older Adults and Caregivers in Housing Decisions: Stepped-Wedge Cluster Randomized Trial"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">In 2022, the article \u201cShared Decision-Making Training for Home Care Teams to Engage Frail Older Adults and Caregivers in Housing Decisions: Stepped-Wedge Cluster Randomized Trial\u201d was published. <strong>France L\u00e9gar\u00e9<\/strong>, Scientific Director of the Universit\u00e9 Laval branch of the Change Management axis of our unit, is a member of the writing team.<\/p>\n\n\n<div class=\"block-accordion \">\n    <span class=\"block-accordion__label\">Accordion<\/span>\n    <h3 class=\"block-accordion__title\">Team<\/h3>\n    \n<div class=\"wp-block-list\">\n<ul class=\"wp-block-list\">\n<li>\u00c9v\u00e8hou\u00e9nou Lionel Adisso<\/li>\n\n\n\n<li>Monica Taljaard<\/li>\n\n\n\n<li>Dawn Stacey<\/li>\n\n\n\n<li>Nathalie Bri\u00e8re<\/li>\n\n\n\n<li>Herv\u00e9 Tchala Vignon Zomahoun<\/li>\n\n\n\n<li>Pierre Jacob Durand<\/li>\n\n\n\n<li>Louis-Paul Rivest<\/li>\n\n\n\n<li>France L\u00e9gar\u00e9<\/li>\n<\/ul>\n<\/div>\n\n<\/div>\n\n                    \n\n\n<div class=\"block-accordion \">\n    <span class=\"block-accordion__label\">Accordion<\/span>\n    <h3 class=\"block-accordion__title\">To cite this article<\/h3>\n    \n\n<p class=\"wp-block-paragraph\">Adisso \u00c9L, Taljaard M, Stacey D, Bri\u00e8re N, Zomahoun HTV, Durand PJ, Rivest L-P, L\u00e9gar\u00e9 F. Shared Decision-Making Training for Home Care Teams to Engage Frail Older Adults and Caregivers in Housing Decisions: Stepped-Wedge Cluster Randomized Trial. JMIR Aging. DOI: 10.2196\/38419<\/p>\n\n\n<\/div>\n\n                    \n\n\n\n<h3 class=\"wp-block-heading\">Context<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Frail older adults and their caregivers often face complex decisions regarding their living arrangements, such as whether to remain at home or move to a residence. Home care teams, often overwhelmed, lack the time and resources to provide structured decision support. This study explores whether distributing a decision aid alone is sufficient to support these decisions, or if shared decision-making training is necessary.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Method<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">A stepped-wedge cluster randomized trial was conducted with home care teams in nine health centers across Quebec. The intervention included a 1.5-hour online tutorial and a 3.5-hour interactive workshop on interprofessional shared decision-making, using a decision guide. The control group received only the guide. The primary outcome was active participation in decision-making, measured using the Control Preferences Scale. Secondary outcomes included decisional conflict and perceived involvement by care teams. An intention-to-treat analysis was performed.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Results<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">The analysis included 311 older adults (average age: 81.2 years) and 339 caregivers (average age: 66.4 years). The intervention increased active participation in decision-making by 3.3% for older adults and 6.1% for caregivers. No significant effects were observed for secondary outcomes. However, perceived involvement by professionals slightly increased (+5.4 points), and decisional conflict among caregivers decreased by 7.5%.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Conclusion<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Shared decision-making training did not show a significantly greater effect than simply distributing a decision guide in supporting housing decisions. However, it contributed to a slight reduction in decisional conflict among caregivers and improved perceived involvement of older adults.<\/p>\n\n\n\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link wp-element-button\" href=\"https:\/\/aging.jmir.org\/2022\/3\/e39386\/\">Download the article<\/a><\/div>\n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Is the dissemination of a decision-making tool sufficient to support the complex decisions that must be made by elderly people with declining autonomy and their loved ones, or is training in shared decision-making necessary?<\/p>\n","protected":false},"author":2,"featured_media":21463,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_relevanssi_hide_post":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"10779,10895,18367,12777,10774,18024","footnotes":""},"categories":[40],"tags":[],"article-type":[50,51],"class_list":["post-21466","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized","article-type-publications-en","article-type-scientific-articles"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.7 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Shared Decision-Making Training for Home Care Teams to Engage Frail Older Adults and Caregivers in Housing Decisions: Stepped-Wedge Cluster Randomized Trial | Unit\u00e9 soutien SSA Qu\u00e9bec<\/title>\n<meta name=\"description\" content=\"Is a decision-making tool sufficient to support the complex decisions of elderly people and their loved ones? 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