Embedding an Education Intervention about Shared Decision Making into an RCT: Ensuring competency and fidelity.

ABSTRACT:

Objective

To describe the outcomes of training nephrology clinicians and clinical research participants, to use the Best Case/Worst Case Communication intervention, for discussions about dialysis initiation for patients with life-limiting illness, during a randomized clinical trial to ensure competency, fidelity to the intervention, and adherence to study protocols and the intervention throughout the trial.

Methods

We enrolled 68 nephrologists at ten study sites and randomized them to receive training or wait-list control. We collected copies of completed graphic aids (component of the intervention), used with study-enrolled patients, to measure fidelity and adherence.

Results

We trained 34 of 36 nephrologists to competence and 27 completed the entire program. We rece

SUBMITTER: Zelenski AB 

PROVIDER: S-EPMC10859294 | biostudies-literature | 2024 Dec

REPOSITORIES: biostudies-literature