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Interprofessional Versus Monoprofessional Case-based Learning in Childhood Cancer (INCAsE)

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT04204109
Recruitment Status : Terminated (Covid 19 and subsequent cancellation of all meeting activity)
First Posted : December 18, 2019
Last Update Posted : September 9, 2020
Sponsor:
Collaborator:
Danish Child Cancer Foundation
Information provided by (Responsible Party):
Martha Krogh Topperzer, Rigshospitalet, Denmark

Brief Summary:

Interprofessional education in childhood cancer is a multifaceted field. It involves multiple healthcare professionals with general and specialised knowledge and skills. Complex treatment, care and rehabilitation require continuous professional development and maintenance of healthcare professionals' competencies in their own professional field. Limited knowledge exists on comparing interprofessional and monoprofessional education and only few randomised studies have evaluated the effectiveness and efficiency of interprofessional education. One clinical area among others where healthcare professionals collaborate is in gastrointestinal toxicities and side effects. These are frequent and potentially severe clinical problems in childhood cancer that involve multiple healthcare professionals.

Objectives: To study the effect of interprofessional versus monoprofessional case-based learning on healthcare professionals' attitudes on interprofessional learning and collaboration.

Trial design: single centre investigator-initiated cluster randomized trial

Methods:

Participants: Employees with patient-related work at the childhood cancer departments and affiliated with childhood cancer at Rigshospitalet are eligible for inclusion. The setting is the childhood cancer department.

Outcome: The primary outcome is to improve healthcare professionals' interprofessional attitude.

Measurements:

The primary outcome is attitudes measured by the Assessment of Interprofessional Team Collaboration Scale (AITCS). Secondary outcome is Readiness for Interprofessional Learning Scale (RIPLS) Questionnaire, and Safety Attitudes Questionnaire (SAQ). Knowledge will be measured by written test as multiple choice questionnaire (MCQ).

Timepoints: The self-reported questionnaires will be distributed to the participants approximately one month before and one month after the educational intervention. On the day of the educational intervention, participants will answer the multiple choice questionnaire.

Analysis: Linear mixed regression will be used to compare differences in mean scores postintervention, adjusted for differences between the two groups.

Results: We hypothesise that interprofessional case-based learning positively affects the healthcare professionals' interprofessional attitudes.


Condition or disease Intervention/treatment Phase
Interprofessional Education Continuing Professional Development Education Case-based Learning Other: Interprofessional case-based learning Not Applicable

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 49 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Primary Purpose: Health Services Research
Official Title: Interprofessional Versus Monoprofessional Case-based Learning in Childhood Cancer and the Effect on Healthcare Professionals' Interprofessional Attitudes: a Randomized Trial
Actual Study Start Date : February 25, 2020
Actual Primary Completion Date : March 11, 2020
Actual Study Completion Date : May 5, 2020

Arm Intervention/treatment
Experimental: Interprofessional case-based learning
The experimental intervention will be the interprofessional group receiving case-based learning about gastro-intestinal toxicities and side effects of children and adolescents with cancer.
Other: Interprofessional case-based learning

The trial is an educational intervention where groups of healthcare professionals receive the same case-based learning: one group receives case-based learning with healthcare professionals of various professional backgrounds (experimental) versus another group receiving case-based learning with healthcare professionals exclusively of the same professional background (control).

The educational intervention consists of a case that is developed for the purpose of the intervention.

The participants in the experimental group will be randomised into six teams who will receive interprofessional case-based learning. The experimental group will be made up of healthcare professionals from various groups. The participants in the control group will be randomised in groups of one profession


Active Comparator: Monoprofessional case-based learning
The control group is the monoprofessional group that will receive the same case-based learning as the intervention group.
Other: Interprofessional case-based learning

The trial is an educational intervention where groups of healthcare professionals receive the same case-based learning: one group receives case-based learning with healthcare professionals of various professional backgrounds (experimental) versus another group receiving case-based learning with healthcare professionals exclusively of the same professional background (control).

The educational intervention consists of a case that is developed for the purpose of the intervention.

The participants in the experimental group will be randomised into six teams who will receive interprofessional case-based learning. The experimental group will be made up of healthcare professionals from various groups. The participants in the control group will be randomised in groups of one profession





Primary Outcome Measures :
  1. Change in the participants' interprofessional collaboration [ Time Frame: Measured 1 month before intervention and 1-3 months after intervention in both groups ]
    Primary outcome: change in the participants' interprofessional attitude to collaboration measured by Assessment of interprofessional Team Collaboration Scale (AITCS). The scale contains three main categories: 1)Partnership/shared decision making (19 items), 2) Collaboration (11 items), 3) Coordination (7 items) that are rated on a scale from 1-5 (1= "never"; 2= "rarely"; 3="occasionally"; 4="most of the time"; 5="Always"). The scales procedures scores from 48 to 240. Higher scores indicate a better outcome


Secondary Outcome Measures :
  1. Change in the participants' interprofessional attitudes [ Time Frame: Measured 1 month before intervention and 1-3 months after intervention in both groups ]

    Secondary outcome: measured by Change in Readiness for Interprofessional Learning Survey (RIPLS). 29 items on a five-point scale 4 subscales; 1)Teamwork and collaboration, 2)Negative professional identity, 3)Positive professional identity, 4)Roles and responsibility.

    The items are rated on a scale from 1-5 (1= "strongly disagree"; 2= "agree"; 3="undecided"; 4="agree"; 5="strongly agree"). Higher scores indicate a better outcome


  2. Change in participants' knowledge of gastrointestinal toxicities and side effects [ Time Frame: measured at the actual intervention day 30 minutes prior to the session and immediately after the education session (maximum 15 minutes after) ]
    measured by written test as multiple choice questionnaire (MCQ). There are three options to chose from in this multiple choice questionnaire, one correct answer and two wrong answers. This MCQ is developed and validated for the purpose of this particular education session



Information from the National Library of Medicine

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.


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Ages Eligible for Study:   Child, Adult, Older Adult
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • Healthcare professionals at the in-patient department for children and adolescents with cancer
  • Healthcare professionals at the in-patient department for transplantation of children and adolescents with cancer
  • Healthcare professionals at the out-patient departments for children and adolescents with cancer department
  • Healthcare professionals affiliated with Juliane Marie Centre at Rigshospitalet
  • Employees in a supportive function to the department for children and adolescents with cancer, such as psychologists, priests, pedagogues, social workers, experts in pain relief in children, physiotherapists, occupational therapists and dieticians.
  • Teachers employed at a local public school but have their main working hours at the department.

Exclusion Criteria:

  • Staff taking part in the intervention or in the planning of the intervention
  • Management with staff responsibilities
  • Lack of informed consent

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT04204109


Locations
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Denmark
Juliane Marie Centre for Women, Children and Reproduction (JMC), Rigshospitalet (RH), Copenhagen University Hospital, Denmark.
Copenhagen, Denmark, 2100
Sponsors and Collaborators
Rigshospitalet, Denmark
Danish Child Cancer Foundation
Investigators
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Study Chair: Jette L Sørensen Juliane Marie Centre for Women, Children and Reproduction (JMC), Rigshospitalet (RH), Copenhagen University Hospital, Denmark.
Additional Information:
Publications of Results:
Thomas PA, Kern DE, Hughes MT, Chen BY. Curriculum Development for Medical Education : A Six-Step Approach. Baltimore, UNITED STATES: Springer Publishing Company; 2016.

Other Publications:

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Responsible Party: Martha Krogh Topperzer, Principal investigator, Rigshospitalet, Denmark
ClinicalTrials.gov Identifier: NCT04204109    
Other Study ID Numbers: Mtopperzer
First Posted: December 18, 2019    Key Record Dates
Last Update Posted: September 9, 2020
Last Verified: September 2020
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No
Plan Description: Randomisation is performed centrally by a computer-generated allocation sequence concealed for the investigators

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No