Actively Recruiting
Evaluation of the STEP Intervention for Long-Term Care Residents Facing Hospital Transfer Decisions
Led by Bruyère Health Research Institute. · Updated on 2026-02-06
200
Participants Needed
2
Research Sites
100 weeks
Total Duration
On this page
AI-Summary
What this Trial Is About
This trial will evaluate whether the Supporting Transitions and Empowering Preferences (STEP) toolkit can improve decision-making about hospital transfers in long-term care residents and their substitute decision-makers and enhance decision self-efficacy in nursing staff. The trial will answer the questions: * Does the STEP tool reduce decisional conflict in residents and care partners at the time of transfer decisions? * Does it improve nurse self-efficacy related to hospital transfer decisions? Participants will: * Use the STEP tool during key moments of care planning (admission, care conferences, and acute events) * Complete a short survey measuring their decisional conflict * Be supported by trained nurses who use STEP to guide hospital transfer discussions Researchers will compare data collected before and after the STEP tool is implemented at two long-term care homes to see if it improves shared decision-making related to hospital transfers by reducing decisional conflict.
CONDITIONS
Official Title
Evaluation of the STEP Intervention for Long-Term Care Residents Facing Hospital Transfer Decisions
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Residents or care partners must be at Perley Health or Bruyère Health Saint-Louis long-term care homes
- Residents must be 55 years or older
- Must be able to communicate in French or English
- Substitute decision-makers can participate if residents lack capacity
- Staff must be nurses, nurse practitioners, social service workers, or physicians involved in care planning or managing acute events at these LTC homes
- Staff must have worked at the LTC home for at least 6 months
- Staff must be able to communicate in French or English
You will not qualify if you...
History of severe allergic reactions to study medication Currently pregnant or breastfeeding Recent participation in another clinical trial within the last 30 days Presence of uncontrolled medical conditions that could affect safety
AI-Screening
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Trial Site Locations
Total: 2 locations
1
Bruyère Health Saint-Louis Long-Term Care
Ottawa, Ontario, Canada, K1C 2Z6
Actively Recruiting
2
Perley Health
Ottawa, Ontario, Canada, K1G 4B2
Actively Recruiting
Research Team
D
Daniel Kobewka, MD
CONTACT
A
Alixe Ménard, MSc, PhD(c)
CONTACT
How is the study designed?
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
NA
Model
SINGLE_GROUP
Primary Purpose
HEALTH_SERVICES_RESEARCH
Number of Arms
1
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