Evaluation of an advance care planning training program for practice professionals in Japan incorporating shared decision making skills training: a prospective study of a curricular intervention

Abstract

Background We developed a novel training program for health care professionals that incorporated shared decision making (SDM) skills training into an advance care planning (ACP) training course, the first in Japan. This study aimed to assess the training program’s impact on health care professionals’ knowledge, skill, attitudes, and confidence to initiate ACP. Methods Using the novel Japanese educational program, we evaluated the effect of 8-month programs conducted eight community training sites of professionals who can practice ACP in a local area in Aichi Prefecture (the Aichi ACP Project). SDM skills training was provided during the workshops conducted in the ACP training course, and the participants’ satisfaction and understanding of the training were assessed. After the completion of two workshops, information on SDM skill results from the training and submitted assignments were collected anonymously from the training sites. Result A total of 404 participants completed all education programs. After the first workshop, at least 95% of trainees stated that they were satisfied with the training and that it was useful for ACP practice. The evaluation of the results between the first and second workshops indicated improvement in SDM skills on some items of the SDM measures. In the second workshop, at least 90% of participants submitted implementation reports, and after the second workshop, a survey of confidence in ACP practice was administered, with responses indicating improvement. There were high levels of interest in education related to the ACP practices of oneself and others. Conclusions This educational program can be an effective for developing professionals who can practice ACP with SDM skills.

Validation of the Novel Interprofessional Shared Decision-Making Questionnaire to Facilitate Multidisciplinary Team Building in Patient-Centered Care

“…In our previous report, the training program integrating ACP and SDM was found to improve SDM skills through the use of SDM-Q series and confidence of ACP practice [ 22 ]. In the study, the effect of the interprofessional SDM (Group’s SDM) was not assessed, but through group discussions using this measure, there is a possibility that patient-centered multidisciplinary collaboration can progress.…”

“…“Training on SDM competency in advance care planning” is a program that was conducted during the SDM workshops for ACP, and it included three workshops conducted over a period of 6 months [ 22 ]. In the first and third workshops, the participants were trained in one-to-one conversation using the related SDM questionnaires [ 18 , 19 , 20 ].…”

“…The authors developed an advance care planning training program incorporating SDM skills training and evaluated its usefulness [ 22 ]. In the workshops of the training program, measures of SDM skills [ 18 , 19 , 20 ] were used in role-playing sessions, and it was confirmed that the participants’ SDM skills improved.…”

An Exploratory Study of Issues in Training Facilitators for Online Training in Advance Care Planning: Mixed Methods Research

“…Shared decision-making (SDM) has been considered an important skill in implementing ACP [ 6 ]. A fact-finding survey of SDM implemented in primary care outpatient services in Japan revealed that the level of SDM among doctors and patients with outpatient nurses was significantly high [ 7 ].…”

Correction: Evaluation of an advance care planning training program for practice professionals in Japan incorporating shared decision making skills training: a prospective study of a curricular intervention

“…Following the publication of the original article [ 1 ], the author reported that the corrections concerning the correct sequence of the reference list were not carried out.…”