Developing a standardized process assessment for relationship-centered shared decision-making (sparcsdm)

Ended Project Grant Awarded Last action

Award ID
R01HS028657
Recipient
Awarding agency
Obligated
$3,320,154

Award facts

Completion date
Originally
Funding agency
Center for Evidence and Practice Improvement Agency for Healthcare Research and Quality, Department of Health and Human Services
Place of performance
Washington, DC, USA

Award details come from USAspending.gov.

Description

As the agency reported it.

Abstract
This project's goal is to develop an assessment that captures the process of shared decision-making (SDM) for persons who cannot advocate for themselves because they lack the cognitive capacity to decide for themselves and the ability to communicate their wishes. Current SDM assessments are not designed for these individuals and generally focus on encounter outcomes rather than the process by which SDM unfolds. To address this knowledge GAP, a team of multi-disciplinary researchers, healthcare stakeholders, and care partners will collaborate to design and test the observer-rated standardized process assessment of relationship-centered shared decision-making (sparcsdm), informed by our relationship-centered SDM process model. In aim 1, we will observe, interview and analyze patient- practitioner-care partner triad encounters where decisions are made. These observations will be used to define modifiable collaboration and information exchange skills, identify items and rating scales for the sparcsdm, and design a prototype assessment including administration procedures. In aim 2, assessors will be trained using an online, competency-based training developed specifically for this project; once trained, they will observe videotaped SDM encounters and separately score care partners and practitioner on the sparcsdm. These data, analyzed using the many facets rasch model (mfrm) to adjust for assessor severity/leniency and encounter complexity, will provide preliminary evidence of sparcsdm psychometrics, facilitate appraisal of the assessment's conceptual and structural validity, and inform refinements of the online training. In aim 3, we will apply the knowledge to action implementation science strategy to scale up the prototype for future testing by identifying supports and barriers, usability, and acceptability. This project advances care for persons with chronic disabilities and their care partners by developing a process assessment that is relationship-centric, inclusive of multiple perspectives, and user-friendly. As such, IT is highly responsive to ahrq's request for projects that develop an SDM process assessment, informed by a conceptual model, to capture multiple perspectives for priority populations such as persons with disabilities who need chronic care. This assessment is needed because clinical supervisors and medical educators currently struggle to identify when SDM has taken place and which practitioners and care partners need support with SDM skills. Attention to usability and integration of supports and barriers to implementation throughout the design process ensures this project will effectively set the stage for larger scale testing of the sparcsdm, and longer-term, for measuring the effectiveness of intervention programs aimed at improving SDM.

Transactions

Action Obligated Date
Amendment $0
Amendment $446,112
Amendment $446,112
Amendment $464,343
Amendment $464,343
Amendment $0
Amendment $0
Amendment $0
Amendment $0
Amendment $499,748
Amendment $499,748
Original award $499,748
Show all 12

Subawards

Subrecipient Amount Awarded
Oakland University Developing a Standardized Process Assessment for Relationship-Centered Shared Decision-Making (SPARCSdm) $52,566
Lewis University $20,796
Colorado State University $32,327
The Bedford VA Research Corporation. Inc. $46,662
The Bedford VA Research Corporation. Inc. $84,830
Lewis University $108,179
Colorado State University Developing a standardized process assessment for relationship-centered shared decision making $119,189
Oakland University Developing a standardized process assessment for relationship-centered shared decision-making $170,098

Quick answers

Who received award R01HS028657?

R01HS028657 was awarded to George Washington University (The) by Division of Grants Management (Agency for Healthcare Research and Quality) on August 5, 2022.

How much is award R01HS028657 worth?

$3,320,154 has been obligated on R01HS028657.

Which agency awarded R01HS028657?

Division of Grants Management (Agency for Healthcare Research and Quality) awarded R01HS028657, with funding from Center for Evidence and Practice Improvement (Agency for Healthcare Research and Quality).

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