Effect of a multidisciplinary end-of-life educational intervention on health and social care professionals: A cluster randomized controlled trial.

BACKGROUND:The aging of populations is rapidly accelerating worldwide. Especially, Japan has maintained the highest rate of population aging worldwide. As countermeasures, the Japanese government prioritized the promotion of local comprehensive care systems and collaboration in medical care and social (long-term) care. Development of a system to connect medical and social services in the community is necessary for the increasing older people, especially for the people in the stage of end of life. OBJECTIVE:This study aimed to assess the effect of a multidisciplinary end-of-life educational intervention program on confidence in inter-professional collaboration and job satisfaction among health and social care professionals. DESIGN:a cluster-randomized controlled trial. SETTING/PARTICIPANTS:Three professional groups (home care nurses, care managers, and heads of care workers) in an urban area participated in this trial. INTERVENTION:We implemented a multidisciplinary end-of-life educational intervention program comprising two educational workshops and an educational booklet to support multidisciplinary care for end-of-life patients during the 7-month study period. MAIN OUTCOME MEASURE:Confidence in improved interactions among professionals and job satisfaction were assessed with the Face-to-Face Cooperative Confidence Questionnaire and the Minnesota Satisfaction Questionnaire at T1 (before intervention) and T2 (7 months after the intervention). RESULTS:In total, 291 professionals participated in this study (experimental group n = 156; control group n = 135). Multivariate regression analyses showed significant between-group increases on all of seven subscales in participants' face-to-face cooperative confidence over the study period; no effect was evident regarding job satisfaction. CONCLUSIONS:A multidisciplinary end-of-life educational intervention program increased confidence in multidisciplinary collaboration among health and social care professionals. TRIAL NUMBER:UMIN Clinical Trial Registry, Japan UMIN000022772.