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Evaluation of the STEP Intervention for Long-Term Care Residents Facing Hospital Transfer Decisions

Study acronym: STEP
StatusRecruiting
PhaseNot applicable
Started
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Record status
This record was last updated February 6, 2026 (before its estimated March 4, 2026 completion). Its status may not reflect the trial's current state.

Record History

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  1. Enrollment target: 300 to 200v3 Show 4 more changesShow less
    • Primary endpoint revised
    • Primary completion date: Sep 1, 2026 to Mar 4, 2026
    • Secondary endpoints: 6 to 3
    • Study description expanded, about 4 words
  2. Trial status: Not Yet Recruiting to Recruiting
    • Start date: Sep 1, 2025 to Oct 1, 2025
    • Site details revised at 2 of 2 sites
    v2
  3. Study First Submitted
  • Stopped: an ongoing trial was terminated, suspended or withdrawn.
  • Notable: the trial’s plan changed such as a big move in its timeline or size, a new primary endpoint, sponsor or phase, or recruiting opened or resumed.
  • Minor: routine progress and housekeeping, such as sites added or enrollment closed.
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.
Trial Details
NCT Number NCT07153341
Lead Sponsor Bruyère Health Research Institute.
Conditions
(from sponsor)		 LTC-to-hospital Transfer Decision-making
Related terms Cognitive Dysfunction, Frailty
Enrollment 200 participants
Start Date
Primary Completion (estimated)
Study Completion (estimated)
Updated on ClinicalTrials.gov