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Piloting the global capacity education e-tool: can capacity be taught to health care professionals across different international jurisdictions?

Published online by Cambridge University Press:  16 July 2019

Carmelle Peisah ,
Yaffa Lerman ,
Nathan Herrmann ,
Jeremy Rezmovitz  and
Kenneth Shulman
Carmelle Peisah*
Affiliation:
School of Psychiatry, Faculty of Medicine, University of New South Wales Sydney, Sydney, NSW, Australia Discipline of Psychiatry, Sydney University Medical School, Sydney, NSW, Australia Capacity Australia, Kensington, NSW, Australia
Yaffa Lerman
Affiliation:
Geriatric Department, Tel Aviv Medical Centre, Tel Aviv, Israel Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel
Nathan Herrmann
Affiliation:
Department of Psychiatry, Sunnybrook Health Sciences Centre, Faculty of Medicine, University of Toronto, Toronto, ON, Canada
Jeremy Rezmovitz
Affiliation:
Department of Family & Community Medicine, Sunnybrook Health Sciences Centre, Faculty of Medicine, University of Toronto, Toronto, ON, Canada
Kenneth Shulman
Affiliation:
Department of Psychiatry, Sunnybrook Health Sciences Centre, Faculty of Medicine, University of Toronto, Toronto, ON, Canada
*
Correspondence should be addressed to: Carmelle Peisah, University of NSW, Randwick, Sydney, New South Wales, 2031, Australia. Email: cpeisah62@bigpond.com.
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Abstract

Determining decision-making capacity is part of everyday business for health care professionals working with older adults. We used a modified Delphi approach to develop an inclusive curriculum for a capacity education e-tool with global application and clinical relevance to a range of disciplines. The tool comprised: (i) 25 questions forming a “pre-test” for the adaptive and personalized e-Learning platform; (ii) a learning module based on the participant’s response to the “pre-test”; (iii) a “post-test” (the same baseline 25 questions) to test knowledge translation. The tool was tested on 31 health care professionals across Israel (8), Canada (15), and Australia (8) from the following disciplines: General Practitioners (GP) (19), Internal Medicine (1), Palliative Care GP (2); Palliative Care Physician (2), Geriatrician (2); and one of each: Psychologist, Occupational Therapist, Psychiatrist, Aged Care Researcher, and Aged Care Pharmacist. The mean baseline pre-test score was 19.1/25 (S.D. =1.61; range 15–22) and post-test score 21.7/25 (S.D.= 1.42; range 18–24); with a highly significant improvement in test scores (paired t-test P < 0.0001; t=10.81 on 30 df). This is the first such pilot study to demonstrate that generic capacity principles can be taught to health care professionals from different disciplines regardless of jurisdiction.

Keywords

capacity assessmentethics
Type
Brief Report
Information
International Psychogeriatrics , Volume 33 , Special Issue 9: Issue Theme: Implementation Science II , September 2021 , pp. 913 - 916
Copyright
© International Psychogeriatric Association 2019

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