Recruiting

Observational Study

Sponsor:

Unity Health Toronto

Code:

NCT02199210

Conditions

Self-regulation

Forethought

Performance

Eligibility Criteria

Sex: All

Age: 0+

Healthy Volunteers: Not accepted

Interventions

Prompting forethought

Study Details

Brief summary:

The purpose of the project is to investigate the function of self-regulatory processes in anesthesiologists and how application of these processes influence performance in a crisis situation.The investigators intend to explore specifically the first phase of self-regulation, i.e. the forethought phase which describes processes related to strategic planning, goal setting, goal orientation, and outcome expectation. The investigators hypothesize that prompting forethought before engaging in a simulated massive transfusion crisis situation will result in better task performance in anesthesiologists.

Conditions

Self-regulation

Forethought

Performance

Study ID

NCT02199210

Start date

Aug, 2014

Status verified date

Aug, 2016

Completion date

Aug, 2016

Anticipated

Primary completion date

Aug, 2016

Anticipated

Eligibility Criteria

Eligibility Criteria

Sex: All

Age: 0+

Healthy Volunteers: Not accepted

Inclusion Criteria:

  • Pilot study: attending anesthesiologists at St. Michael's Hospital , PGY5, PGY2 anesthesia residents at University of Toronto
  • Study I: attending anesthesiologists at St. Michael's Hospital, PGY5, PGY2 anesthesia residents at University of Toronto
  • Study II: PGY2, PGY3, PGY4 anesthesia residents at University of Toronto

Exclusion Criteria:

  • Refusal to take part in the study

Study Design

Enrollment

40 participants

Anticipated

Allocation

Randomized

Intervention Model

Parallel Assignment

Interventions and Outcome Measures

Arms

experimental: Prompting forethought

A demographic questionnaire will be filled out by each participant. After randomization, participants will be presented with the background information of the simulated scenario.Subsequently:

  • participants forethought will be prompted and each participant will be asked to report his/her forethought,
  • participants then will be asked to manage a simulated massive transfusion scenario,
  • at completion of the scenario, each participant will undergo individualized debriefing and a syllabus on massive transfusion will be briefly discussed with them and also provided as a reading material for learning.

no intervention: No prompting

A demographic questionnaire will be filled out by each participants. After randomization, participants will be presented with the background information of the simulated scenario.Subsequently:

  • participants will sit and wait for a predetermined time before entering into the simulator,
  • participants then will be asked to manage a simulated massive transfusion scenario,
  • at completion of the scenario, each participant will be interviewed about their thought process before entering to the simulation room,
  • each participant will undergo individualized debriefing and a syllabus on massive transfusion will be briefly discussed with them and also provided as a reading material for learning.

Interventions

Prompting forethought

Participants will be asked questions which elicit specific forethought elements related to the given clinical situation. These are elements that relate to strategic planning, goal setting, goal orientation, imagery, outcome expectation. These context specific questions will be determined in the Pilot study and validated in Study I.

Primary outcome measure

  • Performance in managing simulated massive transfusion scenario [ Time Frame: Each individual's performance will be video recorded and subsequently evaluated within 8 weeks. ]

Central Contacts and Locations

Central contacts

John G Laffey, MD, FCARCSI

(416) 864-5071laffeyj@smh.ca

Maya J Contreras, PhD, FCARCSI

(416) 864-5071contrerasm@smh.ca

Locations

St. Michael's Hospital

Recruiting

Toronto, Ontario, Canada, M5B 1W8

Principal Investigator:

John G Laffey, MD, FCARCSI

More Information

Sponsor

Unity Health Toronto

Last update posted

Aug 10, 2016

Last verified

Aug, 2016

Keywords

  • Massive transfusion protocols
  • Self-regulatory learning
  • Forethought
  • Clinical expertise
  • Simulation
  • Education

Trial information was received from ClinicalTrials.gov and was last updated on 2026-09-10. This information was provided to ClinicalTrials.gov by Unity Health Toronto on 2016-08-10.