Matthew Midori, Bainbridge Daryl, Myers Jeff, Levine Oren, Steinberg Leah, Incardona Nadia, Winemaker Samantha, Kortes-Miller Kathy, Stajduhar Kelli, Kilbertus Frances, Pereira Jose, Seow Hsien
Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada.
Department of Oncology, McMaster University, Hamilton, Ontario, Canada.
Palliat Med Rep. 2025 Jun 17;6(1):365-373. doi: 10.1089/pmr.2025.0010. eCollection 2025.
Community Access to Palliative Care via Interprofessional Teams Improvement (CAPACITI) is a virtual educational program designed to support primary care providers in delivering a palliative approach to care. This study evaluated whether expert-facilitated sessions result in greater self-rated competency than a self-directed format across three CAPACITI modules: Identification and Assessment, Communication, and Ongoing Management.
We conducted a randomized controlled trial where 566 interprofessional primary care team members were randomized to facilitated or self-directed delivery of the CAPACITI program. Participants completed two validated surveys at baseline and after each module: the End-of-Life Professional Caregiver Survey and the CAPACITI Competencies survey. These assessed self-rated comfort and competency in providing palliative care.
Of the 566 participants randomized, 378 completed Module 1, and 270 and 192 completed Modules 2 and 3, respectively. Participants in both study arms demonstrated significant improvements in self-assessed comfort and competency following each module. No significant differences were observed between the facilitated and self-directed groups across either survey instrument.
Participants in both the facilitated and self-directed study arms reported significant increases in self-rated comfort and competency in providing a palliative approach to care. CAPACITI demonstrates that a relatively large, intensive, and feasible training program can be implemented virtually across diverse care settings. These results support the broader application of structured, scalable educational interventions in primary care, particularly those grounded in practical content and adult learning principles.
ClinicalTrials.gov NCT05120154. Date registered: Oct 15, 2021. The authors affirm that this trial was registered prior to enrolling any participants.
通过跨专业团队改善社区姑息治疗服务（CAPACITI）是一个虚拟教育项目，旨在支持初级保健提供者采用姑息治疗方法。本研究评估了在CAPACITI的三个模块（识别与评估、沟通和持续管理）中，由专家指导的课程是否比自主学习形式能带来更高的自我评估能力。
我们进行了一项随机对照试验，将566名跨专业初级保健团队成员随机分为接受专家指导或自主学习的CAPACITI项目组。参与者在基线时以及每个模块结束后完成两项经过验证的调查：临终专业护理人员调查问卷和CAPACITI能力调查问卷。这些调查评估了提供姑息治疗时的自我评估舒适度和能力。
在随机分组的566名参与者中，378人完成了模块一，270人和192人分别完成了模块二和模块三。两个研究组的参与者在每个模块后自我评估的舒适度和能力都有显著提高。在两种调查工具中，专家指导组和自主学习组之间均未观察到显著差异。
专家指导组和自主学习组的参与者均报告称，在采用姑息治疗方法时，自我评估的舒适度和能力有显著提高。CAPACITI表明，一个相对大型、密集且可行的培训项目可以在不同护理环境中以虚拟方式实施。这些结果支持在初级保健中更广泛地应用结构化、可扩展的教育干预措施，特别是那些基于实用内容和成人学习原则的措施。
ClinicalTrials.gov NCT05120154。注册日期：2021年10月15日。作者确认该试验在招募任何参与者之前已注册。
