Seminar: Shared decision-making about goals of care at end of life. What does implementation research have to offer?

May 19, 2022
12:00 pm - 1:00 pm
>> View seminar recording here:

People increasingly seek to shape the goals of their care at the end of life. Goals of Care interventions (living wills, advance care directives, treatment escalation plans, complex shared decision-making tools) have focused on ensuring dignity and comfort at times when it is impossible for people to articulate their preferences and influence the conduct of their care because of physical or mental incapacity. These interventions also call for the design and implementation of institutional processes through which preferences can be recorded, negotiated into practice, and then enacted on the person’s behalf. This is often a real challenge.

In this seminar, Carl May of the London School of Hygiene & Tropical Medicine will set out a robust and empirically validated model of implementation processes (normalization process theory); links this to a series of studies that have considered problems of implementing goals of care interventions; and explores how institutional contexts, implementation mechanisms, and intervention outcomes interact with each other in ways that are generative of change.

Learning objectives:

  1. What is normalization process theory, and how can it be used?
  2. How can we understand the elements of implementation processes?
  3. Where are the pressure points for change in goals of care interventions?

This event is part of the Dissemination & Implementation Seminar Series, which features leaders in the field to speak on a variety of relevant and timely topics.


This event will take place virtually via Zoom webinar. Please register to receive your unique link to attend.

About the Speaker

Carl May, PhD, BScEcon, FAcSS, FRCGP (Hon)
London School of Hygiene & Tropical Medicine

Dr. Carl May is a medical sociologist and implementation scientist with a wide range of research interests across the sociology of health technologies and of human relations In the healthcare systems of the advanced economies. This work has ranged from very applied evaluation studies in health services research (especially in qualitative studies nested within randomised controlled trials) through studies of the social construction of professional-patient relations and different disease entities, to fundamental social science research on the dynamics of human agency under conditions of constraint. 

The D&I seminar series is sponsored by the Insitute for Public Health’s Center for Dissemination and Implementation.