ISRCTN39282347进行中（未招募）未知
Short-term specialized palliative care intervention in primary care for frail older people and their family carers
试验速览
- 阶段
- 未知
- 状态
- 进行中（未招募）
- 入组人数
- 37
研究概览
简要总结
2021 protocol in https://pubmed.ncbi.nlm.nih.gov/33472789/ (added 22/01/2021)
研究设计
- 研究类型
- Interventional
入排标准
- 性别
- All
入选标准
- •1. Aged 70 years or over
- •2. Clinical Frailty Scale (CFS) score > 5 (mild to severe)
- •3. One or more unresolved or complex* symptoms or problems (as judged by clinicians)
- •4. In a hospital and referred to return to their home in the region Gent-Eeklo or Dendermonde-Aalst-Ninove
- •5. Speak and understand Dutch, and provide informed consent to participate in the study OR when a person lacks capacity to consent for themselves the procedures detailed in the Belgian law for patient rights are adhered to
- •6. Have a family carer who is eligible and willing to participate (see below for inclusion criteria for family carers) OR does not have a family member corresponding to the inclusion criteria
- •*one or more unresolved or complex symptoms or problems can include a multitude of different situations such as:
- •3.1 Complex patients’ needs on the physical, psychological, social and/or spiritual domain
- •3.2 Complex end-of-life issues such as being ‘tired of living’, highly conflicted decision-making, consideration of palliative sedation, requests for assisted dying or euthanasia
- •3.3 Difficulties with advance care planning
- •3.4 Complex patient characteristics such as multimorbidity, or complexity due to cumulation of problems
- •3.5 Cre-existing complexity, for example, long-standing difficulties with finances/housing, mental health needs
- •3.6 Difficult interactions between the patient, family and healthcare professionals (for example, dissonance or conflicts, older patients who do not seek help etc)
- •7. To pilot the trial and evaluate the intervention specifically in the population of frail older people with cancer, we will oversample people with a cancer diagnosis into the study sample. To do so, we will apply the following inclusion critierion, in addition to the ones specified above:
- •7.1 Advanced-stage solid tumor or hematologic malignancy
- •8. Inclusion criteria for family carers:
- •8.1 Patient (or health care provider if patient does not have capacity) indicated that they are the patients’ main family carer or representative
- •8.2 This person lives with the patient or has in-person contact with him or her at least twice a week
排除标准
- •1. One or more palliative care consultations (i.e. specialized palliative home care team and/or palliative care unit) in the 6 months prior to inclusion in the study
- •2. Taken/are taking part in another research study that is evaluating palliative care services
- •3. Urgent palliative care needs (and should be referred to specialized palliative care) and/or deteriorate rapidly
- •4. Do not speak and/or understand Dutch
- •5. Exclusion criteria for family carers:
- •5.1 Have taken/are taking part in another research study that is evaluating palliative care services
- •5.2 Do not speak and/or understand Dutch
研究者
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