Advance Care Planning in Palliative Care

Recruiting

• Conditions: Palliative Care
• Interventions: Behavioral: Individual semi-structured interviews

• Registration Number: NCT05662917
• Lead Sponsor: Hospices Civils de Lyon

Brief Summary

The question of the end of life is a major public health issue. In the field of palliative care, the notion of anticipation is central for people with a serious and progressive illness. Indeed, an important consideration for general practitioners is the need to anticipate the disease's evolution and the uncomfortable symptoms (physical or psychological) the patient is likely to experience. This approach aims to relieve the patient without delay and thus improve comfort to ensure an acceptable quality of life for patients and their families. Even if the usefulness of anticipatory prescribing seems obvious, their use is not generalized to all palliative care patients. Caregivers are confronted with obstacles to the implementation of these prescriptions, particularly with regard to the relationship with the patient. It can then be assumed that patients' experiences and perceptions may influence symptom management and the use of anticipatory prescriptions. It seems essential to explore this subject. For this purpose, the investigator will carry out a qualitative study based on individual semi-structured interviews with palliative care patients.

Detailed Description

Not available

Basic Information
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Recruitment & Eligibility
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Study & Design
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Trial Locations

Study Timeline

• Study First Submitted: 2022-12-12
• Study First Submitted QC: 2022-12-20
• Study First Posted: 2022-12-23
• Study Start: 2023-03-10
• Status Verified: 2023-08
• Last Update Submitted: 2023-08-07
• Last Update Posted: 2023-08-08
• Primary Completion: 2023-12-10
• Study Completion: 2023-12-10

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 10

Inclusion Criteria

• Persons of all genders
• Persons 18 years of age and older
• In a palliative care situation of any serious illness
• Persons hospitalized in palliative care unit at the Givors hospital or followed at home by the Mobile Palliative Care Team
• Patients who have received full information about the study and signed a written consent.

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Exclusion Criteria

• Persons under legal protection
• Persons unable to express their consent, making it impossible to conduct interviews: dysarthria, cognitive disorders, mental confusion, altered state of consciousness
• Pregnant or breastfeeding persons

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Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
Palliative care patients	Individual semi-structured interviews	* Palliative care patients * Suffering from a serious and progressive illness (whatever it is) * Hospitalized in a palliative care unit or followed at home by the hospital's mobile palliative care team

Primary Outcome Measures

Name	Time	Method
The primary outcome is patient views on the use of anticipatory prescribing.	The outcome will be collected at Day 1-End of study visit	The interview consists in exploring the participants' experiences (feelings, representations), expectations and difficulties concerning the use of anticipatory prescribing. Interviews will be audio recorded. The verbatim will be transcribed for qualitative analysis by inductive thematic type, in order to bring out the main ideas and hypotheses.

Trial Locations

Locations (1)

Givors Hospital Center - Multidisciplinary medicine and palliative care department; 🇫🇷 Givors, France