NCT02211287Unknown不适用
Promoting Informed Decision Making and Effective Communication Through Advance Care Planning for People With Dementia and Their Family Carers
适应症
试验速览
- 阶段
- 不适用
- 入组人数
- 420
- 试验地点
- 1
- 主要终点
- Level of family carer satisfaction in decision making about the care of the resident
研究概览
简要总结
The purpose of this study is to evaluate the application of a best-practice Advance Care Planning (ACP) model for individuals living with dementia in a sample of nursing homes in Northern Ireland
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Family Caregivers
- •Family caregivers of a resident who does not have decision making capacity to participate in ACP discussion
- •Individuals identified by the nursing home manager as the family member who possess power of attorney for personal care and/or viewed by the nursing home staff as most involved in the care of the resident who does not have decision making capacity.
- •Health Care Professionals
- •Nursing home managers, registered nursing staff and GPs who:
- •are employed, or in the case of GPs, care for residents, in the six nursing homes that were part of the intervention group
- •were familiar with the intervention to discuss its strengths and weaknesses in an interview
- •are able to speak English as they are required to participate in interviews.
排除标准
- •Family caregivers and health care professionals who are unable to communicate through written and spoken English.
- •Family caregivers who has a family resident considered to have the ability to participate in ACP discussions.
结局指标
主要结局
Level of family carer satisfaction in decision making about the care of the resident
时间窗: Baseline, up to 2 months
Decisional Conflict Scale (DCS). This measures uncertainty and difficulties in the decision making process. The 16 item version measures four domains: a) uncertainty in choosing options; b) unsupported in decision making; c) feeling informed; d) decision is consistent with values
次要结局
- The level of family carer satisfaction with nursing home care(Baseline up to 2 months)
- Level of family carer anxiety and depression(Baseline up to 2 months)
- The comfort of the resident at the end of life(Baseline up to 2 months)
- Number of unnecessary hospitalisations(Baseline up to 12 months)
研究者
Kevin Brazil
Professor
Queen's University, Belfast
研究点 (1)
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