Impact of VAD on Palliative Care

Not Applicable

• Conditions: Palliative Care; Voluntary Assisted Dying; End of life care; Public Health - Health service research

• Registration Number: ACTRN12622001357741
• Lead Sponsor: niversity of Notre Dame

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2022-10-21
• Last Update Posted: 31 October 2022

Recruitment & Eligibility

• Status: ot yet recruiting
• Sex: All
• Target Recruitment: 120

Inclusion Criteria

Patients who have expressed an interest in or explicitly sought VAD from 19th June 2019 onwards will be identified at each service.
Those eligible will include those who have considered VAD and engaged in discussions about its potential use and those who have engaged in the VAD process and who have or have not died using VAD.
Caregivers and health practitioners involved in an eligible patient's care will also be eligible to participate in this study.

Exclusion Criteria

Ineligible patients will be those who made a fleeting reference to VAD but did not engage in more detailed discussions. These patient's caregivers and the health practitioners who provided care will be ineligible to participate in this study.

Study & Design

• Study Type: Observational
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Outcome of VAD request<br>Outcome will be assessed from the patient medical records[Last patient record or time of death];Health service utilisation will be assessed by reviewing the patient medical records and identifying referrals, hospital admission, length of stay and emergency department presentations.[Review of medical records from first to last contact with health services or patient time of death];Palliative Care Outcomes Collaboration (PCOC) measures will be assessed as a composite primary outcome and will be obtained from the medical records.[All PCOC measures completed in the patient medical records from initial assessment to any subsequent assessments completed.]

Secondary Outcome Measures

Name	Time	Method
Health Practitioner identified issues will be identified during the semi-structured interview which will include a question exploring the challenges faced when providing end of life care. These interviews will be conducted by a trained project officer.[At time of enrolment an interview will be conducted. Issues may be identified in medical records. Issues maybe identified in medical records collated from June 2019 to end of study enrolment period.];Patient identified issues at time of 15-30 minute semi-structure interview conducted by a trained project officer which explores the challenges faced by the patient.[Identified at time of patient interview at time of enrolment.];Place of death will be identified in medical records.[Time of death];Caregiver raised issues at time of 15-30 minute semi-structure interview conducted by a trained project officer which explores the challenges faced by the caregiver.[Identified at time of caregiver interview at time of enrolment.]