Multiprofessional Advance Care Planning and Shared Decision Making for End of Life Care

Not Applicable

Completed

• Conditions: Surrogate Decision Maker; Palliative Patients
• Interventions: Other: Control Group; Other: Advance Care Planning ACP

• Registration Number: NCT01914848
• Lead Sponsor: University of Zurich

Brief Summary

Multiprofessional Advance Care Planning and shared decision making for end of live care for terminal patients and their relatives.

The aim of this study is to develop, implement and test a complex intervention for improving patients' preparation for and participation in end of life decisions. In cooperation with local, national and international partners, the investigators will focus on strategies to enhance advance care planning and shared decision making on end of life issues, and documentation and transferability of end of life decisions across health care settings in coordinated approach involving patients, their families and care givers (in and out of hospital).

Detailed Description

Not available

Basic Information
|
Recruitment & Eligibility
|
Study & Design
|
Trial Locations

Study Timeline

• Study First Submitted: 2012-11-26
• Study Start: 2013-07
• Study First Submitted QC: 2013-07-30
• Study First Posted: 2013-08-02
• Primary Completion: 2015-04
• Study Completion: 2015-08
• Status Verified: 2016-06
• Last Update Submitted: 2016-06-03
• Last Update Posted: 2016-06-06

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 115

Inclusion Criteria

Not provided

Read More

Exclusion Criteria

Not provided

Read More

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Control Group	Control Group	A routine care discharge planning with the social service
Advance Care Planning ACP	Advance Care Planning ACP	Patient get a decision aid video and library and up to 3 consultations with qualified Advance Care Planning Facilitators. --------------------------------------------------------------------------------

Primary Outcome Measures

Name	Time	Method
end of life wish on resuscitation known (if alive) or fulfilled(if dead) after 6 month by responsible physician and/or surrogate decision maker (SM)	during 2 weeks six months after discharge

Secondary Outcome Measures

Name	Time	Method
end of live decisions on last place of care, antibiotics for pneumonia, feeding tube, intravenous fluids, dialysis, intubation and sedation,	during 2 weeks six months after discharge
decisional conflict scale ("DCS"), O Connor et al 1995	at discharge and during 2 Weeks six months after discharge
Satisfaction with information and care, (see Detering et al 2010)	at discharge
Hospital Anxiety and Depression scale ("HADS")	discharge and during 2 weeks six months after discharge
Having an Advance directive	at discharge, during 2 weeks three months after discharge and during 2 weeks six months after discharge
Having an appointed surrogate decision maker	at discharge, during 2 weeks three month after discharge and during 2 weeks six month after discharge
Any hospital stay	during 2 weeks three months after discharge and during 2 weeks six months after discharge
open question on important medical decisions being made	during 2 weeks three months after discharge
Treatment against patients wishes	during 2 weeks three months after discharge and during 2 weeks six months after discharge, or 3 month after death
Distress of Patients or relatives because of content of the consultation	at discharge, during 2 weeks three months after discharge and during 2 weeks six months after discharge
Decisions regarding end of life issues already having been made/taken place	during 2 weeks six months after discharge

Trial Locations

Locations (1)

University Hospital Zurich, Clinical Ethics; 🇨🇭 Zurich, ZH, Switzerland