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临床试验/ChiCTR-IOR-17012341
ChiCTR-IOR-17012341尚未招募Unknown

Please fill in the information about ethics committee. Video-supported nurse-led ACP

General Research Fund1 个研究点 分布在 1 个国家开始时间: 2018年1月1日最近更新:

试验速览

阶段
Unknown
状态
尚未招募
发起方
试验地点
1
主要终点
Completion of advance directives

研究概览

简要总结

  1. Compare the relative effectiveness of two structured ACP programmes among frail elders on completion of AD and occurrence of discussion regarding EOL care;
  2. Compare the relative effectiveness of two structured ACP programmes on carers on decision making confidence, anxiety and depression;
  3. Compare the relative effectiveness of two structured ACP in promoting quality of communication regarding EOL, decisional conflict and knowledge of ACP among frail elders ;
  4. Compare the relative effectiveness of two structured ACP programmes on healthcare utilization;
  5. Assess the congruence in response to elders EOL preferences between patients and carers;
  6. Explore communication patterns in ACP among elders, carers and healthcare professionals and its influence with shared decision making.

研究设计

研究类型
Interventional
主要目的
随机平行对照
盲法
None

入排标准

年龄范围
18 至 —(—)
性别
All

入选标准

  • Patients will be eligible if they are
  • aged >=60 years;
  • frail (FRAIL scale>=1)41;
  • able to communicate, and
  • cognitively intact (MMSE>17) at the time of recruitment. Patients will be asked to nominate an informal carer who will likely be a substitute decision maker for them in future healthcare to participate in the study.
  • Carers will be eligible if they are:
  • aged >=18 years;
  • identified as the primary informal carer to a participating patient; and
  • communicable in Chinese. Patient-carer dyads will be recruited with patients can join without a carer but carers cannot join without a corresponding patient in the study.

排除标准

  • Patients will be excluded if they have already signed an AD or have been referred to palliative care service before the study.

研究组 & 干预措施

Group 1

Group 2

结局指标

主要结局

Completion of advance directives

时间窗: 6 months

次要结局

未报告次要终点

研究者

发起方
General Research Fund

研究点 (1)

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