The PROAKTIV Study
- Conditions
- Palliative Care
- Interventions
- Behavioral: Specialized palliative home care
- Registration Number
- NCT04673760
- Lead Sponsor
- Insel Gruppe AG, University Hospital Bern
- Brief Summary
The overall objective of this study is to identify whether the systematic anticipation of highly structured specialized palliative home care into primary care influences the quality of care and care utilization. Quality of care focusses on the sense of security of patients and family caregivers, satisfaction with care of patients, family caregivers, general practitioners, home care nurses and specialized palliative care nurses, and availability and access to advanced directives. Health care utilization focus on the number of hospitalizations and the length of hospital stays.
- Detailed Description
The University Center for Palliative Care from the Inselspital Bern conducts this monocentric mixed-methods controlled study and is responsible for informed consent.
Data consists of questionnaires of patients, their family caregivers, general practitioners, home care nurses and if involved specialized palliative home care nurses. Patients and their family caregivers will fill out baseline questionnaires and follow-up questionnaires at 2, 8, 16 and 24 weeks. Patient follow-up will end if the patient dies or the study ends. Family caregivers will be asked to fill out a questionnaire two months after the patient's death.
General practitioners, home care nurses and specialised palliative home care nurses will fill out questionnaires after the patient's death or at the end of the study. Patient survival data will be collected from administrative health data after the end of the study.
Additionally, a nested qualitative study with semi-structured qualitative interviews with patients, family caregivers and care providers will provide an in-depth understanding of preferences, needs, experiences from this phase of life.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 149
Not provided
Not provided
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Arm 1: Structured specialized palliative home care Specialized palliative home care Eligible specialist palliative home care teams provide ambulant specialised palliative care as usual
- Primary Outcome Measures
Name Time Method Sense of security of patients From 2 months before the date of baseline measurement (retrospectively), to six months after the baseline measurement (prospectively). Measured by questionnaire Sense of Security in Care - Patients' Evaluation (SEC-P), This questionnaire has 3 subscales namely, the Care Interaction scale; the Identity scale and the Mastery scale. Higher score indicate a higher level of sens of security at home of the patient.
- Secondary Outcome Measures
Name Time Method Satisfaction with care of patient From 2 months before the date of baseline measurement (retrospectively), to six months after the baseline measurement (prospectively). Measured by questionnaire Modified FAMCARE Scale P16. 16 Questions on care with answers (Likert-type scale 1 to 5) ranging from "very satisfied with care" to "very dissatisfied with care"
Satisfaction with care of GP From date of baseline measurement of patient to study completion, an average of 6 months, or shorter if patient deceases Measured by questionnaire
Number of patients who define advance directives From 2 months before the date of baseline measurement (retrospectively), to six months after the baseline measurement (prospectively). Measured by questionnaire
Access to advance directives of the patients for the ambulant care providers From 2 months before the date of baseline measurement (retrospectively), to six months after the baseline measurement (prospectively). Measured by questionnaire
Trial Locations
- Locations (1)
University Hospital Inselspital Bern
🇨🇭Bern, Switzerland