Effects of Advance Care Planning on Patient Empowerment, Perception of Care and Healthcare Utilization in Older Patients with Multimorbidity: a Feasibility Pilot of a Randomized Controlled Trial
- Conditions
- zorggebruikhealthcare utilizationPatient empowerment10001474
- Registration Number
- NL-OMON52742
- Lead Sponsor
- Department of Public Health, Section Care and Decision Making at the End of Life
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Pending
- Sex
- Not specified
- Target Recruitment
- 50
Inclusion Criteria
patients >= 65 years of age with polypharmacy who gave informed consent and had
2 or more hospitalizations, day clinic admission or individual ER admissions in
the last year
Exclusion Criteria
Patients with serious cognitive impairment (MMSE score < 16), patients with a
limited life-expectancy (<6mo) and/or who are not fluent in Dutch
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method <p>Trial-feasibility is defined as the successful inclusion of 50 patients in<br /><br>total, timely administration of the intervention in 25 patients, adherence to<br /><br>follow-up procedures and identification of problems or barriers during<br /><br>recruitment, inclusion, intervention administration and follow-up. </p><br>
- Secondary Outcome Measures
Name Time Method <p>Our main outcome for cost-effectiveness is total duration and number of<br /><br>hospital admissions, as a proxy for both costs and effects (iMCQ). In order to<br /><br>inform a possible cost-effectiveness analysis (CEA), data on health-related<br /><br>quality of life (EQ5D-5L) will also be collected. Our outcomes for patient<br /><br>assessment of care and patient empowerment are the PACIC questionnaire, the ACP<br /><br>Engagement Survey and the appointment of a surrogate decision maker and/or the<br /><br>documentation of advance directives. Other data that will be collected to<br /><br>describe our population is daily activities (ADL and iADL) and destination at<br /><br>discharge (if admitted). </p><br>