Improving Decision Making About Feeding Options for Dementia
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 256
- 试验地点
- 2
- 主要终点
- Decisional Conflict Scale
研究概览
简要总结
This study is a randomized trial to test whether a decision aid can help to improve the quality of decision making about feeding options in care of patients with dementia.
详细描述
This research study is a cluster randomized controlled trial of a decision aid to improve decision-making about feeding options for patients with advanced dementia. Surrogate decision-makers in the nursing homes randomized to the intervention will review the decision aid and be prompted to discuss it with the primary health care provider, while those in the control sites receive usual care. We measure the immediate, 1 and 3 month effects of the decision aid on the quality of surrogate decision-making for nursing home residents with advanced dementia.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 65 Years 至 —（Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •dementia diagnosis
- •advanced cognitive impairment
- •feeding problem
- •age >= 65
- •surrogate decision maker
排除标准
- •feeding tube decision made
- •BMI > 26
- •major psychosis or developmental delay
结局指标
主要结局
Decisional Conflict Scale
时间窗: 3 months
Decisional Conflict Scale measures conflict in decisions Total scale range 1-5 with lower scores indicating less conflict.
次要结局
- Percent With Treatment Decisions(3 months)