Approaches to advance care planning for persons with dementia and their family caregivers: a cluster-randomized controlled trial.
- Conditions
- 10012272Dementia
- Registration Number
- NL-OMON56370
- Lead Sponsor
- eids Universitair Medisch Centrum
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Recruiting
- Sex
- Not specified
- Target Recruitment
- 120
Inclusion criteria for persons with dementia:
• diagnosis of irreversible dementia established by a physician;
• decisional capacity and the person can be interviewed (adequate memory,
speech and language, and ability to make decisions);
• living at home;
• sufficient capacity of the Dutch language;
• adequate vision and hearing (can be achieved by using corrective lenses or
hearing aid);
• the family caregiver is also willing to participate in the study.
Inclusion criteria for family caregivers of persons with dementia:
• at least 18 years old;
• sufficient capacity of the Dutch language;
• decisional capacity;
• adequate vision and hearing (can be achieved by using corrective lenses or
hearing aid);
• the person with dementia is also willing to participate in the study.
Inclusion criteria for participating GPs:
• GPs who are willing to contact persons with dementia and their family
caregivers from their practice in the Netherlands for study participation and
who are willing to complete training and study requirements to conduct ACP
conversations with persons with dementia and their family caregivers if
randomized to an intervention group.
Exclusion criteria for persons with dementia:
• currently affected by a severe psychiatric disorder (e.g., major depression,
schizophrenia, substance abuse, PTSD) as diagnosed by a psychiatrist,
psychologist, or physician;
• a life expectancy of less than four weeks;
• severe aphasia or another language disorder.
Exclusion criteria for family caregivers of persons with dementia:
• currently affected by a severe psychiatric disorder (e.g. major depression,
schizophrenia, substance abuse, PTSD) as diagnosed by a psychiatrist,
psychologist, or physician if known to the GP of the person with dementia;
• a life expectancy of less than four weeks if known to the GP of the person
with dementia;
• severe aphasia or another language disorder if known to the GP of the person
with dementia.
Exclusion criteria for GPs:
• GPs with no persons with dementia in their practice;
• GPs who plan to resign within one year.
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method <p>The primary outcome is wellbeing of persons with dementia measured by Quality<br /><br>of Life in Late-Stage Dementia scale (QUALID). </p><br>
- Secondary Outcome Measures
Name Time Method <p>The secondary outcomes are decisional conflict, self-efficacy to interact with<br /><br>physicians, and family caregiver perception of physician-family caregiver<br /><br>communication. </p><br>