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Clinical Trials/ISRCTN44976471
ISRCTN44976471
Active, Not Recruiting
N/A

A novel integrated person-centred palliative care intervention in primary care for patients with chronic lung disease and their families: a cluster stepped wedge feasibility hybrid type 2 RCT

ational Institute for Health Research0 sites105 target enrollmentMarch 27, 2020

Overview

Phase
N/A
Intervention
Not specified
Conditions
Not specified
Sponsor
ational Institute for Health Research
Enrollment
105
Status
Active, Not Recruiting
Last Updated
5 years ago

Overview

Brief Summary

No summary available.

Registry
who.int
Start Date
March 27, 2020
End Date
January 15, 2022
Last Updated
5 years ago
Study Type
Interventional
Sex
All

Investigators

Sponsor
ational Institute for Health Research

Eligibility Criteria

Inclusion Criteria

  • 1\. Adults (aged at least 18 years) attending primary care with diagnosed COPD or chronic lung disease (CLD) on the basis of the likely aetiological determinants in South Africa, namely cigarette or other smoking history, biomass fuel smoke exposure, history of previous pulmonary tuberculosis or other respiratory infections and occupational dust exposure
  • 2\. Eligible for palliative care on the basis of disease severity, with at least one of the following:
  • 2\.1\.Breathless at rest or on minimal exertion
  • 2\.2\. On home oxygen
  • 2\.3\. Three or more hospital admissions in the last year
  • 2\.4\. More than three emergency centre (EC) visits in the last month
  • 2\.5\. Karnofsky Performance Status of 50 or less
  • 2\.6\. Dependence on others for activities of daily living (ADLs)
  • 3\. Able to communicate in English, Afrikaans or Xhosa
  • 4\. Able to give informed consent

Exclusion Criteria

  • 1\. Housebound and unable to attend primary care
  • 2\. Unable to give informed consent due to loss of capacity
  • 3\. Unable to communicate in English, Afrikaans or Xhosa
  • Caregivers:
  • 1\. Paid caregivers such as nurses or social workers
  • 2\. Aged under 18 years
  • 3\. Not involved in day\-to\-day care for the COPD or CLD patient

Outcomes

Primary Outcomes

Not specified

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