PACE: cluster randomised controlled trial on ‘PACE Steps to Success' palliative care programme in Long Term Care Facilities in Europe

Not Applicable

Completed

• Conditions: Older people living in long term care facilities; Not Applicable

• Registration Number: ISRCTN14741671
• Lead Sponsor: European Commission

Brief Summary

2018 Results article in https://www.ncbi.nlm.nih.gov/pubmed/29530091 results 2020 Results article in https://www.ncbi.nlm.nih.gov/pubmed/31710345 results (added 13/11/2019) 2019 Other publications in https://www.ncbi.nlm.nih.gov/pubmed/31856882 feasibility of implementation evaluation (added 23/12/2019) 2020 Results article in https://pubmed.ncbi.nlm.nih.gov/32957971/ results (added 23/09/2020) 2021 Results article in https://pubmed.ncbi.nlm.nih.gov/33678179/ subgroup analysis results (added 09/03/2021) 2018 Protocol article in https://pubmed.ncbi.nlm.nih.gov/29530091/ (added 18/10/2022) 2019 Other publications in https://pubmed.ncbi.nlm.nih.gov/31651314/ (added 05/08/2024) 2020 Other publications in https://pubmed.ncbi.nlm.nih.gov/32646823/ Secondary analysis (added 05/08/2024)

Detailed Description

Not available

Study Timeline

• Study Start: 2015-07-30
• Study Completion: 2018-07-31
• Last Update Posted: 19 August 2024

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 80

Inclusion Criteria

To enhance comparability between countries, LTCFs are eligible to be recruited when they fulfil all of the following inclusion criteria:
1. An off-site family physician or GP is responsible for the resident’s medical care.
2. Social and nursing care is provided onsite .
3. Number of beds per facility is at least 30 but does not exceed 100.
4. We strive to include facilities with at least 15 deceased residents in or outside the facility over the last year. If it is not possible to find enough LTCFs that fit this inclusion criterion, facilities should be selected in which the number of deceased residents in the past year is closest to 15.
5. LTCFs from a predefined geographical location (to be determined by the researchers).
6. Each partner lists all LTCFs fitting these inclusion criteria. From this list, only those LTCFs where the Board of Directors (1) expresses explicit motivation to participate in the study and (2) agrees to free time for one PACE coordinator for e.g. 0.5 days per working week, depending on setting, will be included in the study.

Exclusion Criteria

Researchers exclude facilities already using a palliative care planning tool e.g. (accredited users of) the Gold Standards Framework, Route to Success, Six Steps to Success, interRAI-PC version or end of life care integrated pathways such as Liverpool Care Pathway; or those facilities where they judge explicit and detailed palliative care guidelines to be available and corresponding high-quality practices to be implemented.

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
1. Quality of dying of the residents is measured using structured after-death questionnaires including validated instruments like EOLD-CAD (End-Of-Life in Dementia - Comfort Assessment in Dying) and QOD-LTC (Quality of Dying in Long-Term Care) at baseline, month 13 and month 17 after the start of the trial period<br>2. Staff knowledge and attitudes is measured using structured questionnaires including validated instrument like the ECPS (End-of-Life Professional Caregiver Survey), PCS (Palliative Care Survey) and S-EOLC (Self-Efficacy in End-of-Life Care Survey) at baseline and month 13 after the start of the trial period

Secondary Outcome Measures

Name	Time	Method
Quality of palliative care is measured using structured after-death questionnaires including validated instruments like EOLD-SWC (End-Of-Life in Dementia - Satisfaction With Care) and FPPFC (Family Perception of Physician-Family Communication) at baseline, month 13 and month 17 after the start of the trial period.