Comparative Effectiveness Research in long term care facilities in Europe - randomised controlled cluster trial on ‘PACE Steps to Success' palliative care programme

European Commission0 个研究点目标入组 80 人开始时间: 2015年7月30日最近更新: 2024年8月19日

适应症

试验速览

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)

•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.

•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.

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