Pilot Study of an Advance Care Planning Intervention Among Persons With Dementia in Long-term Services and Support Facilities
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 13
- 试验地点
- 2
- 主要终点
- Feasibility of Information Sheet among Study Population
研究概览
简要总结
Advance care planning allows people to have their wishes taken into account even in the advanced stages of the persons' condition and at the end of life when the person may be unable to communicate. However, a recent review found an absence of high-quality guidelines for advanced care planning in dementia care. Since few evidence-based resources exist, the investigators propose a study to generate, refine, and pilot test an education information sheet designed to promote advanced care planning among families of persons with dementia.
详细描述
To determine the feasibility, acceptability and preliminary efficacy of an education information sheet to promote advance care planning among family members of persons with advanced dementia in long-term services and support facilities.
Introducing an education information sheet containing prognosis and outcomes will be feasible, acceptable, and increase self-efficacy and do-not-hospitalize decision preferences among family members of persons with advanced dementia.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Single Group
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Family member of a person with a diagnosis of dementia (any type)
- •English-speaking family member
- •Family member of a person with dementia admitted to a nursing home
排除标准
- •Inability to understand/read English
- •Advance directive already in patient chart
结局指标
主要结局
Feasibility of Information Sheet among Study Population
时间窗: 6 months
Feasibility of the information sheet is defined as the consent rate of family members who are offered enrollment. This will be calculatd as a percent of family members (number of enrolled participants/number of eligible participants offered enrollment)
Acceptibility of Decision Aid Tool
时间窗: 6 months
Acceptability using an adapted tool (https://decisionaid.ohri.ca/eval_accept.html) which measures the ratings of comprehensibility of the information sheet among participants in the intervention group. Responses are reported descriptively in terms of proportions responding positively or negatively on each criteria.
次要结局
- Decision Self-efficacy Scale(6 months)
- Family Member Decision-Making Self-Efficacy Scale(6 months)
- Preparation for Decision-Making Scale(6 months)
- Adaptation of Advance Care Planning Engagement Survey(6 months)
- Adaptation of Advance Care Planning Engagement for Surrogates Survey(6 months)
- Knowledge about Dementia(6 months)
研究者
Donald Sullivan
Associate Professor
Oregon Health and Science University