Improving patients’ level of engagement in advance care planning with their general practitioner: a cluster randomized controlled trial

Vrije Universiteit Brussel0 个研究点目标入组 208 人开始时间: 2020年6月19日最近更新: 2024年7月22日

适应症

试验速览

2021 Protocol article in https://pubmed.ncbi.nlm.nih.gov/34172030/ (added 28/06/2021) 2023 Results article in https://doi.org/10.3399/BJGP.2023.0022 (added 05/10/2023) 2024 Results article in https://pubmed.ncbi.nlm.nih.gov/38925875/ knowledge and attitudes (added 28/06/2024) 2024 Other publications in https://pubmed.ncbi.nlm.nih.gov/38971761/ Process evaluation (added 08/07/2024)

•General practitioners:
•1. Dutch-spreaking
•2. Working with and caring for patients in Flanders or Brussels, Belgium
•3. Able to include at least 3 patients
•1. Adults (>18 years old)
•2. Mentally competent as measured by judgment of the GP OR if Mini-Mental State Examination has been conducted, score is >24
•3. GP answers no to the surprise question, Would I be surprised if this patient were to die within the next 12 to 24 months?
•4. Diagnosis of a life-limiting illness:
•4.1. Locally-advanced unresectable, or metastasized cancer OR
•4.2. Organ failure, this being
•a) heart failure (New York Heart Association stage 3 or stage 4)
•b) chronic kidney failure or end-stage renal disease (ESRD) (stage 4, eGFR=15-29;
•or stage 5, eGFR<15)
•c) Very severe COPD (GOLD COPD stages stage 3 or stage 4) OR
•4.3. Geriatric frailty (Clinical Frailty Scale score 5-7, mildly to severely frail)
•Added 13/10/2020:
•Surrogate decision-makers:
•1. Adults (>18 years old)
•2. Identified by the patient as their surrogate decision-maker OR as a person who may be willing to be their surrogate decision-maker

•General practitioners:
•1. Participated in Phase-II trial of the intervention
•2. Participated in the cognitive testing of intervention materials and translated questionnaires
•1. Unable to speak or understand Dutch
•2. Unable to provide consent or complete the questionnaires due to cognitive impairment
•3. GP answers no to the surprise question, Would I be surprised if this patient were to die within the next 6 months?
•4. Participated in the phase-II trial of this intervention
•5. Participated in the cognitive testing of intervention materials and translated questionnaires
•Added 13/10/2020:
•Surrogate decision makers:
•1. Unable to speak or understand Dutch
•2. Unable to provide informed consent

发起方