Promoting Informed Decision Making and Effective Communication Through Advance Care Planning for People With Dementia and Their Family Carers
试验速览
- 阶段
- 不适用
- 入组人数
- 420
- 试验地点
- 1
- 主要终点
- Level of family carer satisfaction in decision making about the care of the resident
研究概览
简要总结
The purpose of this study is to evaluate the application of a best-practice Advance Care Planning (ACP) model for individuals living with dementia in a sample of nursing homes in Northern Ireland
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
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 Caregivers
- •Family caregivers of a resident who does not have decision making capacity to participate in ACP discussion
- •Individuals identified by the nursing home manager as the family member who possess power of attorney for personal care and/or viewed by the nursing home staff as most involved in the care of the resident who does not have decision making capacity.
- •Health Care Professionals
- •Nursing home managers, registered nursing staff and GPs who:
- •are employed, or in the case of GPs, care for residents, in the six nursing homes that were part of the intervention group
- •were familiar with the intervention to discuss its strengths and weaknesses in an interview
- •are able to speak English as they are required to participate in interviews.
排除标准
- •Family caregivers and health care professionals who are unable to communicate through written and spoken English.
- •Family caregivers who has a family resident considered to have the ability to participate in ACP discussions.
研究组 & 干预措施
Intervention
The intervention will include five key elements: a Project Nurse - ACP facilitator; family education on comfort care at the end of life for individuals with dementia using the 'Comfort Care at the end of life for persons with dementia' booklet; a family meeting with follow-up telephone call; documentation of ACP decisions, and orientation and education directed towards General Practitioners (GPs) and nursing home staff about the intervention.
干预措施: 'Comfort Care at the End of Life for Persons with Dementia' (Other)
Intervention
The intervention will include five key elements: a Project Nurse - ACP facilitator; family education on comfort care at the end of life for individuals with dementia using the 'Comfort Care at the end of life for persons with dementia' booklet; a family meeting with follow-up telephone call; documentation of ACP decisions, and orientation and education directed towards General Practitioners (GPs) and nursing home staff about the intervention.
干预措施: Project Nurse - ACP Facilitator (Other)
Usual care
Care will continue as usual for the nursing home residents
结局指标
主要结局
Level of family carer satisfaction in decision making about the care of the resident
时间窗: Baseline, up to 2 months
Decisional Conflict Scale (DCS). This measures uncertainty and difficulties in the decision making process. The 16 item version measures four domains: a) uncertainty in choosing options; b) unsupported in decision making; c) feeling informed; d) decision is consistent with values
次要结局
- The level of family carer satisfaction with nursing home care(Baseline up to 2 months)
- Level of family carer anxiety and depression(Baseline up to 2 months)
- The comfort of the resident at the end of life(Baseline up to 2 months)
- Number of unnecessary hospitalisations(Baseline up to 12 months)
研究者
Kevin Brazil
Professor
Queen's University, Belfast