Implementing Advance Care Planning Conversation Tools in Family Practice
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 80
- 试验地点
- 6
- 主要终点
- Advance care planning engagement
研究概览
简要总结
This study evaluates the use of advance care planning conversation tools with patients attending their family doctor's office. Patients complete tools about their values and wishes, and a health care provider uses a structured discussion tool to talk about the patient's health condition and future wishes. The patient's family member/substitute decision-maker is encouraged to attend and be part of the discussions.
详细描述
Structured tools are helpful for advance care planning. Tools have been developed to help with advance care planning because it is a process which has multiple steps and people involved. This study will help health care teams in primary care learn to use the tools with frail or older seriously ill patients and will evaluate the perceptions of patients, family members and health care providers, as well as the impact of having the discussions on subsequent health care interactions the patient has.
Patients complete tools about their values and wishes, and a health care provider uses a structured discussion tool to talk about the patient's health condition and future wishes. The patient's family member/substitute decision-maker is encouraged to attend and be part of the discussions.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Other
- 盲法
- None
入排标准
- 年龄范围
- 60 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •age 60 or older
- •chronic condition that may reduce life expectancy as per physician's clinical judgement
- •able to communicate verbally in English and read English
排除标准
- •unable to communicate verbally in English
- •unable to read English
- •cognitively unable to give informed consent (e.g. memory problems) as judged by referring physician or research assistant
结局指标
主要结局
Advance care planning engagement
时间窗: 12 weeks
Survey measuring domains of engagement in advance care planning
次要结局
- Patient experience(12 weeks)
- Advance care planning engagement-substitute decision maker(12 weeks)
- Patient perceived impact on health care(6-9 months)
研究者
Michelle Howard
Assistant Professor
McMaster University