The MuSt-PC: A Multidimensional Strategy to Improve Quality of Life of Patients With Multiple Symptoms and Palliative Care Needs - Pilot Study to Assess the Efficacy of a Clinical Decision Support System
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 44
- 试验地点
- 2
- 主要终点
- Ability and willingness of patients to complete follow-up assessments
研究概览
简要总结
In this pilot study, physicians and nurse practitioners working in different care settings will use MuSt-PC, for adult patients with any life-limiting iilness, for whom the Surprise question is answered negatively: if the HCP answers "no" to the question "Would I be surprised if this patiënt died in the next 12 months?''. In total, at least 20 eligible patients will be recruited and asked to perform all study assessments.
详细描述
In this pilot study, physicians and nurse practitioners working in different care settings will use MuSt-PC, for adult patients with any life-limiting iilness, for whom the Surprise question is answered negatively: if the HCP answers "no" to the question "Would I be surprised if this patiënt died in the next 12 months?''. In total, at least 20 eligible patients will be recruited and asked to perform all study assessments.
After a baseline screening assessment, all eligible patients with at least 2 simultaneously occurring symptoms with a numeric rating score £4 on the 11 point scale on the Utrecht Symptom Diary, will be asked to fiil out the Utrecht Symptom Diary during two weeks.
In the first week twice daily (morning and evening), in the second week once daily (evening).
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Supportive Care
- 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
- •Patients identified as in a palliative care trajectory (based on a negative answer to the surprise question "Would I be surprised if this patiënt died in the next 12 months?")
- •All primary diseases (cancer, non-cancer (e.g. COPD, haart failure, frailty)
- •Patients should have at least two symptoms on the Utrecht Symptom Diary with a numeric rating score of 4 or higher
- •Life expectancy of at least 4 weeks
- •Able to fill out Dutch questionnaires
- •Informed consent
排除标准
- •Patients who are unable or unwilling to self-assess their symptoms at baseline.
结局指标
主要结局
Ability and willingness of patients to complete follow-up assessments
时间窗: after 2 weeks
the percentage of patients who completed all questionnaires during follow-up
次要结局
- Recruitment of patients; the number of patients that consented and those that declined participation, as well as number of eligible patients.(after 2 weeks)
- Feedback about the follow-up assessments within this pilot(after 2 weeks)
- Adherence to advice by patients provided based on the MuSt-PC CDSS(after 2 weeks)
- Patient impressions of the MuSt-PC CDSS(after 2 weeks)
- Time until symptom burden decreases after the use of the MuSt-PC CDSS based on the filled out Utrecht Symptom Diaries (days)(after 2 weeks)