Promoting Informed Decision Making Through Advance Care Planning
NCT ID: NCT02211287
Last Updated: 2014-08-07
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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UNKNOWN
NA
420 participants
INTERVENTIONAL
2016-08-31
Brief Summary
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
SUPPORTIVE_CARE
Study Groups
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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.
'Comfort Care at the End of Life for Persons with Dementia'
A guide for caregivers to provide information on the trajectory of the disease, clinical issues, decision-making processes, and symptom management. The guide is written in a Q\&A form and can help answer frequent family questions.
Project Nurse - ACP Facilitator
A nurse will receive training in the 'Respecting Choices Facilitator Curriculum' - an online program consisting of a series of six critical thinking modules designed for healthcare professionals who want to enhance their ACP facilitation skills. Local training resources in Northern Ireland will supplement.
Usual care
Care will continue as usual for the nursing home residents
No interventions assigned to this group
Interventions
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'Comfort Care at the End of Life for Persons with Dementia'
A guide for caregivers to provide information on the trajectory of the disease, clinical issues, decision-making processes, and symptom management. The guide is written in a Q\&A form and can help answer frequent family questions.
Project Nurse - ACP Facilitator
A nurse will receive training in the 'Respecting Choices Facilitator Curriculum' - an online program consisting of a series of six critical thinking modules designed for healthcare professionals who want to enhance their ACP facilitation skills. Local training resources in Northern Ireland will supplement.
Eligibility Criteria
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Inclusion Criteria
* 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.
2. 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.
Exclusion Criteria
* Family caregivers who has a family resident considered to have the ability to participate in ACP discussions.
18 Years
ALL
No
Sponsors
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Four Seasons Health Care
UNKNOWN
Queen's University, Belfast
OTHER
Responsible Party
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Kevin Brazil
Professor
Principal Investigators
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Kevin Brazil, PhD
Role: PRINCIPAL_INVESTIGATOR
Queen's University, Belfast
Locations
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Four Seasons Health Care -- Nursing Homes
Belfast, , United Kingdom
Countries
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Central Contacts
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Facility Contacts
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Jim McCall
Role: primary
Other Identifiers
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B14/25
Identifier Type: -
Identifier Source: org_study_id
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