The Calgary Movement Disorders Advanced Care Pilot Program

NCT ID: NCT05599659

Last Updated: 2022-10-31

Study Results

Results pending

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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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-11-04

Study Completion Date

2024-11-04

Brief Summary

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The goal of this clinical trial is to analyse the effect of palliative care interventions on quality of life, patient satisfaction, carepartner burden and health care utilization patterns in patients living with parkisonism and their carepartners.

Participants will:

* Receive multidisciplinary palliative care.
* Answer questions related to the quality of life, patient satisfaction, carepartner burden and health care utilization patterns.

Detailed Description

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Conditions

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Parkinson's Disease and Parkinsonism

Keywords

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Palliative Care

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

The clinical trial is a prospective cohort study analysing the effect of palliative care interventions on quality of life, patient satisfaction, carepartner burden and health care utilization patterns in patients living with parkisonism and their carepartners.

Participants will:

* Receive multidisciplinary palliative care.
* Answer questions related to the quality of life, patient satisfaction, carepartner burden and health care utilization patterns.
Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Study Groups

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Palliative care

Participants will receive palliative care.

Group Type EXPERIMENTAL

Palliative care

Intervention Type BEHAVIORAL

It is a pilot model of outpatient clinical care for patients in advanced stages of PDRD that will allow earlier access to PC in this population. PC visits will be in person or by telemedicine every three months and complemented with phone calls by different team members when needed as defined by the PC team.

The typical visit duration will be 2 to 2.5 hours and address nonmotor symptoms, goals of care, anticipatory guidance, difficult emotions, and carepartner support. Providers will communicate in-person or via notes during the clinic visit to increase interdisciplinary coordination and meet at the end of the day for discussion including follow-up plans.

The team will consist of a neurologist, a registered nurse with palliative care experience and training, a psychology counselor, a social worker, spiritual counselor and a research assistant.

Interventions

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Palliative care

It is a pilot model of outpatient clinical care for patients in advanced stages of PDRD that will allow earlier access to PC in this population. PC visits will be in person or by telemedicine every three months and complemented with phone calls by different team members when needed as defined by the PC team.

The typical visit duration will be 2 to 2.5 hours and address nonmotor symptoms, goals of care, anticipatory guidance, difficult emotions, and carepartner support. Providers will communicate in-person or via notes during the clinic visit to increase interdisciplinary coordination and meet at the end of the day for discussion including follow-up plans.

The team will consist of a neurologist, a registered nurse with palliative care experience and training, a psychology counselor, a social worker, spiritual counselor and a research assistant.

Intervention Type BEHAVIORAL

Other Intervention Names

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Advanced care

Eligibility Criteria

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Inclusion Criteria

* Participants who have a PD diagnosis or another PDRD diagnosis (multiple system atrophy, corticobasal degeneration, progressive supranuclear palsy, or Lewy body dementia)
* Participants who have moderate to high PC needs based on the Palliative Care Needs Assessment Tool (PC-NAT)
* Participants who are between 20 and 100 years old

Exclusion Criteria

* Immediate and urgent palliative care needs. These patients will be offered appropriate services immediately
* Participants who have other illnesses that could require PC e.g. metastatic cancer
* Participants already receiving PC and/or hospice
* Patients with a diagnosis of severe cognitive impairment (Montreal Cognitive Assessment \<10). These patients will be offered appropriate services. Care partners can participate.
Minimum Eligible Age

20 Years

Maximum Eligible Age

100 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Calgary

OTHER

Sponsor Role lead

Responsible Party

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Veronica Bruno

MD, MPH

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Movement Disorder Program, Foothills Medical Center, Alberta Health Services

Calgary, Alberta, Canada

Site Status

Countries

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Canada

Central Contacts

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Veronica Bruno, MD, MPH

Role: CONTACT

Phone: 4039194262

Email: [email protected]

Karla Cantu Flores, MD

Role: CONTACT

Phone: 4032107542

Email: [email protected]

Facility Contacts

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Veronica Bruno, MD, MPH

Role: primary

Other Identifiers

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REB22-0545

Identifier Type: -

Identifier Source: org_study_id