A Mouth Education Program for Dry Mouth

NCT ID: NCT05964959

Last Updated: 2023-07-28

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

RECRUITING

Clinical Phase

NA

Total Enrollment

228 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-06-15

Study Completion Date

2026-05-31

Brief Summary

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The goal of this cluster based intervention trial is to evaluate the effect of a nurse-led patient education program on dry mouth in patients with a life-limiting condition or frailty.

The Mouth Educational Program (MEP) is a nurse-led patient education program, in which trained nurses use current clinical, palliative dry mouth guidelines in a structured manner to discuss causes, consequences and interventions with the patients and to create an appropriate treatment plan. This intervention will be compared to a control group receiving care as usual.

Therefore, the main question it aims to answer is:

Does a nurse-led patient education program reduce dry mouth complaints in patients with a life-limiting condition or frailty?

Participants will be asked to answer questionnaires and, when part of the intervention group, partake in the Mouth Educational Program (MEP).

Detailed Description

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Conditions

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Xerostomia End of Life Frailty Dry Mouth

Keywords

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Palliative Care Educational Program Oral Health

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

A cluster-based intervention study in 6 hospitals and 6 nursing homes (n=228), followed by a mixed-methods study and cost-effective analysis.
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Intervention

In the intervention group, the nurse and participant will be using the Mouth Education Program (MEP) to discuss causes, consequences and interventions for dry mouth in a structured manner, ultimately leading to an appropriate, individual treatment plan.

The MEP is based on current clinical, national palliative care guidelines on dry mouth care.

Group Type EXPERIMENTAL

Mouth Educational Program

Intervention Type OTHER

The Mouth Educational Program is a nurse-led patient education program for dry mouth in patients with a life-limiting condition or frailty.

Control

The control group will receive care as usual, provided by their trusted, treating clinicians and care teams. Questionnaires will be administered by researchers.

Group Type ACTIVE_COMPARATOR

Care as Usual

Intervention Type OTHER

Care as usual is defined as the standard dry mouth care as provided by participants' own treating physicians.

Interventions

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Mouth Educational Program

The Mouth Educational Program is a nurse-led patient education program for dry mouth in patients with a life-limiting condition or frailty.

Intervention Type OTHER

Care as Usual

Care as usual is defined as the standard dry mouth care as provided by participants' own treating physicians.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* 18 years or older;
* life-limiting condition or frailty (definition from Kwaliteitskader Palliatieve Zorg Nederland (IKNL/Palliactief, 2017)),
* experience the complaint dry mouth ≥ 5 on an 11 point numerical rating scale (ranging from 0=no dry mouth to 10=worst dry mouth ever);
* fulfil the Surprise Question (SQ): 'Would I be surprised if my patient dies within the year? (no)

Exclusion Criteria

* life expectancy less than 4 weeks;
* previous medical history of radiotherapy to the salivary glands or Sjogren's syndrome;
* a cognitive inability to understand and participate in an educational program (assessed by a member of the regular care team, either doctor or nurse)
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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ZonMw: The Netherlands Organisation for Health Research and Development

OTHER

Sponsor Role collaborator

Leiden University Medical Center

OTHER

Sponsor Role lead

Responsible Party

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Yvette M. van der Linden

Prof. dr.

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Yvette M van der Linden, Prof. dr.

Role: PRINCIPAL_INVESTIGATOR

Leiden University Medical Centre

Locations

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Onze Lieve Vrouwe Gasthuis (OLVG)

Amsterdam, , Netherlands

Site Status RECRUITING

Countries

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Netherlands

Central Contacts

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Annelot I van der Meulen, MSc

Role: CONTACT

Phone: 071-526 1916

Email: [email protected]

Facility Contacts

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Annelot I van der Meulen, MSc

Role: primary

References

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van der Meulen AI, Neis EPJG, de Nijs EJM, Coenegracht BJEG, Stoppelenburg A, van den Beuken-van Everdingen MHJ, van der Linden YM. Dry mouth in patients with a life-limiting condition or frailty: a study protocol for two intervention studies and a nested qualitative sub-study (the Dry mOuth Project, DROP). BMC Palliat Care. 2023 Aug 23;22(1):120. doi: 10.1186/s12904-023-01242-0.

Reference Type DERIVED
PMID: 37612654 (View on PubMed)

Other Identifiers

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NL08440012010001

Identifier Type: -

Identifier Source: org_study_id