Multiprofessional Advance Care Planning and Shared Decision Making for End of Life Care (MAPS)
Multiprofessional Advance Care Planning and Shared Decision-making for End of Life Care MAPS Trial
Multiprofessional Advance Care Planning and shared decision making for end of live care for terminal patients and their relatives.
The aim of this study is to develop, implement and test a complex intervention for improving patients' preparation for and participation in end of life decisions. In cooperation with local, national and international partners, the investigators will focus on strategies to enhance advance care planning and shared decision making on end of life issues, and documentation and transferability of end of life decisions across health care settings in coordinated approach involving patients, their families and care givers (in and out of hospital).
調査の概要
研究の種類
入学 (実際)
段階
- 適用できない
連絡先と場所
研究場所
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ZH
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Zurich、ZH、スイス、8091
- University Hospital Zurich, Clinical Ethics
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参加基準
適格基準
就学可能な年齢
健康ボランティアの受け入れ
受講資格のある性別
説明
Inclusion criteria: -patients in which the treating physician on the ward would not be surprised if the patient died during the next year (surprise question of Weissman et al 2011)
- male and female patients above 18 years of age
- signed informed consent after being informed
- patients able to appoint a surrogate decision maker (SM) and/or responsible physician to be contacted after discharge
Exclusion criteria: -patients not capable of speaking german
- patients having no responsible physician to be contacted after discharge and no relative/future surrogate decision maker (SM)
- inhouse patients being discharged within the next 2 days or ambulatory patients not regularly coming to the wards (at least every two month)
- patients assessed by their physician to be in obvious denial of their situation (illness/prognosis)
研究計画
研究はどのように設計されていますか？
デザインの詳細
- 主な目的：支持療法
- 割り当て：ランダム化
- 介入モデル：並列代入
- マスキング：トリプル
武器と介入
参加者グループ / アーム |
介入・治療 |
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アクティブコンパレータ：Control Group
A routine care discharge planning with the social service
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A routine care discharge planning with the social service
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実験的：Advance Care Planning ACP
Patient get a decision aid video and library and up to 3 consultations with qualified Advance Care Planning Facilitators. -------------------------------------------------------------------------------- |
Patient of the intervention group get a decision aid video and library and up to 3 consultations with qualified Advance Care Planning Facilitators.
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この研究は何を測定していますか？
主要な結果の測定
結果測定 |
時間枠 |
|---|---|
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end of life wish on resuscitation known (if alive) or fulfilled(if dead) after 6 month by responsible physician and/or surrogate decision maker (SM)
時間枠：during 2 weeks six months after discharge
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during 2 weeks six months after discharge
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二次結果の測定
結果測定 |
時間枠 |
|---|---|
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end of live decisions on last place of care, antibiotics for pneumonia, feeding tube, intravenous fluids, dialysis, intubation and sedation,
時間枠：during 2 weeks six months after discharge
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during 2 weeks six months after discharge
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decisional conflict scale ("DCS"), O Connor et al 1995
時間枠：at discharge and during 2 Weeks six months after discharge
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at discharge and during 2 Weeks six months after discharge
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Satisfaction with information and care, (see Detering et al 2010)
時間枠：at discharge
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at discharge
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Hospital Anxiety and Depression scale ("HADS")
時間枠：discharge and during 2 weeks six months after discharge
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discharge and during 2 weeks six months after discharge
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Having an Advance directive
時間枠：at discharge, during 2 weeks three months after discharge and during 2 weeks six months after discharge
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at discharge, during 2 weeks three months after discharge and during 2 weeks six months after discharge
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Having an appointed surrogate decision maker
時間枠：at discharge, during 2 weeks three month after discharge and during 2 weeks six month after discharge
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at discharge, during 2 weeks three month after discharge and during 2 weeks six month after discharge
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Any hospital stay
時間枠：during 2 weeks three months after discharge and during 2 weeks six months after discharge
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during 2 weeks three months after discharge and during 2 weeks six months after discharge
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Decisions regarding end of life issues already having been made/taken place
時間枠：during 2 weeks six months after discharge
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during 2 weeks six months after discharge
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open question on important medical decisions being made
時間枠：during 2 weeks three months after discharge
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during 2 weeks three months after discharge
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Treatment against patients wishes
時間枠：during 2 weeks three months after discharge and during 2 weeks six months after discharge, or 3 month after death
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during 2 weeks three months after discharge and during 2 weeks six months after discharge, or 3 month after death
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Distress of Patients or relatives because of content of the consultation
時間枠：at discharge, during 2 weeks three months after discharge and during 2 weeks six months after discharge
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at discharge, during 2 weeks three months after discharge and during 2 weeks six months after discharge
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協力者と研究者
スポンサー
捜査官
- 主任研究者：Tanja Krones, MD、University Hospital Zurich, Clinical Ethics
研究記録日
主要日程の研究
研究開始
一次修了 (実際)
研究の完了 (実際)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (見積もり)
学習記録の更新
投稿された最後の更新 (見積もり)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
この情報は、Web サイト clinicaltrials.gov から変更なしで直接取得したものです。研究の詳細を変更、削除、または更新するリクエストがある場合は、register@clinicaltrials.gov。 までご連絡ください。 clinicaltrials.gov に変更が加えられるとすぐに、ウェブサイトでも自動的に更新されます。