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).
연구 개요
연구 유형
등록 (실제)
단계
- 해당 없음
연락처 및 위치
연구 장소
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ZH
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Zurich, ZH, 스위스, 8091
- University Hospital Zurich, Clinical Ethics
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참여기준
자격 기준
공부할 수 있는 나이
건강한 자원 봉사자를 받아들입니다
연구 대상 성별
설명
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)
공부 계획
연구는 어떻게 설계됩니까?
디자인 세부사항
- 주 목적: 지지 요법
- 할당: 무작위
- 중재 모델: 병렬 할당
- 마스킹: 삼루타
무기와 개입
참가자 그룹 / 팔 |
개입 / 치료 |
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활성 비교기: 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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실험적: 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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연구는 무엇을 측정합니까?
주요 결과 측정
결과 측정 |
기간 |
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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)
기간: during 2 weeks six months after discharge
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during 2 weeks six months after discharge
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2차 결과 측정
결과 측정 |
기간 |
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end of live decisions on last place of care, antibiotics for pneumonia, feeding tube, intravenous fluids, dialysis, intubation and sedation,
기간: 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
기간: 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)
기간: at discharge
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at discharge
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Hospital Anxiety and Depression scale ("HADS")
기간: 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
기간: 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
기간: 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
기간: 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
기간: 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
기간: 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
기간: 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
기간: 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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공동 작업자 및 조사자
수사관
- 수석 연구원: Tanja Krones, MD, University Hospital Zurich, Clinical Ethics
연구 기록 날짜
연구 주요 날짜
연구 시작
기본 완료 (실제)
연구 완료 (실제)
연구 등록 날짜
최초 제출
QC 기준을 충족하는 최초 제출
처음 게시됨 (추정)
연구 기록 업데이트
마지막 업데이트 게시됨 (추정)
QC 기준을 충족하는 마지막 업데이트 제출
마지막으로 확인됨
추가 정보
이 정보는 변경 없이 clinicaltrials.gov 웹사이트에서 직접 가져온 것입니다. 귀하의 연구 세부 정보를 변경, 제거 또는 업데이트하도록 요청하는 경우 register@clinicaltrials.gov. 문의하십시오. 변경 사항이 clinicaltrials.gov에 구현되는 즉시 저희 웹사이트에도 자동으로 업데이트됩니다. .
Control Group에 대한 임상 시험
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Queen Mary University of LondonUniversity of Belgrade아직 모집하지 않음
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Stanford UniversityLondon School of Hygiene and Tropical Medicine; National Institutes of Health (NIH); Catholic...아직 모집하지 않음시뮬레이션 교육 | 심한 폐렴 | 심각한 영양실조 | 심한 말라리아 | 신생아 소생술 | 심한 탈수 | 현직 교육 | 컴퓨터 보조 수업탄자니아
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Samsung Medical Center모병
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Gonzalo Jorquera, PhDUniversidad de Valparaiso완전한
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Anglia Ruskin UniversityDanone Global Research & Innovation Center완전한
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Hacettepe University아직 모집하지 않음
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Aarhus University HospitalUniversity of Aarhus완전한