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).
研究概览
研究类型
注册 (实际的)
阶段
- 不适用
联系人和位置
学习地点
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ZH
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Zurich、ZH、瑞士、8091
- University Hospital Zurich, Clinical Ethics
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参与标准
资格标准
适合学习的年龄
接受健康志愿者
有资格学习的性别
描述
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)
学习计划
研究是如何设计的？
设计细节
- 主要用途：支持治疗
- 分配：随机化
- 介入模型：并行分配
- 屏蔽：三倍
武器和干预
参与者组/臂 |
干预/治疗 |
|---|---|
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有源比较器：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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实验性的：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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研究衡量的是什么？
主要结果指标
结果测量 |
大体时间 |
|---|---|
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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)
大体时间：during 2 weeks six months after discharge
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during 2 weeks six months after discharge
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次要结果测量
结果测量 |
大体时间 |
|---|---|
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end of live decisions on last place of care, antibiotics for pneumonia, feeding tube, intravenous fluids, dialysis, intubation and sedation,
大体时间：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
大体时间：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)
大体时间：at discharge
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at discharge
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Hospital Anxiety and Depression scale ("HADS")
大体时间：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
大体时间：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
大体时间：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
大体时间：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
大体时间：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
大体时间：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
大体时间：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
大体时间：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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合作者和调查者
调查人员
- 首席研究员：Tanja Krones, MD、University Hospital Zurich, Clinical Ethics
研究记录日期
研究主要日期
学习开始
初级完成 (实际的)
研究完成 (实际的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (估计)
研究记录更新
最后更新发布 (估计)
上次提交的符合 QC 标准的更新
最后验证
更多信息
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