Implementing Advance Care Planning Conversation Tools in Family Practice
研究概览
详细说明
Structured tools are helpful for advance care planning. Tools have been developed to help with advance care planning because it is a process which has multiple steps and people involved. This study will help health care teams in primary care learn to use the tools with frail or older seriously ill patients and will evaluate the perceptions of patients, family members and health care providers, as well as the impact of having the discussions on subsequent health care interactions the patient has.
Patients complete tools about their values and wishes, and a health care provider uses a structured discussion tool to talk about the patient's health condition and future wishes. The patient's family member/substitute decision-maker is encouraged to attend and be part of the discussions.
研究类型
注册 (实际的)
阶段
- 不适用
联系人和位置
学习地点
-
-
Alberta
-
Calgary、Alberta、加拿大、T1Y 5S3
- Sunridge Family Medicine Teaching Centre
-
-
British Columbia
-
Langley、British Columbia、加拿大
- Safa Medical Clinic
-
Vancouver、British Columbia、加拿大、V3L 3C2
- New Westminster Family Practice
-
Vancouver、British Columbia、加拿大
- Vancouver General Hospital Gordon and Leslie Diamond Health Care Centre
-
-
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:
- age 60 or older
- chronic condition that may reduce life expectancy as per physician's clinical judgement
- able to communicate verbally in English and read English
Exclusion Criteria:
- unable to communicate verbally in English
- unable to read English
- cognitively unable to give informed consent (e.g. memory problems) as judged by referring physician or research assistant
学习计划
研究是如何设计的？
设计细节
- 主要用途：其他
- 分配：不适用
- 介入模型：单组作业
- 屏蔽：无（打开标签）
武器和干预
参与者组/臂 |
干预/治疗 |
|---|---|
|
实验性的：Advance care planning tools
Advance care planning education and structured conversation using tools
|
Structured conversations between patients/substitute decision-maker and clinician based on education about advance care planning using locally relevant booklet/website, values clarification tool for patient engagement, clinician use of the Serious Illness Conversation Guide
|
研究衡量的是什么？
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
Advance care planning engagement
大体时间：12 weeks
|
Survey measuring domains of engagement in advance care planning
|
12 weeks
|
次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
Advance care planning engagement-substitute decision maker
大体时间：12 weeks
|
survey measuring substitute decision maker domains of engagement in advance care planning
|
12 weeks
|
|
Patient experience
大体时间：12 weeks
|
survey of patient experience with intervention
|
12 weeks
|
|
Patient perceived impact on health care
大体时间：6-9 months
|
qualitative interviews of patients asking perceived impact of intervention on later health care use
|
6-9 months
|
其他结果措施
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
Clinician experience of intervention
大体时间：6 months
|
survey of clinician experience using conversation tools
|
6 months
|
|
Clinician confidence having advance care planning conversations
大体时间：6 months
|
survey of clinician confidence, satisfaction
|
6 months
|
合作者和调查者
调查人员
- 首席研究员：Michelle Howard, PhD、McMaster University
研究记录日期
研究主要日期
学习开始 (实际的)
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 (实际的)
研究记录更新
最后更新发布 (实际的)
上次提交的符合 QC 标准的更新
最后验证
更多信息
此信息直接从 clinicaltrials.gov 网站检索，没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求，请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改，我们的网站上也会自动更新.