Unknown

Dataset Information

0

Collaborative advance care planning in advanced cancer patients: col-ACP -study - study protocol of a randomised controlled trial.


ABSTRACT: BACKGROUND:To assure patient-centred end-of-life care, palliative interventions need to account for patients' preferences. Advance care planning (ACP) is a structured approach that allows patients, relatives and physicians to discuss end-of-life decisions. Although ACP can improve several patient related outcomes, the implementation of ACP remains difficult. The col-ACP-study (collaborative advance care planning) will investigate a new ACP procedure (col-ACP-intervention (German: Hand-in-Hand Intervention)) in palliative cancer patients and their relatives that addresses individual values and targets barriers of communication before an ACP process. METHODS:In a randomised controlled trial, 270 cancer patients without curative treatment options and their relatives will receive either 1) col-ACP 2) a supportive intervention (active control group) or 3) standard medical care (TAU). col-ACP comprises two steps: a) addressing various barriers of patients and relatives that discourage them from discussing end-of-life issues followed by b) a regular, structured ACP procedure. The col-ACP-intervention consists of 6 sessions. Primary endpoint is the patients' quality of life 16?weeks after randomisation. Secondary endpoints include measurements of distress; depression; communication barriers; caregivers' quality of life; existence of ACP or advance directives; the consistence of end of life care; and others. Patients will be followed up for 13?months. Multivariate analyses will be carried out. Qualitative evaluation of the intervention will be conducted. DISCUSSION:Augmentation of a regular ACP program by a structured psycho-oncological intervention is an innovative approach to target barriers of communication about end-of-life issues. Study findings will help to understand the value of such a combined intervention in palliative care. TRIAL REGISTRATION:ClinicalTrials.gov Identifier: NCT03387436 (Date of registration: 01/02/2018, retrospectively registered.

SUBMITTER: Seifart C 

PROVIDER: S-EPMC7445911 | biostudies-literature | 2020 Aug

REPOSITORIES: biostudies-literature

altmetric image

Publications

Collaborative advance care planning in advanced cancer patients: col-ACP -study - study protocol of a randomised controlled trial.

Seifart Carola C   Koch Martin M   Leppin Nico N   Nagelschmidt Katharina K   Knorrenschild Jorge Riera JR   Timmesfeld Nina N   Rief Winfried W   von Blanckenburg Pia P  

BMC palliative care 20200824 1


<h4>Background</h4>To assure patient-centred end-of-life care, palliative interventions need to account for patients' preferences. Advance care planning (ACP) is a structured approach that allows patients, relatives and physicians to discuss end-of-life decisions. Although ACP can improve several patient related outcomes, the implementation of ACP remains difficult. The col-ACP-study (collaborative advance care planning) will investigate a new ACP procedure (col-ACP-intervention (German: Hand-in  ...[more]

Similar Datasets

| S-EPMC6347867 | biostudies-other
| S-EPMC6950862 | biostudies-literature
| S-EPMC7059342 | biostudies-literature
| S-EPMC6989589 | biostudies-literature
| S-EPMC7665676 | biostudies-literature
| S-EPMC6924763 | biostudies-literature
| S-EPMC3629937 | biostudies-literature
| S-EPMC6797173 | biostudies-literature
| S-EPMC6089328 | biostudies-literature
| S-EPMC5726140 | biostudies-literature