I50
Conditions
Interventions
Group 1: Cross-sectional survey among patients with stable, symptomatic heart failure without a Left Ventricular Assist Device (LVAD) (n=150)
-Agreement with various approaches to the integration of p
Sponsors
Deutsches Herzzentrum der Charité
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: - symptomatic heart faiilure (NYHA II-IV) - no urgent hospitalizations within the last 3 months - regarding Patients with LVAD: implantation was longer than 3 months ago
Exclusion criteria
Exclusion criteria: - insufficient German language proficiency for completing the survey
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Agreement with various approaches to the integration of palliative care Agreement with the different approaches to the integration of palliative care will be assessed in a survey using a 6-point Likert scale ("Strongly disagree," "Disagree," "Somewhat disagree," "Somewhat agree," "Agree," "Strongly agree"). For the analysis of the primary study endpoint, responses will be dichotomized as follows: No perceived need – “Strongly disagree,” “Disagree,” or “Somewhat disagree”; Perceived need – “Somewhat agree,” “Agree,” or “Strongly agree.” Agreement with each individual approach will be reported as prevalence in percent with a 95% confidence interval. Given our sample size of n=300, the two-sided 95% confidence intervals are expected to have a maximum width of ±6 percentage points in the statistically least favorable scenario of 50% prevalence. This level of precision is considered sufficient for the context of this study. | — |
Secondary
| Measure | Time frame |
|---|---|
| - Differences in the prevalence and extent of agreement with individual approaches to the integration of palliative care between selected subgroups (men vs. women, age above vs. below median, left ventricular assist device (LVAD) therapy vs. no LVAD therapy, KCCQ-OSS above vs. below median, PHQ-4 score above vs. below median, fulfillment of the ESC-HFA definition of advanced heart failure, fulfillment of the I-NEED-HELP criteria, migration background vs. no migration background, household income above vs. below median, as well as stratification by other social determinants of health). -Predictors of agreement with individual approaches to palliative care in univariable and multivariable logistic regression analyses. The following independent variables will be tested: gender, age, LVAD therapy (yes/no), quality of life measured by KCCQ-OSS, quality of life measured by IPOS, time since heart failure diagnosis (in years), if applicable, time since LVAD implantation, PHQ-4 score above vs. below median, fulfillment of the ESC-HFA definition of advanced heart failure, fulfillment of the I-NEED-HELP criteria, NYHA classification, symptom burden, history of prolonged intensive care therapy, history of complications, social determinants of health (migration background, education level, income, financial distress, loneliness), functional status, prognostic awareness, comorbidities. -Effect of the term "palliative care" on the likelihood of participating in a palliative care service. Agreement to participate in the respective offers will be measured using 6-point Likert scales and dichotomized as described above. Agreement with the individual approaches will be reported as prevalence in percent with a 95% confidence interval. -Prevalence of having designated a healthcare proxy or having completed advance directives | — |
Countries
Germany
Contacts
Public ContactMoritz Blum
Deutsches Herzzentrum der Charite
Outcome results
None listed