Study on preferences and care options among older people living in nursing home

Effect estimation of an innovative nursing intervention to improve Advance Care Planning among nursing home’s residents and their relatives : a pre-post pilot trial

Status

Active, not recruiting

Phases

Unknown

Study type

Interventional

Source

ISRCTN

Registry ID

ISRCTN29919297

Enrollment

Registered

2016-05-20

Start date

2011-05-15

Completion date

Unknown

Last updated

2017-10-16

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

End of life care for elderly in nursing homes Signs and Symptoms

Interventions

The Advance care planning (ACP) intervention includes ongoing discussions and decision-making processes individually and within the dyad with the support of an experienced nurse trained in the ACP in

Eligibility

Sex/Gender

All

Inclusion criteria

Inclusion criteria: 1. Newly admitted in nursing home 2. = 65 years old 3. Suffering from a chronic disease with a potentially fatal outcome, or from a life-threatening disease 4. Mentally competent 5. Fluent in French 6. Have a close relative who agreed to participate in the study

Exclusion criteria

Exclusion criteria: 1. Serious cognitive impairment 2. Already written ADs 3. Significant motor and/or sensory deficits

Design outcomes

Primary

Measure	Time frame
Feasibility defined as Ability to enroll and retain dyads 1. Number of participants, close relatives recruited; timepoint: end of recruitment (31/05/2012) 2, Number of dyads retained after intervention (patients, close relatives); timepoint: six months after end of recruitment (31/11/2012) 3. Distribution of the intervention (integrity and fidelity) patients records; timepoint: six months after end of recruitment (31/11/2012) 4. Adherence to data collection plan; patients records; timepoint: six months after end of recruitment (31/11/2012) Acceptability 5. Acceptability of the intervention for patients, close relatives; Satisfaction questionnaire; timepoint: T2= 3 months post intervention 6, Acceptability for nurses delivering the ACP intervention in terms of fidelity, resources mobilized and practice change. Satisfaction questionnaire; T2= 3 months post intervention	—

Measure

Time frame

Feasibility defined as Ability to enroll and retain dyads 1. Number of participants, close relatives recruited; timepoint: end of recruitment (31/05/2012) 2, Number of dyads retained after intervention (patients, close relatives); timepoint: six months after end of recruitment (31/11/2012) 3. Distribution of the intervention (integrity and fidelity) patients records; timepoint: six months after end of recruitment (31/11/2012) 4. Adherence to data collection plan; patients records; timepoint: six months after end of recruitment (31/11/2012) Acceptability 5. Acceptability of the intervention for patients, close relatives; Satisfaction questionnaire; timepoint: T2= 3 months post intervention 6, Acceptability for nurses delivering the ACP intervention in terms of fidelity, resources mobilized and practice change. Satisfaction questionnaire; T2= 3 months post intervention

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Secondary

Measure	Time frame
1. Quality of end of life communication with the nurse (NHR & close relative) measured with the “Quality of Patient-Clinician Communication About End of Life Care (QOC)”; timepoint: T= pre intervention (5-6 weeks after admission) and T2 post intervention (six months after admission) 2. Congruence in preferences and care options (dyad) measured with the «Statement of Treatment Preference (STP)» Timepoint: T1= pre intervention (5-6 weeks after admission) and T2 post intervention (six months after admission) 3. Perceived Burden (close relative) measured with the “Brief Burden Interview “ (BBI) Timepoint: T1= pre intervention (5-6 weeks after admission) and T2 post intervention (six months after admission)	—

Measure

Time frame

1. Quality of end of life communication with the nurse (NHR & close relative) measured with the “Quality of Patient-Clinician Communication About End of Life Care (QOC)”; timepoint: T= pre intervention (5-6 weeks after admission) and T2 post intervention (six months after admission) 2. Congruence in preferences and care options (dyad) measured with the «Statement of Treatment Preference (STP)» Timepoint: T1= pre intervention (5-6 weeks after admission) and T2 post intervention (six months after admission) 3. Perceived Burden (close relative) measured with the “Brief Burden Interview “ (BBI) Timepoint: T1= pre intervention (5-6 weeks after admission) and T2 post intervention (six months after admission)

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Countries

Switzerland

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Feb 4, 2026