Effectiveness of the AAA-Training Programme on GP-Patient Communication in Palliative care; a Controlled Clinical Trial (COMPACT).

Status

Active, not recruiting

Phases

Unknown

Study type

Interventional

Source

NL-OMON

Registry ID

NL-OMON22983

Enrollment

640

Registered

2006-01-17

Start date

2006-03-01

Completion date

Unknown

Last updated

2024-02-28

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

Conditions

Patients receiving palliative care from their GPs.

Interventions

Based on the literature and preliminary studies three key elements for GP-patient communication in PC were identified: Availability, Active listening, and Anticipating (AAA). Existing GP training prog

this will increase the effectiveness of the learning process by helping to focus on the aspects GPs want to improve. All participating GPs will attend a PC Peer Group Training Course, only the interve

Eligibility

Inclusion criteria

Inclusion criteria: 1. Incurable cancer with a life-expectancy of less than six months; 2. Over 18 years of age; 3. Ability to speak, read and write Dutch; 4. Absence of overt psychopathology or serious cognitive dysfunction that would impede their ability to take part in the study; 5. Written informed consent.

Exclusion criteria

Exclusion criteria: None.

Design outcomes

Primary

Measure	Time frame
The first research question, on effectiveness of the AAA assessment tool, will be measured by analysis of video-recorded consultations with simulated patients: the GP-patient communication in PC will be determined by the Roter Interaction Analysis System (RIAS). This primary outcome will also be measured according to a study-specific ‘AAA’ rating scale. Two times during the project GPs will be video-taped (consultation with a simulated patient); the first time will be during the first 2-day course (before the start of the intervention); the second time will be during the third 2-day course (one year later).	—

Measure

Time frame

The first research question, on effectiveness of the AAA assessment tool, will be measured by analysis of video-recorded consultations with simulated patients: the GP-patient communication in PC will be determined by the Roter Interaction Analysis System (RIAS). This primary outcome will also be measured according to a study-specific ‘AAA’ rating scale. Two times during the project GPs will be video-taped (consultation with a simulated patient); the first time will be during the first 2-day course (before the start of the intervention); the second time will be during the third 2-day course (one year later).

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Secondary

Measure	Time frame
Effects at patient level will be measured by questionnaires to real PC patients: 1. Satisfaction about the communication with their GP will be measured with the Dutch version of the Patient Satisfaction Questionnaire III; 2. Disease-related quality of life will be measured with the Palliative Care Outcome Scale and the EORTC QLQ-C15-PAL; 3. Feelings of being at peace and comfortable will be measured according to a study-specific ‘rest & peace’ rating scale; 4. Implementation of AAA items by GPs will be measured by a study-specific 'AAA Patient Questionnaire'. Two times during the project GPs will be asked to recruit the first two consecutive patients for whom they currently provide PC, and who are eligible for participation. The first time will be during the three months before the start of the course; the second time will be between the second and third 2-day course.	—

Measure

Time frame

Effects at patient level will be measured by questionnaires to real PC patients: 1. Satisfaction about the communication with their GP will be measured with the Dutch version of the Patient Satisfaction Questionnaire III; 2. Disease-related quality of life will be measured with the Palliative Care Outcome Scale and the EORTC QLQ-C15-PAL; 3. Feelings of being at peace and comfortable will be measured according to a study-specific ‘rest & peace’ rating scale; 4. Implementation of AAA items by GPs will be measured by a study-specific 'AAA Patient Questionnaire'. Two times during the project GPs will be asked to recruit the first two consecutive patients for whom they currently provide PC, and who are eligible for participation. The first time will be during the three months before the start of the course; the second time will be between the second and third 2-day course.

—

Contacts

Public ContactA.H. Blankenstein

VU University Medical Center, EMGO-Institute, Van der Boechorststraat 7

ah.blankenstein@vumc.nl+31 (0)20 4448198

Outcome results

None listed

Source: NL-OMON (via WHO ICTRP)