Advance Care Planning, Respecting Choices, Elderly care, Vroegtijdige Zorgplanning, Ouderen
Conditions
Interventions
Control groups will be offered usual care.
Individuals in the intervention group will be offered formal ACP using the Respecting Choices Model in addition to their usual care. This programme, develop
Sponsors
Erasmus Medical Center Rotterdam
Eligibility
Inclusion criteria
Inclusion criteria: In order to be eligible to participate in this study, a subject must meet all of the following criteria: - > 75 years of age; - Mentally competent, as measured by a Mini–Mental State Examination (MMSE score > 16 and subsequently by judgement of caregiver; - Fluent in Dutch; - Living in a care home or at home receiving home care; - Being frail, as measured by the Tilburg Frailty Index (TFI score of 5 or more) Study participants who leave the care home during follow-up remain included in the study. If study participants pass away during follow-up, the interview will be held with a relative as a proxy for the participant’s perspective
Exclusion criteria
Exclusion criteria: An individual who does not meet the described inclusion criteria will be excluded from participation in this study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary effect outcome measure: - Patient activation (PAM-13) | — |
Secondary
| Measure | Time frame |
|---|---|
| - Quality of life (SF-12) - Satisfaction with health care (PSQ-18-SF6) - Health care costs (for the calculation of the health care costs we will distinguish intramural and extramural medical costs) - Use of burdensome medical interventions: hospitalisations, use of ventilation, resuscitation, chemotherapy, feeding tube, operations, antibiotics - Appointment of surrogate decision-maker and documentation of care wishes in advance directives | — |
Contacts
Public ContactI.J. Korfage
Department of Public Health Erasmus MC PO box 2040
Outcome results
None listed