COPD Palliative and Supportive care Implementation

Implementation of palliative and supportive care for patients with COPD and their informal caregivers

Status

Recruiting

Phases

Unknown

Study type

Interventional

Source

NL-OMON

Registry ID

NL-OMON26565

Enrollment

347

Registered

2019-04-07

Start date

2019-04-16

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

Chronic Obstructive Pulmonary Disease

Interventions

An integrated palliative care intervention was developed based on existing guidelines, the Quality Framework Palliative care of the Netherlands, a literature review and input from experts. These compr

Eligibility

Inclusion criteria

Inclusion criteria: Patients diagnosed with COPD and • being admitted to the hospital for an acute exacerbation COPD. • being able to complete questionnaires in Dutch. • having a high risk of death within one year according to the Propal-COPD tool Informal caregivers of participating patients. Health care professionals from primary and secondary care of intervention teams of participating regions.

Exclusion criteria

Exclusion criteria: • Patients with severe cognitive decline (e.g. dementia) • Patients on the waiting list for lung transplantation.

Design outcomes

Primary

Measure	Time frame
Difference in mean quality of life of patients in the intervention group versus the control group at 6 months, as measured with the Functional Assessment of Chronic Illness Therapy-Palliative care (FACIT-Pal) scale.	—

Secondary

Measure	Time frame
Patient level: Spiritual wellbeing (FACIT-Sp-12), Anxiety and depression (HADS), satisfaction with care (NRS), number of ED visits (without admission), hospital admission (number and number of days), IC admission (number and number of days), in the 12 months pre-enrollment up to 12 months after enrollment, if applicable place of care in last week of life, time and place of death, patient-reported and documented received palliative care and advance care planning activities. Informal caregiver level: Caregiver burden (CRA), satisfaction with care (NRS). Healthcare professional level: Self-efficacy (End-of-life professional caregiver survey (EPCS)). Process level: context, reach, dose delivered, dose received, fidelity, implementation level and recruitment, maintenance and acceptability, barriers and facilitators to implementation.	—

Measure

Time frame

Patient level: Spiritual wellbeing (FACIT-Sp-12), Anxiety and depression (HADS), satisfaction with care (NRS), number of ED visits (without admission), hospital admission (number and number of days), IC admission (number and number of days), in the 12 months pre-enrollment up to 12 months after enrollment, if applicable place of care in last week of life, time and place of death, patient-reported and documented received palliative care and advance care planning activities. Informal caregiver level: Caregiver burden (CRA), satisfaction with care (NRS). Healthcare professional level: Self-efficacy (End-of-life professional caregiver survey (EPCS)). Process level: context, reach, dose delivered, dose received, fidelity, implementation level and recruitment, maintenance and acceptability, barriers and facilitators to implementation.

—

Contacts

Public ContactJohanna Broese

Leiden University Medical Centre

j.m.c.broese@lumc.nl+31641646460

Outcome results

None listed

Source: NL-OMON (via WHO ICTRP)