zorggebruik healthcare utilization Patient empowerment
Conditions
Interventions
One of the most well-researched ACP programs is the Respecting Choices Program.
In this program, a trained facilitator encourages patients to reflect on their
goals, values and beliefs, to discuss a
Sponsors
Department of Public Health, Section Care and Decision Making at the End of Life
Eligibility
Age
65 Years to 99 Years
Inclusion criteria
Inclusion criteria: patients >= 65 years of age with polypharmacy who gave informed consent and had 2 or more hospitalizations, day clinic admission or individual ER admissions in the last year
Exclusion criteria
Exclusion criteria: Patients with serious cognitive impairment (MMSE score
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Trial-feasibility is defined as the successful inclusion of 50 patients in total, timely administration of the intervention in 25 patients, adherence to follow-up procedures and identification of problems or barriers during recruitment, inclusion, intervention administration and follow-up. | — |
Secondary
| Measure | Time frame |
|---|---|
| Our main outcome for cost-effectiveness is total duration and number of hospital admissions, as a proxy for both costs and effects (iMCQ). In order to inform a possible cost-effectiveness analysis (CEA), data on health-related quality of life (EQ5D-5L) will also be collected. Our outcomes for patient assessment of care and patient empowerment are the PACIC questionnaire, the ACP Engagement Survey and the appointment of a surrogate decision maker and/or the documentation of advance directives. Other data that will be collected to describe our population is daily activities (ADL and iADL) and destination at discharge (if admitted). | — |
Countries
Netherlands
Outcome results
None listed