Patiënten met kanker, hartfalen, COPD. All diseases: cancer heart failure or COPD
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: • Patients identified as in a palliative care trajectory (based on a negative answer to the surprise question *Would I be surprised if this patient died in the next 12 months?*) • All diseases: cancer, heart failure or COPD • Patients should have pain and at least one other symptom on the Utrecht Symptom Diary with a numeric rating score of 4 or higher • Life expectancy of at least 4 weeks • Able to fill out Dutch questionnaires • Informed consent
Exclusion criteria
Exclusion criteria: • Patients who are unable or unwilling to self-assess their symptoms at baseline.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary objective is to assess the ability and willingness of patients to complete follow-up assessments (i.e. the number of patients who completed all questionnaires during follow-up). After a baseline assessment, all patients will be asked to fill out the Utrecht Symptom Diary during two weeks. In the first week, twice daily (morning and evening), in the second week once daily (evening). | — |
Secondary
| Measure | Time frame |
|---|---|
| • Recruitment of patients; the number of patients that consented and those that declined participation (with the reason of decline), as well as number of eligible patients (with at least two items on USD-4D >= 4 at baseline) (% of patients); • Adherence to advice by patients (medical (e.g., intake of medication) and non-medical (e.g.,relaxation exercises) provided based on the MuSt-PC CDSS (%); • Patient impressions of the MuSt-PC CDSS (10 questions with a 4-point Likert scale); • Time until symptom burden decreases after the use of the MuSt-PC CDSS based on the filled out Utrecht Symptom Diaries (days); • Feedback about the follow-up assessments within this pilot (open questions). | — |
Countries
Netherlands