当前位置: X-MOL 学术BMC Palliat. Care › 论文详情
Our official English website, www.x-mol.net, welcomes your feedback! (Note: you will need to create a separate account there.)
Implementing the theory-based advance care planning ACP+ programme for nursing homes: study protocol for a cluster randomised controlled trial and process evaluation.
BMC Palliative Care ( IF 2.5 ) Pub Date : 2020-01-08 , DOI: 10.1186/s12904-019-0505-7
Joni Gilissen 1, 2, 3 , Lara Pivodic 1 , Annelien Wendrich-van Dael 1 , Chris Gastmans 4 , Robert Vander Stichele 5 , Yvonne Engels 6 , Myrra Vernooij-Dassen 7 , Luc Deliens 1, 8 , Lieve Van den Block 1, 9
Affiliation  

BACKGROUND Research has highlighted the need for improving the implementation of advance care planning (ACP) in nursing homes. We developed a theory-based multicomponent ACP intervention (the ACP+ programme) aimed at supporting nursing home staff with the implementation of ACP into routine nursing home care. We describe here the protocol of a cluster randomised controlled trial (RCT) that aims to evaluate the effects of ACP+ on nursing home staff and volunteer level outcomes and its underlying processes of change. METHODS We will conduct a cluster RCT in Flanders, Belgium. Fourteen eligible nursing homes will be pair-matched and one from each pair will be randomised to either continue care and education as usual or to receive the ACP+ programme (a multicomponent programme which is delivered stepwise over an eight-month period with the help of an external trainer). Primary outcomes are: nursing home care staff's knowledge of, and self-efficacy regarding ACP. Secondary outcomes are: 1) nursing home care staff's attitudes towards ACP and ACP practices; 2) support staff's and volunteer's ACP practices and 3) support staff's and volunteers' self-efficacy. Measurements will be performed at baseline and eight months post-measurement, using structured self-reported questionnaires. A process evaluation will accompany the outcome evaluation in the intervention group, with measurements throughout and post-intervention to assess implementation, mechanisms of impact and context and will be carried out using a mixed-methods design. DISCUSSION There is little high-quality evidence regarding the effectiveness and underlying processes of change of ACP in nursing homes. This combined outcome and process evaluation of the ACP+ programme aims to contribute to building the necessary evidence to improve ACP and its uptake for nursing home residents and their family. TRIAL REGISTRATION The study is registered at ClinicalTrials.gov (no. NCT03521206). Registration date: May 10, 2018. Inclusion of nursing homes started March, 2018. Hence, the trial was retrospectively registered but before end of data collection and analyses.

中文翻译:

实施基于理论的疗养院预先护理计划ACP +计划:群集随机对照试验和过程评估的研究方案。

背景技术研究强调需要改进在养老院中的预先护理计划(ACP)的实施。我们开发了一种基于理论的多成分ACP干预措施(ACP +计划),旨在支持护理院工作人员将ACP实施到常规护理院护理中。我们在这里描述了一项群集随机对照试验(RCT)的协议,该协议旨在评估ACP +对疗养院工作人员和志愿者水平结果及其变化过程的影响。方法我们将在比利时的法兰德斯进行集群RCT。将对14个合格的疗养院进行配对,每对中的一个将被随机分配,以照常继续护理和教育,或接受ACP +计划(一项多组分计划,在八个月的时间内逐步实施)外部培训师)。主要结果是:养老院护理人员对ACP的了解和自我效能。次要结果是:1)养老院护理人员对ACP和ACP实践的态度;2)支持员工和志愿者的ACP实践,以及3)支持员工和志愿者的自我效能。测量将在基线和测量后八个月使用结构化的自我报告调查表进行。过程评估将与干预组的结果评估一起进行,整个过程以及干预后的评估,以评估实施,影响机制和环境,并将使用混合方法设计进行。讨论关于护理院中ACP改变的有效性和潜在过程的高质量证据很少。ACP +计划的结果与过程评估相结合,旨在帮助建立必要的证据来改善ACP及其对疗养院居民及其家人的吸收。试验注册该研究已在ClinicalTrials.gov(注册号NCT03521206)上进行了注册。注册日期:2018年5月10日。疗养院的纳入始于2018年3月。因此,该试验经过回顾性注册,但在数据收集和分析结束之前。影响和情境的机制,并将使用混合方法设计进行。讨论关于护理院中ACP改变的有效性和潜在过程的高质量证据很少。ACP +计划的结果与过程评估相结合,旨在帮助建立必要的证据来改善ACP及其对疗养院居民及其家人的吸收。试验注册该研究已在ClinicalTrials.gov(注册号NCT03521206)上进行了注册。注册日期:2018年5月10日。疗养院的纳入始于2018年3月。因此,该试验已进行回顾性注册,但未完成数据收集和分析。影响和情境的机制,并将使用混合方法设计进行。讨论关于护理院中ACP改变的有效性和潜在过程的高质量证据很少。ACP +计划的结果与过程评估相结合,旨在帮助建立必要的证据来改善ACP及其对疗养院居民及其家人的吸收。试验注册该研究已在ClinicalTrials.gov(注册号NCT03521206)上进行了注册。注册日期:2018年5月10日。疗养院的纳入始于2018年3月。因此,该试验已进行回顾性注册,但未完成数据收集和分析。ACP +计划的结果与过程评估相结合,旨在帮助建立必要的证据来改善ACP及其对疗养院居民及其家人的吸收。试验注册该研究已在ClinicalTrials.gov(注册号NCT03521206)上进行了注册。注册日期:2018年5月10日。疗养院的纳入始于2018年3月。因此,该试验已进行回顾性注册,但未完成数据收集和分析。ACP +计划的结果与过程评估相结合,旨在帮助建立必要的证据来改善ACP及其对疗养院居民及其家人的吸收。试验注册该研究已在ClinicalTrials.gov(注册号NCT03521206)上进行了注册。注册日期:2018年5月10日。疗养院的纳入始于2018年3月。因此,该试验已进行回顾性注册,但未完成数据收集和分析。
更新日期:2020-04-22
down
wechat
bug