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Completed

NCT Number: NCT01470625

Improving Quality of Care for the Dying Patient in Hospice: A Quasi Experimental Trial in Liguria Region

This is a before-after phase II study, according to the Medical Research Council framework, investigating the feasibility of introducing the Liverpool Care Pathway for the dying patient (LCP) in 5 Ligurian hospices.

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Key information

Conditions

End-Of-Life Death Pathologic Processes Pathological Conditions, Signs and Symptoms

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 2

Primary location

Hospice ASL 4, Chiavari, Genova, Italy

Loading trial locations.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • All patients deceased in the hospice during the evaluation period
  • Approval of ethics committee

Exclusion criteria

  • Prior use of LCP in the hospice
  • Deceased was a relative of a hospice member of staff

Treatment and study plan

LCP Program

Other

The LCP Program is continuous quality improvement program of end-of-life care implemented in hospice

Primary outcomes

  1. feasibility of LCP implementation

    Time frame: 6 months after the end of LCP implementation

    measured as proportion of hospices that complete the experimental phase of introducing the LCP Program and maintain the program in the 6 months subsequent the process of experimental LCP implementation

Secondary outcomes

  1. quality of information provided to patients and to family

    Time frame: 2-4 months after the patient's death

    measured with the scale 1 (Informing and promoting shared decision making) from the Toolkit After-death bereaved family member interview (Teno 2001). The Toolkit will be administered to non-professional caregivers 2-4 months after the patient's death

  2. Level of advanced care planning among patients

    Time frame: 2 - 4 months after the patient's death

    measured with the scale 2 (Encouraging advance care planning) from the Toolkit After-death bereaved family member interview (Teno 2001). The Toolkit will be administered to non-professional caregivers 2-4 months after the patient's death

  3. Provision of care focusing on patient's individual needs.

    Time frame: 2 - 4 months after the patient's death

    measured with the scale 3 (Focus on individual) from the Toolkit After-death bereaved family member interview (Teno 2001). The Toolkit will be administered to non-professional caregivers 2-4 months after the patient's death

  4. Quality of emotional support to family members before an after the patient's death

    Time frame: 2 - 4 months after the patient's death

    measured with the scale 4 (Attending to the emotional and spiritual needs of the family) from the Toolkit After-death bereaved family member interview (Teno 2001). The Toolkit will be administered to non-professional caregivers 2-4 months after the patient's death

  5. Level of care coordination

    Time frame: 2 - 4 months after the patient's death

    measured with the scale 5 (Providing coordination of care) from the Toolkit After-death bereaved family member interview (Teno 2001). The Toolkit will be administered to non-professional caregivers 2-4 months after the patient's death

  6. Family support levels

    Time frame: 2 - 4 months after the death of the patient

    measured with the scale 6 (Supporting the self-efficacy of the family) from the Toolkit After-death bereaved family member interview (Teno 2001). The Toolkit will be administered to non-professional caregivers 2-4 months after the patient's death

  7. Appropriateness of therapeutic and diagnostic procedures

    Time frame: the last 3 days of life

    measured with a specific tool in which all diagnostic and therapeutic procedures and drugs administered to the patient during the last 3 days of life are reported

  8. Overall quality of care experience for patients and family

    Time frame: 2 - 4 months after the death of the patient

    measured with the scale 7 (Overall quality of care provided to patients and family) from the Toolkit After-death bereaved family member interview (Teno 2001). The Toolkit will be administered to non-professional caregivers 2-4 months after the patient's death

  9. Quality of communication between General Practitioner and hospice

    Time frame: an expected average of 2 months after the patient's death

    measured with a telephonic interview

Sponsors and collaborators

Lead sponsor

Regional Palliative Care Network

Other

Registry information

Important dates

Study start
2010
Primary completion
2012
Study completion
2012
First posted
Nov 11, 2011
Registry last updated
Jan 14, 2013

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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