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Completed

NCT Number: NCT01914848

Multiprofessional Advance Care Planning and Shared Decision Making for End of Life Care

Multiprofessional Advance Care Planning and shared decision making for end of live care for terminal patients and their relatives.

The aim of this study is to develop, implement and test a complex intervention for improving patients' preparation for and participation in end of life decisions. In cooperation with local, national and international partners, the investigators will focus on strategies to enhance advance care planning and shared decision making on end of life issues, and documentation and transferability of end of life decisions across health care settings in coordinated approach involving patients, their families and care givers (in and out of hospital).

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Key information

Conditions

Palliative Patients Surrogate Decision Maker

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

University Hospital Zurich, Clinical Ethics

Zurich, Canton of Zurich, 8091, Switzerland

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

-patients in which the treating physician on the ward would not be surprised if the patient died during the next year (surprise question of Weissman et al 2011)

  • male and female patients above 18 years of age
  • signed informed consent after being informed
  • patients able to appoint a surrogate decision maker (SM) and/or responsible physician to be contacted after discharge

Exclusion criteria

-patients not capable of speaking german

  • patients having no responsible physician to be contacted after discharge and no relative/future surrogate decision maker (SM)
  • inhouse patients being discharged within the next 2 days or ambulatory patients not regularly coming to the wards (at least every two month)
  • patients assessed by their physician to be in obvious denial of their situation (illness/prognosis)

Treatment and study plan

Advance Care Planning ACP

Other

Patient of the intervention group get a decision aid video and library and up to 3 consultations with qualified Advance Care Planning Facilitators.

Control Group

Other

A routine care discharge planning with the social service

Primary outcomes

  1. end of life wish on resuscitation known (if alive) or fulfilled(if dead) after 6 month by responsible physician and/or surrogate decision maker (SM)

    Time frame: during 2 weeks six months after discharge

Secondary outcomes

  1. end of live decisions on last place of care, antibiotics for pneumonia, feeding tube, intravenous fluids, dialysis, intubation and sedation,

    Time frame: during 2 weeks six months after discharge

  2. decisional conflict scale ("DCS"), O Connor et al 1995

    Time frame: at discharge and during 2 Weeks six months after discharge

  3. Satisfaction with information and care, (see Detering et al 2010)

    Time frame: at discharge

  4. Hospital Anxiety and Depression scale ("HADS")

    Time frame: discharge and during 2 weeks six months after discharge

  5. Having an Advance directive

    Time frame: at discharge, during 2 weeks three months after discharge and during 2 weeks six months after discharge

  6. Having an appointed surrogate decision maker

    Time frame: at discharge, during 2 weeks three month after discharge and during 2 weeks six month after discharge

  7. Any hospital stay

    Time frame: during 2 weeks three months after discharge and during 2 weeks six months after discharge

  8. Decisions regarding end of life issues already having been made/taken place

    Time frame: during 2 weeks six months after discharge

  9. open question on important medical decisions being made

    Time frame: during 2 weeks three months after discharge

  10. Treatment against patients wishes

    Time frame: during 2 weeks three months after discharge and during 2 weeks six months after discharge, or 3 month after death

  11. Distress of Patients or relatives because of content of the consultation

    Time frame: at discharge, during 2 weeks three months after discharge and during 2 weeks six months after discharge

Sponsors and collaborators

Lead sponsor

University of Zurich

Other

Registry information

Official study title

Multiprofessional Advance Care Planning and Shared Decision-making for End of Life Care MAPS Trial

Acronym: MAPS

Important dates

Study start
2013
Primary completion
2015
Study completion
2015
First posted
Aug 2, 2013
Registry last updated
Jun 6, 2016

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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