Ignite Creation Date:
2024-05-06 @ 3:26 AM
Last Modification Date:
2024-10-26 @ 11:33 AM
Study NCT ID:
NCT02281032
Status:
UNKNOWN
Last Update Posted:
2014-11-02
First Post:
2014-10-30
Brief Title:
Informed Palliative Care in Nursing Homes Through the interRAI Palliative Care Instrument
Sponsor:
KU Leuven
Organization:
KU Leuven
Study Overview
Official Title:
Informed Palliative Care in Nursing Homes Through the interRAI Palliative Care Instrument A Study Protocol Based on the Medical Research Council Framework
Status:
UNKNOWN
Status Verified Date:
2014-10
Last Known Status:
ENROLLING_BY_INVITATION
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
interRAI PC
Brief Summary:
BACKGROUND Nursing homes are important locations for palliative care Through comprehensive geriatric assessments CGAs evaluations can be made of the palliative care needs of nursing home residents The interRAI Palliative Care instrument interRAI PC is a CGA that evaluates diverse palliative care needs of adults in all healthcare settings The evaluation results in Client Assessment Protocols CAPs indications of problems that need addressing and Scales eg Palliative Index for Mortality PIM which can be used to design evaluate and adjust care plans This study aims to examine the effect of using the interRAI PC on the quality of palliative care in nursing homes Additionally it aims to evaluate the feasibility and validity of the interRAI PC
METHODS This study covers phases 0 I and II of the Medical Research Council MRC framework for designing and evaluating complex interventions with a longitudinal quasi-experimental pretest-posttest design and with mixed methods of evaluation In phase 0 a systematic literature search is conducted In phase I the interRAI PC instrument is adapted for use in Belgium and implemented on the BelRAI-website and a practical training is developed In phase II the intervention is tested in fifteen nursing homes Participating nursing homes fill out the interRAI PC during one year for all residents receiving palliative care Using a pretest-posttest design with quasi-random assignment to the intervention or control group the effect of the interRAI PC on the quality of palliative care is evaluated with the Palliative care Outcome Scale POS Psychometric analysis is conducted to evaluate the predictive validity of the PIM and the convergent validity of the CAP Mood of the interRAI PC Qualitative data regarding the usability and face validity of the instrument are collected
DISCUSSION This is the first study to evaluate the validity and effect of the interRAI PC in nursing homes following a methodology based on the MRC framework This approach improves the study design and implementation and will contribute to a higher generalizability of results The final result will be a psychometrically evaluated CGA for nursing home residents receiving palliative care
METHODS This study covers phases 0 I and II of the Medical Research Council MRC framework for designing and evaluating complex interventions with a longitudinal quasi-experimental pretest-posttest design and with mixed methods of evaluation In phase 0 a systematic literature search is conducted In phase I the interRAI PC instrument is adapted for use in Belgium and implemented on the BelRAI-website and a practical training is developed In phase II the intervention is tested in fifteen nursing homes Participating nursing homes fill out the interRAI PC during one year for all residents receiving palliative care Using a pretest-posttest design with quasi-random assignment to the intervention or control group the effect of the interRAI PC on the quality of palliative care is evaluated with the Palliative care Outcome Scale POS Psychometric analysis is conducted to evaluate the predictive validity of the PIM and the convergent validity of the CAP Mood of the interRAI PC Qualitative data regarding the usability and face validity of the instrument are collected
DISCUSSION This is the first study to evaluate the validity and effect of the interRAI PC in nursing homes following a methodology based on the MRC framework This approach improves the study design and implementation and will contribute to a higher generalizability of results The final result will be a psychometrically evaluated CGA for nursing home residents receiving palliative care
Detailed Description:
None
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None
Secondary IDs
| Secondary ID | Type | Domain | Link |
|---|---|---|---|
| S56798 | REGISTRY | Medical Ethics Committee UZ KU Leuven | None |