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

Information source: University of Zurich
ClinicalTrials.gov processed this data on August 23, 2015
Link to the current ClinicalTrials.gov record.

Condition(s) targeted: Palliative Patients; Surrogate Decision Maker

Intervention: Advance Care Planning ACP (Other); Control Group (Other)

Phase: N/A

Status: Recruiting

Sponsored by: University of Zurich

Official(s) and/or principal investigator(s):
Tanja Krones, MD, Principal Investigator, Affiliation: University Hospital Zurich, Clinical Ethics

Overall contact:
Monika Brunner Sabato, Email: monika.brunner@usz.ch

Summary

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).

Clinical Details

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

Study design: Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Subject), Primary Purpose: Supportive Care

Primary outcome: 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)

Secondary outcome:

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

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

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

Hospital Anxiety and Depression scale ("HADS")

Having an Advance directive

Having an appointed surrogate decision maker

Any hospital stay

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

open question on important medical decisions being made

Treatment against patients wishes

Distress of Patients or relatives because of content of the consultation

Eligibility

Minimum age: 18 Years. Maximum age: N/A. Gender(s): Both.

Criteria:

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)

Locations and Contacts

Monika Brunner Sabato, Email: monika.brunner@usz.ch

University Hospital Zurich, Clinical Ethics, Zurich, ZH 8091, Switzerland; Recruiting
Additional Information

Starting date: July 2013
Last updated: September 3, 2013

Page last updated: August 23, 2015

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