Palliative Care Clinical Trial
Official title:
Development and Validation of a Comprehensive Standardised Clinical Assessment Tool for Patient Needs
The purpose of this study is to develop and validate a comprehensive and standardised tool for assessment of patient needs in palliative care.
Rationale for the study
In France, around 150000 people require palliative care every year. Since 2002, palliative
care has been organized at several levels: palliative care units, palliative care mobile
support teams, health network for palliative care and home-based hospital care. These
structures have made possible for some patients in need of palliative care to be treated in
appropriate service, in facility-based or community-based programs. With these important
advances around palliative care, it appears important to assess the quality of care provided
to patients. However, no generalizable study has been conducted in France, and no formal
tool is available to help at this end.
In order to enhance the effectiveness of these services, it is important to conduct studies
with the aim of developing the adapted and standardized tools that will enable assessment of
quality for palliative care, as well as its determinants, for example the organization of
structures, management of teams, etc. To this end, it is relevant to adopt a more holistic
perspective and take into account the views of different concerned people, including the
patients, their families and healthcare professionals, all while considering the
organizational and management aspects.
The evidence from other countries has demonstrated the necessity of a rigorous, exhaustive
and systematic evaluation as a requirement for any palliative program of quality. Many tools
have since been developed to assess the multidimensional needs of patients, but none of
these tools have been adapted to be used in the French palliative care settings.
Among of different tools used in palliative care, InterRAI Palliative Care (RAI-PC) has been
chosen as the most reliable and complete tool. The RAI-PC allows a comprehensive evaluation
of patients, as well as capabilities, preferences and needs. The medical, psychological,
functional and social indicators are defined. This tool has been applied in the palliative
care field in Canada and USA, but not yet in France. It has proven itself as an appropriate
tool for needs assessment and evaluation of quality of care.
Goals of the project
This project aims to develop and validate a comprehensive and standardized instrument that
will serve:
1. As a support to individual care, emphasizing the individual characteristics and needs
of patients, informing planning care, outcome measurement, quality indicators, and
case-mix classification.
2. As a standardized assessment tool adaptable to various palliative care structures
Study design
This study is a multicenter, prospective, observational study with representative stratified
sample from different categories of palliative care services: palliative care units,
palliative care mobile support teams, health network for palliative care and home-based
hospital care. Twenty-three palliative structures, spread across the country are
participating in this project.
The survey will involve the healthcare professionals of each center, trained on collecting
information and using InterRAI instrument. Data collection involves patient clinical
assessment, reviewing medical and nurse record and interview with family and professionals
of healthcare.
Criteria for judgement
The quality of the tool will be judged in terms of satisfactory of psychometric properties,
operational characteristics and clinical acceptability, adaptability of the tool to the
needs of patients and its relevance in different palliative care structures.
;
Observational Model: Case-Only, Time Perspective: Prospective
Status | Clinical Trial | Phase | |
---|---|---|---|
Completed |
NCT04673760 -
The PROAKTIV Study
|
N/A | |
Completed |
NCT03520023 -
Critical Care and Palliative Care Medicine Together in the ICU
|
N/A | |
Completed |
NCT01990742 -
Improving Palliative Care Through Teamwork
|
N/A | |
Not yet recruiting |
NCT05434208 -
Effects of Nurse-led Telephone Based Service for Early Palliative Care (PALTEL)
|
N/A | |
Not yet recruiting |
NCT03267706 -
Introducing the Palliative Care Comprehensive Tool in Family Medicine
|
N/A | |
Completed |
NCT02845817 -
Requests for Euthanasia and Assisted Suicide
|
N/A | |
Completed |
NCT01933789 -
Improving Communication About Serious Illness
|
N/A | |
Completed |
NCT01934413 -
Technology-enhanced Transitional Care for Rural Palliative Care Patients: A Pilot Study
|
N/A | |
Recruiting |
NCT01170000 -
Timely End-of-Life Communication to Parents of Children With Brain Tumors
|
N/A | |
Recruiting |
NCT04052074 -
Complementary Therapy in Home Palliative Care Patients and Their Caregivers
|
N/A | |
Recruiting |
NCT05935540 -
ACP-Family Programme for Palliative Care Patients and Their Family Member
|
N/A | |
Active, not recruiting |
NCT02689375 -
A Prospective, Open Label, Pilot Study of Patient OutcoMes Following Successful TriAl of High Frequency SpInal CorD Stimulation at 10kHz (HF10™) Leading to Permanent Implant Compared to Trial Failure and Standard CarE for the TreatmeNt of Persistent Low BACK Pain of Neuropathic Origin
|
N/A | |
Recruiting |
NCT05520281 -
Short-term Psychodynamic Psychotherapy in Serious Physical Illness
|
N/A | |
Completed |
NCT06140004 -
Home-Based Palliative Care Impact on Providers
|
||
Completed |
NCT04333719 -
Prevalence of Deep Sedation in Terminal Palliative Phase
|
||
Recruiting |
NCT03286127 -
Palliative Outcome Evaluation Muenster I
|
||
Completed |
NCT06211816 -
Efficacy of End-of-life Communication Strategies on Nurses in the Intensive Care Unit
|
N/A | |
Completed |
NCT04857060 -
Palliative Care Educator
|
N/A | |
Completed |
NCT04491110 -
Intervention to Improve Quality of Sleep of Palliative Patient Carers in the Community: Clinical Trial
|
N/A | |
Withdrawn |
NCT03959813 -
Evaluation of the Impact of Psychomotricity on the Patients Body Experience in Palliative Care
|