PROject - Supportive and Palliative Care and INnOvation - Antwerp (Pro-Spinoza)

NCT02266069 | Completed

• 1 other identifier: UA C130298
• Study Type: interventional
• Target: 24
• Locations: 1 country
• Sites: 4

Brief Summary

It is important to provide high quality palliative care to all patients with a non-curable and life-limiting condition. The Care Pathway for Primary Palliative Care (CPPPC) provides tools for health care professionals to help them delivering palliative care timely and accurately.This study investigates whether the implementation of the CPPPC really helps to improve patients' lifes.

Conditions

Palliative Care; Primary Health Care

Keywords

implementation; anticipatory care planning; symptom assessment; interdisciplinary collaboration

Outcome Measures

Primary Outcomes (1)

• percentage of deaths occurred in the hospital (of patients per family doctor/per research cluster)

  The hypothesis is that the CPPPC reduces the percentage of deaths occurred in the hospital

  6 months

Secondary Outcomes (4)

• cost of health care consumption in the last year of life (of patients per family doctor/per research cluster)

  6 months

• consumption of antibiotics in the last year of life (of patients per family doctor/per research cluster)

  6 months

• consumption of pain killers in the last year of life (of patients per family doctor/per research cluster)

  6 months

• consumption of (invasive) diagnostic and therapeutic procedures in the last year of life (of patients per family doctor/per research cluster)

  6 months

Study Arms (5)

Research cluster 1: Antwerp

OTHER

The first Dutch-speaking research cluster in a stepped wedge cluster design. Family doctors are implementing the Care Pathway for Primary Palliative Care and will recruit eligible patients from October 2014.

Other: Care Pathway for Primary Palliative Care

Research cluster 2: Mons

OTHER

The first French-speaking research cluster in a stepped wedge cluster design. Family doctors are implementing the Care Pathway for Primary Palliative Care and will recruit eligible patients from November 2014.

Other: Care Pathway for Primary Palliative Care

Research cluster 3: Brussels

OTHER

The only bilingual Dutch/French-speaking research cluster in a stepped wedge cluster design. Family doctors are implementing the Care Pathway for Primary Palliative Care and will recruit eligible patients from December 2014.

Other: Care Pathway for Primary Palliative Care

Research cluster 4: Limburg

OTHER

The second Dutch-speaking research cluster in a stepped wedge cluster design. Family doctors will implement the Care Pathway for Primary Palliative Care and will recruit eligible patients from April 2015.

Other: Care Pathway for Primary Palliative Care

Research cluster 5: ?

OTHER

A second French-speaking research cluster in a stepped wedge cluster design. Family doctors will implement the Care Pathway for Primary Palliative Care and will recruit eligible patients from October 2015.

Other: Care Pathway for Primary Palliative Care

Interventions

Care Pathway for Primary Palliative Care OTHER

Early identification of palliative care patients, anticipatory care planning, systematic symptom assessment, interdisciplinary collaboration, rigorous follow-up of the functional status of the patient and giving attention to the informal care givers.

Also known as: CPPPC

Research cluster 1: Antwerp; Research cluster 2: Mons; Research cluster 3: Brussels; Research cluster 4: Limburg; Research cluster 5: ?

Eligibility Criteria

• Age: 45 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• identified as a palliative care patient using the Surprise Question "Would you, as a family doctor, be surprised if this patient would die in the next 12 months?". If the answer is 'no', the patient is eligible for the study.

You may not qualify if:

• not having signed the informed consent.

Sponsors & Collaborators

• Bert Leysen: lead
• Intermutualistic Agency: collaborator
• National Institute for Health and Disability Insurance, Belgium: collaborator

Study Sites (4)

Reliance

Mons, Hainaut, Belgium

Location

Netwerk Palliatieve Zorg Limburg

Hasselt, Limburg, Belgium

Location

Palliatieve Hulpverlening Antwerpen

Antwerp, Belgium

Location

Palliabru

Brussels-Capital Region, Belgium

Location

Related Publications (2)

• Leysen B, Van den Eynden B, Janssens A, Wens J. Recruiting general practitioners for palliative care research in primary care: real-life barriers explained. BMC Fam Pract. 2019 Mar 5;20(1):40. doi: 10.1186/s12875-019-0930-y.

  PMID: 30836994 DERIVED

• Leysen B, Van den Eynden B, Gielen B, Bastiaens H, Wens J. Implementation of a Care Pathway for Primary Palliative Care in 5 research clusters in Belgium: quasi-experimental study protocol and innovations in data collection (pro-SPINOZA). BMC Palliat Care. 2015 Sep 28;14:46. doi: 10.1186/s12904-015-0043-x.

  PMID: 26416574 DERIVED

Related Links

• Related Info

MeSH Terms

Interventions

Critical Pathways

Intervention Hierarchy (Ancestors)

Patient Care Planning; Comprehensive Health Care; Patient Care Management; Health Services Administration

Study Officials

• Bart Van den Eynden, MD, PhD

  Universiteit Antwerpen

  PRINCIPAL INVESTIGATOR

• Johan Wens, MD, PhD

  Universiteit Antwerpen

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: MD, PhD candidate

Study Record Dates

• First Submitted: October 10, 2014
• First Posted: October 16, 2014
• Study Start: October 1, 2014
• Primary Completion: December 1, 2016
• Study Completion: December 1, 2016
• Last Updated: November 29, 2017

Record last verified: 2017-11

Locations

BE (4)