Planning for Future Care With Patients With Advanced Cancer

NCT04499872 | Completed

• 2 other identifiers: RLBUHT5869261984
• Study Type: observational
• Target: 20
• Locations: 1 country
• Sites: 1

Brief Summary

Advance Care Planning (ACP) is a process where patients (and their families if appropriate) discuss with their doctors and nurses what may happen as their illness progresses, including how they (and their family) would like to be supported and cared for. The discussion of expectations and choices for care can then be formally recorded and used to guide and inform future care. Well documented benefits of ACP include empowering patients and their families to better understand available choices and make informed decisions regarding future care; This ensures care is based on what is important to that patient (and their family) and prepares all for the end of life. However, few people with a life limiting illness (such as cancer) have an ACP. Patients and families often find future and end of life care a difficult subject to discuss, as do doctors/nurses, who fear upsetting patients and families and who may have limited training/experience in how to prompt and record ACP discussions. This project aims to overcome the barriers in discussing ACP by using the Trajectory Touchpoint Technique. The technique utilises a range of existing service evaluation and service design methods found in "service management" and "design systems". Rich pictures are used in the form of cartoons on an electronic tablet or printed card, to enable patients/families to lead discussions. The images are simple and enable people to raise sensitive and potentially distressing topics at a pace they are comfortable with, rather than responding to numerous pre-determined questions. The technique was originally designed to explore the experiences of patients (and their families) of Hospice Care and has been successfully used in over 200 interviews, demonstrating an ability to sensitively facilitate difficult conversations whilst enabling rich and detailed discussion.

Conditions

Advance Care Planning

Keywords

Palliative care

Outcome Measures

Primary Outcomes (1)

• Interview question: please share in your own words your opinion of the ACP discussion

  Participant is asked to join a 1:1 interview discussion. VERBAL DIALOGUE NO SCALE they talk about their ACP. Thematic Analysis will be conducted on the interview transcript to understand the common themes raised throughout the different interviews.

  within 72 hours of consent.

Study Arms (1)

Patient/family Participant

Advance Care Plan with the Trajectory Touchpoint Technique

Other: Advance Care Plan with Trajectory Touchpoint Technique

Interventions

Advance Care Plan with Trajectory Touchpoint Technique OTHER

Advance Care Plan with Trajectory Touchpoint Technique

Also known as: ACP TTT

Patient/family Participant

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Patients who could benefit from an ACP discussion and are located on ward 4Y of the Academic Palliative Care Unit of Royal Liverpool Broardgreen University Hospital NHS Trust.

You may qualify if:

• Cared for on the Academic Palliative Care Unit
• Diagnosis of Cancer
• No Advance Care Plan (or ACP needs updating)
• Able to provide informed consent (has capacity)

You may not qualify if:

• Absence of cancer
• Has current ACP
• Deemed to unwell by the APCU MDT
• Unable to provide informed consent

Sponsors & Collaborators

• Liverpool University Hospitals NHS Foundation Trust: lead
• University of Liverpool: collaborator

Study Sites (1)

Liverpool University Hospitals NHS Foundation Trust

Liverpool, Merseyside, L7 8XP, United Kingdom

Location

Study Officials

• Professor

  Royal Liverpool Broadgreen University Hospital NHS Trust

  STUDY CHAIR

Study Design

• Study Type: observational
• Observational Model: CASE ONLY
• Time Perspective: CROSS SECTIONAL
• Sponsor Type: OTHER GOV
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: June 21, 2019
• First Posted: August 5, 2020
• Study Start: July 10, 2019
• Primary Completion: July 31, 2019
• Study Completion: July 31, 2019
• Last Updated: October 8, 2021

Record last verified: 2019-06

Data Sharing

• IPD Sharing: Will share
• Shared Documents: CSR
• Time Frame: Within 3 months of study completion
• Access Criteria: Only the named investigators will have access to the data.

Locations

GB (1)