Swedish Palliative Care Guide (S-PCG) at Nursing Homes

NCT06431659 | Enrolling By Invitation

• 1 other identifier: 2024-00597-01, 2023-02274-01
• Study Type: observational
• Target: 400
• Locations: 1 country
• Sites: 1

Brief Summary

Palliative care aims to improve the quality of life for patients and families who are affected life-threatening, incurable disease. The care should be person-centred, but it is not entirely clear how this is best achieved. The Institute for Palliative Care, Lund, has developed the Swedish Palliative Care Guide (S-PCG) which support for a person-centred approach throughout the palliative care process. The aim of this study is to improve palliative care for people living at nursing homes, including people with dementia and cognitive impairment, this will be achieved by providing support for health care staff working with this group of patients, investigating evidence for a palliative care the support tool, the Swedish Palliative Care Guide (S-PCG) part 2, and integrating the palliative care approach earlier in the disease trajectory, to improve the quality of care for this patient group. The research questions will be explored from the perspective of the patient, the family, and the staff.

Conditions

Age Problem; Old Age; Debility; Dementia

Keywords

Palliative care; Elderly; Nursing homes; Dementia

Outcome Measures

Primary Outcomes (2)

• To which degree the patients and their families feel informed about the situation of the patient.

  Measured by likert scale, 1-5. Higher number indicate higher experience of information.

  Data will be collected through study completion, an average of 2 years, data will be collected only on time per patient.

• To what degree the patients and their families feel secure about the future care that the patient will receive.

  Measured by likert scale, 1-5. Higher number indicate higher experience of security.

  Data will be collected through study completion, an average of 2 years, data will be collected only on time per patient.

Secondary Outcomes (2)

• Breakpoint conversation

  Data will be collected through study completion, an average of 2 years, data will be collected only on time per patient.

• Treatment limitations

  Data will be collected through study completion, an average of 2 years, data will be collected only on time per patient.

Study Arms (2)

Active group

The S-PCG is a person-centered decision support to identify, assess, document and meet palliative care needs and increase patients' quality of life and participation in their health-care decisions. The purpose of the S-PCG is to ensure the quality of care in continuous dialogue between health care staff, patient, and family, from the transition from curative to palliative care, to the patient dying, and the care afterwards. In the Care Guide, the patients' plans and wishes are documented, and based on this care be prioritized, planned, and coordinated. The S-PCG is adapted to be used throughout the health and medical care and in municipal care. The S-PCG consists of three parts that can be used separately, the intervention in this study includes S-PCG part 2 and 2D. In the active group the nursing homes will get our help to implement the S-PCG immediately, and data will be collected after the implementation.

Control group

The S-PCG is a person-centered decision support to identify, assess, document and meet palliative care needs and increase patients' quality of life and participation in their health-care decisions. The purpose of the S-PCG is to ensure the quality of care in continuous dialogue between health care staff, patient, and family, from the transition from curative to palliative care, to the patient dying, and the care afterwards. In the Care Guide, the patients' plans and wishes are documented, and based on this care be prioritized, planned, and coordinated. The S-PCG is adapted to be used throughout the health and medical care and in municipal care. The S-PCG consists of three parts that can be used separately, the intervention in this study includes S-PCG part 2 and 2D. In the control group data will be collected before the implementation of S-PCG.

Eligibility Criteria

• Age: 65 Years - 130 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Older Adult (65+)
• Sampling Method: Probability Sample

Study Population

Patients living at nursing homes. Relatives to the included patients. Personal working at nursing homes

You may qualify if:

• \- Living at one of the nursing homes that participates in the study and consents to the study or that next of kin consents (in case of excessively impaired cognition).

You may not qualify if:

• That the person is dying or too ill to be asked about participation.
• That the person is not capable of giving their informed consent (e.g. due to their dementia) and missing relatives.

Sponsors & Collaborators

• Region Skane: lead

Study Sites (1)

Valgossens äldreboende

Stockholm, Region Stockholm, 11219, Sweden

Location

MeSH Terms

Conditions

Frailty; Dementia

Condition Hierarchy (Ancestors)

Pathologic Processes; Pathological Conditions, Signs and Symptoms; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Neurocognitive Disorders; Mental Disorders

Study Officials

• Maria Schelin, ass. prof.

  Region Skåne

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: CASE CONTROL
• Time Perspective: RETROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: May 16, 2024
• First Posted: May 28, 2024
• Study Start: May 27, 2024
• Primary Completion (Estimated): May 3, 2027
• Study Completion (Estimated): May 3, 2028
• Last Updated: July 17, 2025

Record last verified: 2025-06

Locations

SE (1)