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Healthcare use and healthcare costs for patients with advanced cancer : the international ACTION cluster-randomised trial on advance care planning Ghent University Vrije Universiteit Brussel
Background: Advance care planning supports patients to reflect on and discuss preferences for future treatment and care. Studies of the impact of advance care planning on healthcare use and healthcare costs are scarce. Aim: To determine the impact on healthcare use and costs of an advance care planning intervention across six European countries. Design: Cluster-randomised trial, registered as ISRCTN63110516, of advance care planning ...
Advance care planning in nursing homes : towards succesful advance care planning in nursing homes Ghent University
Advance care planning in patients with advanced cancer : a 6-country, cluster-randomised clinical trial Ghent University Vrije Universiteit Brussel
Background Advance care planning (ACP) supports individuals to define, discuss, and record goals and preferences for future medical treatment and care. Despite being internationally recommended, randomised clinical trials of ACP in patients with advanced cancer are scarce. Methods and findings To test the implementation of ACP in patients with advanced cancer, we conducted a cluster-randomised trial in 23 hospitals across Belgium, Denmark, ...
Advance care planning for patients with advanced illnesses attending hospital outpatient clinics study: a study protocol for a randomised controlled trial KU Leuven
INTRODUCTION: It is unclear whether advance care planning (ACP) undertaken with patients living in the community can improve patient care and avoid unwanted interventions and hospital admissions. We have designed a randomised controlled trial (RCT) to examine if ACP undertaken with patients with advanced illnesses attending hospital outpatient clinics can reduce unplanned hospital admissions and improve patient and caregiver well-being. METHODS ...
‘We DECide optimized’ - training nursing home staff in shared decision-making skills for advance care planning conversations in dementia care: protocol of a pretestposttest cluster randomized trial KU Leuven
Background: Due to the gradual loss of function, it is crucial for persons with dementia to discuss advance care planning in due course. However, nursing home staff, residents and their families feel uncomfortable to start this type of conversation, resulting in unknown (care) preferences. ‘We DECide optimized’ will provide tools to nursing home staff for discussing advance care planning. The primary objective is to enhance the level of shared ...
Advance care planning among older adults in Belgium with Turkish backgrounds and palliative care needs : a qualitative interview study Ghent University Vrije Universiteit Brussel
Background Data on advance care planning (ACP) among migrants in Europe is lacking. Research has shown that few older migrants in the United States perform ACP due to healthcare system distrust, collectivistic values and spirituality/religion.Objectives To explore the ACP knowledge and perspectives of older Turkish-origin adults in Belgium requiring palliative care.Method General practitioners (GPs) in Brussels and Antwerp recruited ...
Advance care planning engagement in patients with chronic, life-limiting illness : baseline findings from a cluster-randomised controlled trial in primary care Ghent University Vrije Universiteit Brussel
Study protocol for 'we DECide': implementation of advance care planning for nursing home residents with dementia. Vrije Universiteit Brussel
AIM:
To evaluate the effects of 'we DECide', an educational intervention for nursing home staff on shared decision-making in the context of advance care planning for residents with dementia.
BACKGROUND:
Advance care planning (preparing care choices for when persons no longer have decision-making capacity) is of utmost importance for nursing home residents with dementia, but is mostly not realized for this group. ...
To evaluate the effects of 'we DECide', an educational intervention for nursing home staff on shared decision-making in the context of advance care planning for residents with dementia.
BACKGROUND:
Advance care planning (preparing care choices for when persons no longer have decision-making capacity) is of utmost importance for nursing home residents with dementia, but is mostly not realized for this group. ...
Publicly Available, Interactive Web-Based Tools to Support Advance Care Planning Vrije Universiteit Brussel Ghent University KU Leuven
BACKGROUND: There is an increasing number of interactive web-based advance care planning (ACP) support tools, which are web-based aids in any format encouraging reflection, communication, and processing of publicly available information, most of which cannot be found in the peer-reviewed literature.
OBJECTIVE: This study aims to conduct a systematic review of web-based ACP support tools to describe the characteristics, readability, ...