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Process evaluation of a complex intervention to promote advance care planning in community-dwelling older persons (the STADPLAN study)-study protocol
Process evaluation addresses the implementation, mechanisms of impact, and context of participants in complex interventions. The STADPLAN study assesses the effects of conversations on advance care planning (ACP) led by trained nurse facilitators. The complex intervention consists of several compone...
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Published in: | Current controlled trials in cardiovascular medicine 2020-07, Vol.21 (1), p.653-653, Article 653 |
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creator | Silies, Katharina Schnakenberg, Rieke Berg, Almuth Kirchner, Änne Langner, Henriette Köberlein-Neu, Juliane Meyer, Gabriele Hoffmann, Falk Köpke, Sascha |
description | Process evaluation addresses the implementation, mechanisms of impact, and context of participants in complex interventions. The STADPLAN study assesses the effects of conversations on advance care planning (ACP) led by trained nurse facilitators. The complex intervention consists of several components that may lead to various changes in attitude and behavior regarding personal ACP activities. With the process evaluation, we aim to assess how changes were achieved in the STADPLAN intervention.
The planned process evaluation study will be conducted alongside a cluster-randomized controlled trial on ACP in home care services (HCS). Trained nurse facilitators will deliver the ACP intervention consisting of an information brochure and two ACP conversations. A logic model depicts the assumed change processes of the intervention: the educational program enables nurses to conduct ACP conversations with patients and their caregivers. Patients gain knowledge and reflect upon and engage in their own ACP. Caregivers better understand patients' wishes and feel reassured in their role as surrogates. Designation of a surrogate and communication on ACP are facilitated. We will assess the effects of the educational program with questionnaires and a focus group including all participating nurses. We will measure ACP engagement, and prevalence of advance directives in patients, and ask for their experiences with the intervention. We will conduct semi-structured interviews with caregivers about their expectations and experiences regarding ACP in general and the intervention. We will address context factors, e.g., basic characteristics of the HCS (such as ownership, number of clients, staff and qualification). Analysis will be based upon the logic model, integrating qualitative and quantitative data.
The comprehensive process evaluation will provide essential information on the feasibility of implementation strategies and the clinical relevance of a nurse-led ACP intervention in home care recipients and its generalizability and transferability to other settings.
German Clinical Trials Register: DRKS00016886 . Registered retrospectively on June 4, 2019, first participant included on May 29, 2019. |
doi_str_mv | 10.1186/s13063-020-04529-2 |
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The planned process evaluation study will be conducted alongside a cluster-randomized controlled trial on ACP in home care services (HCS). Trained nurse facilitators will deliver the ACP intervention consisting of an information brochure and two ACP conversations. A logic model depicts the assumed change processes of the intervention: the educational program enables nurses to conduct ACP conversations with patients and their caregivers. Patients gain knowledge and reflect upon and engage in their own ACP. Caregivers better understand patients' wishes and feel reassured in their role as surrogates. Designation of a surrogate and communication on ACP are facilitated. We will assess the effects of the educational program with questionnaires and a focus group including all participating nurses. We will measure ACP engagement, and prevalence of advance directives in patients, and ask for their experiences with the intervention. We will conduct semi-structured interviews with caregivers about their expectations and experiences regarding ACP in general and the intervention. We will address context factors, e.g., basic characteristics of the HCS (such as ownership, number of clients, staff and qualification). Analysis will be based upon the logic model, integrating qualitative and quantitative data.
The comprehensive process evaluation will provide essential information on the feasibility of implementation strategies and the clinical relevance of a nurse-led ACP intervention in home care recipients and its generalizability and transferability to other settings.
German Clinical Trials Register: DRKS00016886 . Registered retrospectively on June 4, 2019, first participant included on May 29, 2019.</description><identifier>ISSN: 1745-6215</identifier><identifier>EISSN: 1745-6215</identifier><identifier>DOI: 10.1186/s13063-020-04529-2</identifier><identifier>PMID: 32678005</identifier><language>eng</language><publisher>England: BioMed Central Ltd</publisher><subject>Advance Care Planning ; Advance directives ; Aged ; Aged patients ; Aged, 80 and over ; Brochures ; Care and treatment ; Caregivers ; Clinical trials ; Complex intervention ; Evaluation ; Home Care Services ; Home care setting ; Humans ; Independent Living ; Intervention ; Logic model ; Mixed methods ; Mixed methods research ; Nurses ; Nursing homes ; Patients ; Practice ; Process evaluation ; Quality of life ; Randomized Controlled Trials as Topic ; Study Protocol ; Verbal communication ; Workshops</subject><ispartof>Current controlled trials in cardiovascular medicine, 2020-07, Vol.21 (1), p.653-653, Article 653</ispartof><rights>COPYRIGHT 2020 BioMed Central Ltd.</rights><rights>The Author(s) 2020. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>The Author(s) 2020</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c563t-6af174c19b1d3130949a6d159625543e73b54a21276f6781207633e49eccc1413</citedby><cites>FETCH-LOGICAL-c563t-6af174c19b1d3130949a6d159625543e73b54a21276f6781207633e49eccc1413</cites><orcidid>0000-0002-0591-1976</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7366302/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7366302/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,37013,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32678005$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Silies, Katharina</creatorcontrib><creatorcontrib>Schnakenberg, Rieke</creatorcontrib><creatorcontrib>Berg, Almuth</creatorcontrib><creatorcontrib>Kirchner, Änne</creatorcontrib><creatorcontrib>Langner, Henriette</creatorcontrib><creatorcontrib>Köberlein-Neu, Juliane</creatorcontrib><creatorcontrib>Meyer, Gabriele</creatorcontrib><creatorcontrib>Hoffmann, Falk</creatorcontrib><creatorcontrib>Köpke, Sascha</creatorcontrib><title>Process evaluation of a complex intervention to promote advance care planning in community-dwelling older persons (the STADPLAN study)-study protocol</title><title>Current controlled trials in cardiovascular medicine</title><addtitle>Trials</addtitle><description>Process evaluation addresses the implementation, mechanisms of impact, and context of participants in complex interventions. The STADPLAN study assesses the effects of conversations on advance care planning (ACP) led by trained nurse facilitators. The complex intervention consists of several components that may lead to various changes in attitude and behavior regarding personal ACP activities. With the process evaluation, we aim to assess how changes were achieved in the STADPLAN intervention.
The planned process evaluation study will be conducted alongside a cluster-randomized controlled trial on ACP in home care services (HCS). Trained nurse facilitators will deliver the ACP intervention consisting of an information brochure and two ACP conversations. A logic model depicts the assumed change processes of the intervention: the educational program enables nurses to conduct ACP conversations with patients and their caregivers. Patients gain knowledge and reflect upon and engage in their own ACP. Caregivers better understand patients' wishes and feel reassured in their role as surrogates. Designation of a surrogate and communication on ACP are facilitated. We will assess the effects of the educational program with questionnaires and a focus group including all participating nurses. We will measure ACP engagement, and prevalence of advance directives in patients, and ask for their experiences with the intervention. We will conduct semi-structured interviews with caregivers about their expectations and experiences regarding ACP in general and the intervention. We will address context factors, e.g., basic characteristics of the HCS (such as ownership, number of clients, staff and qualification). Analysis will be based upon the logic model, integrating qualitative and quantitative data.
The comprehensive process evaluation will provide essential information on the feasibility of implementation strategies and the clinical relevance of a nurse-led ACP intervention in home care recipients and its generalizability and transferability to other settings.
German Clinical Trials Register: DRKS00016886 . Registered retrospectively on June 4, 2019, first participant included on May 29, 2019.</description><subject>Advance Care Planning</subject><subject>Advance directives</subject><subject>Aged</subject><subject>Aged patients</subject><subject>Aged, 80 and over</subject><subject>Brochures</subject><subject>Care and treatment</subject><subject>Caregivers</subject><subject>Clinical trials</subject><subject>Complex intervention</subject><subject>Evaluation</subject><subject>Home Care Services</subject><subject>Home care setting</subject><subject>Humans</subject><subject>Independent Living</subject><subject>Intervention</subject><subject>Logic model</subject><subject>Mixed methods</subject><subject>Mixed methods research</subject><subject>Nurses</subject><subject>Nursing homes</subject><subject>Patients</subject><subject>Practice</subject><subject>Process evaluation</subject><subject>Quality of life</subject><subject>Randomized Controlled Trials as Topic</subject><subject>Study Protocol</subject><subject>Verbal communication</subject><subject>Workshops</subject><issn>1745-6215</issn><issn>1745-6215</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNptUstu1DAUjRCIlsIPsECW2JRFil9x4g3SqLwqjaASZW157Jupq8QOdjJlPoT_xZkppYOQF7buPfdcn6NTFC8JPiOkEW8TYViwElNcYl5RWdJHxTGpeVUKSqrHD95HxbOUbjDmTDL-tDhiVNQNxtVx8esyBgMpIdjobtKjCx6FFmlkQj908BM5P0LcgN91xoCGGPowAtJ2o70BZHQENHTae-fXGT0P9pN347a0t9B1czV0FiIaIKbgEzodrwF9u1q8v1wuvqA0Tnb7ptxdM_kYTOieF09a3SV4cXefFN8_frg6_1wuv366OF8sS1MJNpZCt1miIXJFLMtmSC61sKSSglYVZ1CzVcU1JbQWbRZMKK4FY8AlGGMIJ-ykuNjz2qBv1BBdr-NWBe3UrhDiWuk4OtOBMg3J62otMSa8kXLVtri2hFtrJSaNzFzv9lzDtOrBmmxZ1N0B6WHHu2u1DhtVMyEYppng9I4ghh8TpFH1LplsofYQpqQop1zKmpImQ1__A70JU_TZKkVrhhmjmLC_qLXOApxvQ95rZlK1ECz_uaKNyKiz_6DysdA7Ezy0LtcPBuh-wMSQUoT2XiPBag6m2gdT5WCqXTDVLO7VQ3fuR_4kkf0G_-vd5A</recordid><startdate>20200716</startdate><enddate>20200716</enddate><creator>Silies, Katharina</creator><creator>Schnakenberg, Rieke</creator><creator>Berg, Almuth</creator><creator>Kirchner, Änne</creator><creator>Langner, Henriette</creator><creator>Köberlein-Neu, Juliane</creator><creator>Meyer, Gabriele</creator><creator>Hoffmann, Falk</creator><creator>Köpke, Sascha</creator><general>BioMed Central Ltd</general><general>BioMed Central</general><general>BMC</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0002-0591-1976</orcidid></search><sort><creationdate>20200716</creationdate><title>Process evaluation of a complex intervention to promote advance care planning in community-dwelling older persons (the STADPLAN study)-study protocol</title><author>Silies, Katharina ; Schnakenberg, Rieke ; Berg, Almuth ; Kirchner, Änne ; Langner, Henriette ; Köberlein-Neu, Juliane ; Meyer, Gabriele ; Hoffmann, Falk ; Köpke, Sascha</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c563t-6af174c19b1d3130949a6d159625543e73b54a21276f6781207633e49eccc1413</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Advance Care Planning</topic><topic>Advance directives</topic><topic>Aged</topic><topic>Aged patients</topic><topic>Aged, 80 and over</topic><topic>Brochures</topic><topic>Care and treatment</topic><topic>Caregivers</topic><topic>Clinical trials</topic><topic>Complex intervention</topic><topic>Evaluation</topic><topic>Home Care Services</topic><topic>Home care setting</topic><topic>Humans</topic><topic>Independent Living</topic><topic>Intervention</topic><topic>Logic model</topic><topic>Mixed methods</topic><topic>Mixed methods research</topic><topic>Nurses</topic><topic>Nursing homes</topic><topic>Patients</topic><topic>Practice</topic><topic>Process evaluation</topic><topic>Quality of life</topic><topic>Randomized Controlled Trials as Topic</topic><topic>Study Protocol</topic><topic>Verbal communication</topic><topic>Workshops</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Silies, Katharina</creatorcontrib><creatorcontrib>Schnakenberg, Rieke</creatorcontrib><creatorcontrib>Berg, Almuth</creatorcontrib><creatorcontrib>Kirchner, Änne</creatorcontrib><creatorcontrib>Langner, Henriette</creatorcontrib><creatorcontrib>Köberlein-Neu, Juliane</creatorcontrib><creatorcontrib>Meyer, Gabriele</creatorcontrib><creatorcontrib>Hoffmann, Falk</creatorcontrib><creatorcontrib>Köpke, Sascha</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Proquest Nursing & Allied Health Source</collection><collection>ProQuest_Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Publicly Available Content Database (Proquest) (PQ_SDU_P3)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>Current controlled trials in cardiovascular medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Silies, Katharina</au><au>Schnakenberg, Rieke</au><au>Berg, Almuth</au><au>Kirchner, Änne</au><au>Langner, Henriette</au><au>Köberlein-Neu, Juliane</au><au>Meyer, Gabriele</au><au>Hoffmann, Falk</au><au>Köpke, Sascha</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Process evaluation of a complex intervention to promote advance care planning in community-dwelling older persons (the STADPLAN study)-study protocol</atitle><jtitle>Current controlled trials in cardiovascular medicine</jtitle><addtitle>Trials</addtitle><date>2020-07-16</date><risdate>2020</risdate><volume>21</volume><issue>1</issue><spage>653</spage><epage>653</epage><pages>653-653</pages><artnum>653</artnum><issn>1745-6215</issn><eissn>1745-6215</eissn><abstract>Process evaluation addresses the implementation, mechanisms of impact, and context of participants in complex interventions. The STADPLAN study assesses the effects of conversations on advance care planning (ACP) led by trained nurse facilitators. The complex intervention consists of several components that may lead to various changes in attitude and behavior regarding personal ACP activities. With the process evaluation, we aim to assess how changes were achieved in the STADPLAN intervention.
The planned process evaluation study will be conducted alongside a cluster-randomized controlled trial on ACP in home care services (HCS). Trained nurse facilitators will deliver the ACP intervention consisting of an information brochure and two ACP conversations. A logic model depicts the assumed change processes of the intervention: the educational program enables nurses to conduct ACP conversations with patients and their caregivers. Patients gain knowledge and reflect upon and engage in their own ACP. Caregivers better understand patients' wishes and feel reassured in their role as surrogates. Designation of a surrogate and communication on ACP are facilitated. We will assess the effects of the educational program with questionnaires and a focus group including all participating nurses. We will measure ACP engagement, and prevalence of advance directives in patients, and ask for their experiences with the intervention. We will conduct semi-structured interviews with caregivers about their expectations and experiences regarding ACP in general and the intervention. We will address context factors, e.g., basic characteristics of the HCS (such as ownership, number of clients, staff and qualification). Analysis will be based upon the logic model, integrating qualitative and quantitative data.
The comprehensive process evaluation will provide essential information on the feasibility of implementation strategies and the clinical relevance of a nurse-led ACP intervention in home care recipients and its generalizability and transferability to other settings.
German Clinical Trials Register: DRKS00016886 . Registered retrospectively on June 4, 2019, first participant included on May 29, 2019.</abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>32678005</pmid><doi>10.1186/s13063-020-04529-2</doi><tpages>1</tpages><orcidid>https://orcid.org/0000-0002-0591-1976</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Advance Care Planning Advance directives Aged Aged patients Aged, 80 and over Brochures Care and treatment Caregivers Clinical trials Complex intervention Evaluation Home Care Services Home care setting Humans Independent Living Intervention Logic model Mixed methods Mixed methods research Nurses Nursing homes Patients Practice Process evaluation Quality of life Randomized Controlled Trials as Topic Study Protocol Verbal communication Workshops |
title | Process evaluation of a complex intervention to promote advance care planning in community-dwelling older persons (the STADPLAN study)-study protocol |
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