Universität zu Köln

Strupp, Julia, Kasdorf, Alina ORCID: 0000-0002-4982-9288, Dust, Gloria ORCID: 0000-0003-3119-0997, Hower, Kira Isabel ORCID: 0000-0002-7123-3296, Seibert, Melissa, Werner, Belinda, Kuntz, Ludwig ORCID: 0000-0002-4083-4574, Schulz-Nieswandt, Frank ORCID: 0000-0002-9820-417X, Meyer, Ingo, Pfaff, Holger ORCID: 0000-0001-9154-6575, Hellmich, Martin ORCID: 0000-0001-5174-928X and Voltz, Raymond (2021). Last Year of Life Study-Cologne (LYOL-C) (Part II): study protocol of a prospective interventional mixed-methods study in acute hospitals to analyse the implementation of a trigger question and patient question prompt sheets to optimise patient-centred care. BMJ Open, 11 (7). LONDON: BMJ PUBLISHING GROUP. ISSN 2044-6055

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Abstract

Introduction The Last Year of Life Study-Cologne Part I (LYOL-C I) has identified general hospital units as the most important checkpoints for transitions in the last year of life of patients. Yet, satisfaction with hospitals, as reported by bereaved relatives, is the lowest of all health service providers. Thus, the LYOL-C Part II (LYOL-C II) focuses on optimising patient-centred care in acute hospitals for patients identified to be in their last year of life. LYOL-C II aims to test an intervention for hospitals by using a two-sided (healthcare professionals (HCPs) and patients) trigger question-based intervention to 'shake' the system in a minimally invasive manner. Methods and analysis Prospective interventional mixed-methods study following a two-phase approach: phase I, individual interviews with HCPs and patient representatives to design the intervention to maximise ease of implementation and phase II, exploratory study with two arms and a prepost design with patients in their last year of life. The intervention will consist of the Surprise Question and the German version of the Supportive and Palliative Care Indicators Tool (SPICT-DE) for HCPs to identify patients and provide patient-centred care, plus question prompt sheets for patients, encouraging them to initiate discussions with their HCPs. Data on transitions, changes in therapy, quality of care, palliative care integration and death of patients will be analysed. Furthermore, a staff survey (pre/post) and guided interviews with staff, patients and relatives (post) will be conducted. Finally, a formative socioeconomic impact assessment to provide evidence regarding the sustainability of the intervention will be performed. Ethics and dissemination The study was approved by the Ethics Committee of the Faculty of Medicine of the University of Cologne (#20-1431). Results will be published in peer-reviewed journals and presented at national and international conferences.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Strupp, Julia UNSPECIFIED UNSPECIFIED UNSPECIFIED Kasdorf, Alina UNSPECIFIED orcid.org/0000-0002-4982-9288 UNSPECIFIED Dust, Gloria UNSPECIFIED orcid.org/0000-0003-3119-0997 UNSPECIFIED Hower, Kira Isabel kira.hower@uk-koeln.de orcid.org/0000-0002-7123-3296 UNSPECIFIED Seibert, Melissa UNSPECIFIED UNSPECIFIED UNSPECIFIED Werner, Belinda UNSPECIFIED UNSPECIFIED UNSPECIFIED Kuntz, Ludwig UNSPECIFIED orcid.org/0000-0002-4083-4574 UNSPECIFIED Schulz-Nieswandt, Frank UNSPECIFIED orcid.org/0000-0002-9820-417X UNSPECIFIED Meyer, Ingo UNSPECIFIED UNSPECIFIED UNSPECIFIED Pfaff, Holger UNSPECIFIED orcid.org/0000-0001-9154-6575 UNSPECIFIED Hellmich, Martin UNSPECIFIED orcid.org/0000-0001-5174-928X UNSPECIFIED Voltz, Raymond UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-568238
DOI:	10.1136/bmjopen-2021-048681
Journal or Publication Title:	BMJ Open
Volume:	11
Number:	7
Date:	2021
Publisher:	BMJ PUBLISHING GROUP
Place of Publication:	LONDON
ISSN:	2044-6055
Language:	English
Faculty:	Faculty of Medicine
Divisions:	Faculty of Medicine > Sonstiges > Zentrum für Versorgungsforschung Köln
Subjects:	Medical sciences Medicine
Uncontrolled Keywords:	Keywords Language MEDICARE PAYMENTS; INDICATORS TOOL; TRENDS; DEATH; POPULATION; PLACE; NEEDS; SPICT; END Multiple languages Medicine, General & Internal Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/56823