Universität zu Köln

Silies, Katharina ORCID: 0000-0002-0591-1976, Schnakenberg, Rieke, Berg, Almuth, Kirchner, Anne, Langner, Henriette, Koeberlein-Neu, Juliane, Meyer, Gabriele, Hoffmann, Falk ORCID: 0000-0003-0182-5373 and Koepke, Sascha (2020). Process evaluation of a complex intervention to promote advance care planning in community-dwelling older persons (the STADPLAN study)-study protocol. Trials, 21 (1). LONDON: BMC. ISSN 1745-6215

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Abstract

BackgroundProcess 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.MethodsThe 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.DiscussionThe 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.Trial registrationGerman Clinical Trials Register: DRKS00016886. Registered retrospectively on June 4, 2019, first participant included on May 29, 2019.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Silies, Katharina UNSPECIFIED orcid.org/0000-0002-0591-1976 UNSPECIFIED Schnakenberg, Rieke UNSPECIFIED UNSPECIFIED UNSPECIFIED Berg, Almuth UNSPECIFIED UNSPECIFIED UNSPECIFIED Kirchner, Anne UNSPECIFIED UNSPECIFIED UNSPECIFIED Langner, Henriette UNSPECIFIED UNSPECIFIED UNSPECIFIED Koeberlein-Neu, Juliane UNSPECIFIED UNSPECIFIED UNSPECIFIED Meyer, Gabriele UNSPECIFIED UNSPECIFIED UNSPECIFIED Hoffmann, Falk UNSPECIFIED orcid.org/0000-0003-0182-5373 UNSPECIFIED Koepke, Sascha UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-326254
DOI:	10.1186/s13063-020-04529-2
Journal or Publication Title:	Trials
Volume:	21
Number:	1
Date:	2020
Publisher:	BMC
Place of Publication:	LONDON
ISSN:	1745-6215
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language DIRECTIVES; PREVALENCE; ATTITUDES Multiple languages Medicine, Research & Experimental Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/32625