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Advance care planning, general practitioners and patients : a phase II cluster-randomised controlled trial in chronic life-limiting illness

Sigrid Dierickx (UGent) , Koen Pardon (UGent) , Peter Pype (UGent) , Julie Stevens (UGent) , Robert Vander Stichele (UGent) , Luc Deliens (UGent) and Aline De Vleminck (UGent)
(2022) BMJ SUPPORTIVE & PALLIATIVE CARE. 12(E3). p.E460-E463
Author
Organization
Abstract
Objectives Although general practice is an ideal setting for ensuring timely initiation of advance care planning (ACP) in people with chronic life-limiting illness, evidence on the effectiveness of ACP in general practice and how it can be implemented is lacking. This study aims to evaluate feasibility and acceptability of study procedures and intervention components of an intervention to facilitate the initiation of ACP in general practice for people with chronic life-limiting illness. Methods Pilot cluster-randomised controlled trial testing a complex ACP intervention in general practice versus usual care (ClinicalTrials.gov: NCT02775032). We used a mixed methods approach using detailed documentation of the recruitment process, questionnaires and semi-structured interviews. Results A total of 25 general practitioners (GPs) and 38 patients were enrolled in the study. The intervention was acceptable to GPs and patients, with GPs valuing the interactive training and patients finding ACP conversations useful. However, we found a number of challenges regarding feasibility of recruitment procedures, such GP as recruitment proceeding more slowly than anticipated as well as difficulty applying the inclusion criteria for patients. Some GPs found initiating ACP conversations difficult. The content of the patient booklet was determined to potentially be too complex for patients with a lower health literacy. Conclusion Although the intervention was well-accepted by GPs and patients, we identified critical points for improvement with regard to the study procedures as well as potential improvements of the intervention components. When these points are addressed, the intervention can proceed to a large-scale, phase III trial to test its effectiveness.
Keywords
Medicine (miscellaneous), Oncology(nursing), Medical–Surgical, General Medicine, chronic conditions, communication, education and training, QUESTIONNAIRE, QUALITY, ADULTS

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MLA
Dierickx, Sigrid, et al. “Advance Care Planning, General Practitioners and Patients : A Phase II Cluster-Randomised Controlled Trial in Chronic Life-Limiting Illness.” BMJ SUPPORTIVE & PALLIATIVE CARE, vol. 12, no. E3, 2022, pp. E460–63, doi:10.1136/bmjspcare-2020-002712.
APA
Dierickx, S., Pardon, K., Pype, P., Stevens, J., Vander Stichele, R., Deliens, L., & De Vleminck, A. (2022). Advance care planning, general practitioners and patients : a phase II cluster-randomised controlled trial in chronic life-limiting illness. BMJ SUPPORTIVE & PALLIATIVE CARE, 12(E3), E460–E463. https://doi.org/10.1136/bmjspcare-2020-002712
Chicago author-date
Dierickx, Sigrid, Koen Pardon, Peter Pype, Julie Stevens, Robert Vander Stichele, Luc Deliens, and Aline De Vleminck. 2022. “Advance Care Planning, General Practitioners and Patients : A Phase II Cluster-Randomised Controlled Trial in Chronic Life-Limiting Illness.” BMJ SUPPORTIVE & PALLIATIVE CARE 12 (E3): E460–63. https://doi.org/10.1136/bmjspcare-2020-002712.
Chicago author-date (all authors)
Dierickx, Sigrid, Koen Pardon, Peter Pype, Julie Stevens, Robert Vander Stichele, Luc Deliens, and Aline De Vleminck. 2022. “Advance Care Planning, General Practitioners and Patients : A Phase II Cluster-Randomised Controlled Trial in Chronic Life-Limiting Illness.” BMJ SUPPORTIVE & PALLIATIVE CARE 12 (E3): E460–E463. doi:10.1136/bmjspcare-2020-002712.
Vancouver
1.
Dierickx S, Pardon K, Pype P, Stevens J, Vander Stichele R, Deliens L, et al. Advance care planning, general practitioners and patients : a phase II cluster-randomised controlled trial in chronic life-limiting illness. BMJ SUPPORTIVE & PALLIATIVE CARE. 2022;12(E3):E460–3.
IEEE
[1]
S. Dierickx et al., “Advance care planning, general practitioners and patients : a phase II cluster-randomised controlled trial in chronic life-limiting illness,” BMJ SUPPORTIVE & PALLIATIVE CARE, vol. 12, no. E3, pp. E460–E463, 2022.
@article{8683028,
  abstract     = {{Objectives
Although general practice is an ideal setting for ensuring timely initiation of advance care planning (ACP) in people with chronic life-limiting illness, evidence on the effectiveness of ACP in general practice and how it can be implemented is lacking. This study aims to evaluate feasibility and acceptability of study procedures and intervention components of an intervention to facilitate the initiation of ACP in general practice for people with chronic life-limiting illness.

Methods
Pilot cluster-randomised controlled trial testing a complex ACP intervention in general practice versus usual care (ClinicalTrials.gov: NCT02775032). We used a mixed methods approach using detailed documentation of the recruitment process, questionnaires and semi-structured interviews.

Results
A total of 25 general practitioners (GPs) and 38 patients were enrolled in the study. The intervention was acceptable to GPs and patients, with GPs valuing the interactive training and patients finding ACP conversations useful. However, we found a number of challenges regarding feasibility of recruitment procedures, such GP as recruitment proceeding more slowly than anticipated as well as difficulty applying the inclusion criteria for patients. Some GPs found initiating ACP conversations difficult. The content of the patient booklet was determined to potentially be too complex for patients with a lower health literacy.

Conclusion
Although the intervention was well-accepted by GPs and patients, we identified critical points for improvement with regard to the study procedures as well as potential improvements of the intervention components. When these points are addressed, the intervention can proceed to a large-scale, phase III trial to test its effectiveness.}},
  author       = {{Dierickx, Sigrid and Pardon, Koen and Pype, Peter and Stevens, Julie and Vander Stichele, Robert and Deliens, Luc and De Vleminck, Aline}},
  issn         = {{2045-435X}},
  journal      = {{BMJ SUPPORTIVE & PALLIATIVE CARE}},
  keywords     = {{Medicine (miscellaneous),Oncology(nursing),Medical–Surgical,General Medicine,chronic conditions,communication,education and training,QUESTIONNAIRE,QUALITY,ADULTS}},
  language     = {{eng}},
  number       = {{E3}},
  pages        = {{E460--E463}},
  title        = {{Advance care planning, general practitioners and patients : a phase II cluster-randomised controlled trial in chronic life-limiting illness}},
  url          = {{http://dx.doi.org/10.1136/bmjspcare-2020-002712}},
  volume       = {{12}},
  year         = {{2022}},
}

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