Actively Recruiting
Advanced Care Planning for the Severely Ill Home-dwelling Elderly
Led by University of Oslo · Updated on 2025-04-06
2000
Participants Needed
12
Research Sites
162 weeks
Total Duration
On this page
Sponsors
U
University of Oslo
Lead Sponsor
O
Oslo Metropolitan University
Collaborating Sponsor
AI-Summary
What this Trial Is About
This study will develop and evaluate a complex intervention to implement advance care planning for severely ill home-dwelling elderly acutely admitted to hospital, by using a cluster randomized design. Twelve Norwegian acute geriatric hospital units will participate in the main study, each as one cluster. Of the twelve clusters, half will receive implementation support and training immediately, and the other half will receive similar support after the intervention period. The study includes 1) assessment of implementation outcomes (fidelity) in the participating units,2) health service and clinical outcomes including a) questionnaires to all staff in the units before and after the implementation period, questionnaires to attending clinicians and qualitative interviews with health personnel and local unit leaders b) questionnaires to patients and their relatives, patients records and data from central health registers and qualitative interviews with patients and relatives. Furthermore we will assess barriers and facilitators for advance care planning in 1) a wider health service context, and 2) at the national, regional and municipal level, and do economic analyses.
CONDITIONS
Official Title
Advanced Care Planning for the Severely Ill Home-dwelling Elderly
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Home-dwelling
- 70 years or older
- Acutely admitted to the participating unit
- Sufficient language proficiency in Norwegian to answer the questionnaire
- Clinical frailty score of 4 or more
- Physician answers "no" to "Surprise question" from Gold Standards Framework
- Both patient and a close relative would participate in ACP together if offered
- Both patient and close relative consent to participate in the research project
You will not qualify if you...
- Patient is not competent to consent to research participation
- Patient is expected to die within 24 hours
- Patient has participated in ACP prior to current admission
- In intervention arm: ACP not conducted with patient, next of kin and physician before discharge
- In intervention arm: Clinician participating in ACP has not consented to research
- In control arm: Patient unable to participate in ACP during hospitalization
- In control arm: Attending clinician has not consented to research
- Relative not competent to consent to research participation
- In intervention arm: ACP not carried out with patient, next of kin and clinician before discharge
- In control arm: Relative unable to participate in ACP during hospitalization
AI-Screening
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Trial Site Locations
Total: 12 locations
1
Vestre Viken Hospital Trust, Bærum
Oslo, Bærum kommune, Norway
Actively Recruiting
2
Hospital of Southern Norway, Arendal
Arendal, Norway
Actively Recruiting
3
Vestre Viken Hospital Trust, Drammen
Drammen, Norway
Actively Recruiting
4
Innlandet Hospital Trust, Elverum
Elverum, Norway
Actively Recruiting
5
Innlandet Hospital Trust, Gjøvik
Gjøvik, Norway, 3121
Actively Recruiting
6
Vestre Viken Hospital Trust, Kongsberg
Kongsberg, Norway, 3121
Actively Recruiting
7
Hospital of Southern Norway, Kristiansand
Kristiansand, Norway
Actively Recruiting
8
Akershus University Hospital
Lørenskog, Norway
Actively Recruiting
9
Diakonhjemmet Hospital
Oslo, Norway, 3121
Actively Recruiting
10
Oslo University Hospital
Oslo, Norway
Actively Recruiting
11
Østfold Hospital Trust
Sarpsborg, Norway
Actively Recruiting
12
Vestfold Hospital Trust
Tønsberg, Norway
Actively Recruiting
Research Team
R
Reidar Pedersen, PhD
CONTACT
How is the study designed?
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
HEALTH_SERVICES_RESEARCH
Number of Arms
2
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