Implementing the theory-based advance care planning ACP+ programme for nursing homes : study protocol for a cluster randomised controlled trial and process evaluation

Background Research has highlighted the need for improving the implementation of advance care planning (ACP) in nursing homes. We developed a theory-based multicomponent ACP intervention (the ACP+ programme) aimed at supporting nursing home staff with the implementation of ACP into routine nursing home care. We describe here the protocol of a cluster randomised controlled trial (RCT) that aims to evaluate the effects of ACP+ on nursing home staff and volunteer level outcomes and its underlying processes of change. Methods We will conduct a cluster RCT in Flanders, Belgium. Fourteen eligible nu... Mehr ...

Verfasser: Gilissen, Joni
Pivodic, Lara
Wendrich-van Dael, Annelien
Gastmans, Chris
Vander Stichele, Robert
Engels, Yvonne
Vernooij-Dassen, Myrra
Deliens, Luc
Van den Block, Lieve
Dokumenttyp: journalarticle
Erscheinungsdatum: 2020
Schlagwörter: Medicine and Health Sciences / Social Sciences / Advance care planning / Complex intervention / Nursing home / Process evaluation / Effectiveness / Care staff / Educational intervention / Implementation / RESIDENTS / DEMENTIA / FLANDERS / CONCORDANCE / DEFINITION / ATTITUDES / BELGIUM / DESIGN / PEOPLE
Sprache: Englisch
Permalink: https://search.fid-benelux.de/Record/base-28945920
Datenquelle: BASE; Originalkatalog
Powered By: BASE
Link(s) : https://biblio.ugent.be/publication/8642513

Background Research has highlighted the need for improving the implementation of advance care planning (ACP) in nursing homes. We developed a theory-based multicomponent ACP intervention (the ACP+ programme) aimed at supporting nursing home staff with the implementation of ACP into routine nursing home care. We describe here the protocol of a cluster randomised controlled trial (RCT) that aims to evaluate the effects of ACP+ on nursing home staff and volunteer level outcomes and its underlying processes of change. Methods We will conduct a cluster RCT in Flanders, Belgium. Fourteen eligible nursing homes will be pair-matched and one from each pair will be randomised to either continue care and education as usual or to receive the ACP+ programme (a multicomponent programme which is delivered stepwise over an eight-month period with the help of an external trainer). Primary outcomes are: nursing home care staff's knowledge of, and self-efficacy regarding ACP. Secondary outcomes are: 1) nursing home care staff's attitudes towards ACP and ACP practices; 2) support staff's and volunteer's ACP practices and 3) support staff's and volunteers' self-efficacy. Measurements will be performed at baseline and eight months post-measurement, using structured self-reported questionnaires. A process evaluation will accompany the outcome evaluation in the intervention group, with measurements throughout and post-intervention to assess implementation, mechanisms of impact and context and will be carried out using a mixed-methods design. Discussion There is little high-quality evidence regarding the effectiveness and underlying processes of change of ACP in nursing homes. This combined outcome and process evaluation of the ACP+ programme aims to contribute to building the necessary evidence to improve ACP and its uptake for nursing home residents and their family.