Enhanced Advance care planning and life Review Longitudinal Intervention (EARLI): Protocol for a cluster randomized controlled cross-over trial of life story work and facilitated advance care planning among older Australian adults in community settings

被引：0

作者：

Karusoo-Musumeci, Ava ^{[1
]}

Yeoh, Ling ^{[1
,2
]}

Walton, Rebecca ^{[3
]}

Dao-Tran, Tiet-Hanh ^{[4
]}

Halcomb, Elizabeth ^{[5
]}

Auret, Kirsten A. ^{[6
]}

Clayton, Josephine M. ^{[7
,8
]}

Kurrle, Susan ^{[8
]}

Campbell, Elissa ^{[9
]}

Hilgeman, Michelle ^{[10
,11
]}

Sinclair, Ron ^{[12
]}

Meller, Anne ^{[13
]}

Towler, Simon ^{[14
]}

Edwards, Caroline E. ^{[1
,2
]}

Comans, Tracy ^{[4
,15
]}

Sinclair, Craig ^{[1
,2
]}

机构：

[1] Neurosci Res Australia NeuRA, Sydney, Australia

[2] Univ New South Wales, Sch Psychol, Sydney, Australia

[3] Brightwater Grp, Perth, Australia

[4] Univ Queensland, Ctr Hlth Serv Res, Brisbane, Australia

[5] Univ Wollongong, Sch Nursing, Wollongong, Australia

[6] Univ Western Australia, Rural Clin Sch Western Australia, Albany, Australia

[7] HammondCare, Palliat Ctr, Sydney, Australia

[8] Univ Sydney, Northern Clin Sch, Sydney, Australia

[9] Univ Western Australia, Perth, Australia

[10] Tuscaloosa Vet Affairs Med Ctr, Tuscaloosa, AL USA

[11] Univ Alabama, Dept Psychol, Tuscaloosa, AL USA

[12] Univ Adelaide, Adelaide, Australia

[13] South Eastern Sydney Local Hlth Dist, Prince Wales Hosp, Sydney, NSW, Australia

[14] Fiona Stanley Hosp, Perth, Australia

[15] Natl Ageing Res Inst, Melbourne, Australia

来源：

CONTEMPORARY CLINICAL TRIALS | 2025年 / 149卷

基金：

英国医学研究理事会;

关键词：

Advance care planning; Life story work; Older adults; Chronic disease; Home care; Decisional conflict; OF-LIFE; QUALITY; END; DEMENTIA; OUTCOMES; THERAPY; SELF;

D O I：

10.1016/j.cct.2024.107795

中图分类号：

R-3 [医学研究方法]; R3 [基础医学];

学科分类号：

1001 ;

摘要：

Background: Advance care planning (ACP) is potentially helpful for older adults, however, the rate of uptake in community aged care settings is low. Previous pilot studies suggest that holistic, person-centered ACP approaches may be effective for older adults who experience functional impairment but do not necessarily have life-limiting conditions with clear prognoses. This paper describes the protocol of a randomized trial to test the effectiveness of combined life story work and facilitated ACP in promoting ACP engagement among older adults receiving community aged care services. Methods: The Enhanced Advance care planning and life Review Longitudinal Intervention (EARLI) trial is an open- label, cross-over, cluster randomized controlled trial with 12 participating aged care organizations in New South Wales and Western Australia. Participants are aged 65 years or older, receiving home care services and capable of providing informed consent at initial recruitment. Recruitment occurs across a two-year period, with study sites randomized to receive the four-session intervention in the first or second year (or a single session 'active control' condition). Primary outcomes are participant-reported ACP engagement and ACP documentation in the aged care client record 12 weeks post-recruitment. Secondary outcomes include measures of decisional conflict, anxiety and depression, meaning-based coping and relationship quality. Analysis will take an intention-to-treat approach. Conclusion: This trial tests a novel method of reaching older adults using a holistic, person-centered approach to promoting ACP engagement. Enhancing ACP engagement may reduce decisional conflict, minimize hospital admissions and improve outcomes for people and their families. ANZCTR Trial Registration ID: ACTRN12622001399785.

引用

页数：9

共 62 条

[1] Legacy Activities as Interventions Approaching the End of Life [J].

Allen, Rebecca S. ;

Hilgeman, Michelle M. ;

Ege, Margaret A. ;

Shuster, John L., Jr. ;

Burgio, Louis D. .

JOURNAL OF PALLIATIVE MEDICINE, 2008, 11 (07) :1029-1038

[2]

[Anonymous], 2015, Home and Community Based Care Service Design Framework: discussion document, P34

[3]

[Anonymous], 2023, R Foundation for Statistical Computing

[4]

Australian Clinical Trials Alliance, 2020, Advancing clinical trial awareness, involvement and access for people from culturally and linguistically diverse (CALD) backgrounds: Position statement 8

[5] Facilitators and barriers to advance care planning implementation in Australian aged care settings: A systematic review and thematic analysis [J].