作者
Lieve Van den Block, Elisabeth Honinx, Lara Pivodic, Rose Miranda, Bregje D Onwuteaka-Philipsen, Hein van Hout, H Roeline W Pasman, Mariska Oosterveld-Vlug, Maud Ten Koppel, Ruth Piers, Nele Van Den Noortgate, Yvonne Engels, Myrra Vernooij-Dassen, Jo Hockley, Katherine Froggatt, Sheila Payne, Katarzyna Szczerbińska, Marika Kylänen, Giovanni Gambassi, Sophie Pautex, Catherine Bassal, Stefanie De Buysser, Luc Deliens, Tinne Smets, PACE Trial Group
发表日期
2020/2/1
期刊
JAMA internal medicine
卷号
180
期号
2
页码范围
233-242
出版商
American Medical Association
简介
Importance
High-quality evidence on how to improve palliative care in nursing homes is lacking.
Objective
To investigate the effect of the Palliative Care for Older People (PACE) Steps to Success Program on resident and staff outcomes.
Design, Setting, and Participants
A cluster-randomized clinical trial (2015-2017) in 78 nursing homes in 7 countries comparing PACE Steps to Success Program (intervention) with usual care (control). Randomization was stratified by country and median number of beds in each country in a 1:1 ratio.
Interventions
The PACE Steps to Success Program is a multicomponent intervention to integrate basic nonspecialist palliative care in nursing homes. Using a train-the-trainer approach, an external trainer supports staff in nursing homes to introduce a palliative care approach over the course of 1 year following a 6-steps program. The steps are (1) advance care planning with residents and …
学术搜索中的文章
L Van den Block, E Honinx, L Pivodic, R Miranda… - JAMA internal medicine, 2020