Oral abstracts最新文献_第4页

BOS5c.002 Improving and sustaining advance care planning within oncology settings: using the theoretical domains framework to identify the barriers and enablers BOS5c。002在肿瘤学环境中改进和维持预先护理计划:使用理论领域框架来识别障碍和促进因素

Oral abstracts Pub Date : 2023-05-01 DOI: 10.1136/spcare-2023-acp.38

Lisa Guccione, S. Fullerton, Sanchia Aranda, J. Francis

引用次数: 0

BOS4c.002 Evaluation of a complex advance care planning intervention in the general practice setting (ACP-GP): cluster-randomized controlled trial BOS4c。综合医疗环境中复杂的预先护理计划干预的评价(ACP-GP):集群随机对照试验

Oral abstracts Pub Date : 2023-05-01 DOI: 10.1136/spcare-2023-acp.30

Julie Stevens, Rose Miranda, P. Pype, K. Eecloo, L. Deliens, Aline De Vleminck, K. Pardon

{"title":"BOS4c.002 Evaluation of a complex advance care planning intervention in the general practice setting (ACP-GP): cluster-randomized controlled trial","authors":"Julie Stevens, Rose Miranda, P. Pype, K. Eecloo, L. Deliens, Aline De Vleminck, K. Pardon","doi":"10.1136/spcare-2023-acp.30","DOIUrl":"https://doi.org/10.1136/spcare-2023-acp.30","url":null,"abstract":"BackgroundAdvance care planning (ACP) is an iterative communication process about patients' values and preferences for future care. The general practice setting can provide opportunities for ACP, but deficits remain in its initiation due to barriers at the patient, general practitioner (GP), or health care system level. A complex intervention may be necessary to reduce barriers. We aimed to evaluate the effects of a complex ACP intervention for patients with chronic, life-limiting illness in general practice (ACP-GP).MethodCluster-randomized controlled trial with randomization at the GP level. The intervention consists of a patient workbook, GP training, ACP conversations, and a documentation template. Outcomes were the 15-item ACP Engagement Survey for patients and the ACP Self-Efficacy Scale for GPs. Linear mixed models evaluated differences at 3 months (T1, effectiveness evaluation) and 6 months (T2) post-baseline. Analysis was per intention-to-treat.Results35 GPs and 95 patients were randomized. Patient ACP engagement did not differ between the intervention and control group at T1 (baseline-adjusted mean difference, 0.34;95% CI, -0.02 to 0.69;p=0.062) or T2 (baseline-adjusted mean difference, 0.20;95% CI, -0.17 to 0.57;p = 0.28). for GP ACP self-efficacy, there were no significant differences between groups at T1 (baseline-adjusted mean difference, 0.16;95% CI, -0.04 to 0.35;p = 0.11) or at T2 (baseline-adjusted mean difference, 0.11;95% CI, -0.09 to 0.31;p = 0.27).ConclusionACP-GP did not improve patient engagement and GP self-efficacy more than usual care. Both groups showed patterns of increase from baseline. Trial procedures and the COVID-19 pandemic that coincided with the trial may have increased awareness about ACP, which may have also stimulated the control group to conduct more ACP than expected. It may be necessary to also look further at what patients and surrogate decision makers want and need from the ACP process.","PeriodicalId":19692,"journal":{"name":"Oral abstracts","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90320457","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

BOS1b.001 Supporting clinicians to adopt a culturally considerate approach to advance care planning conversations with patients BOS1b。001支持临床医生采用文化上考虑周到的方法来推进与患者的护理计划对话

Oral abstracts Pub Date : 2023-05-01 DOI: 10.1136/spcare-2023-acp.1

E. Hassan, Rachel Z Carter, Pamela Martin, Ronald Arjadi

引用次数: 0

BOS1c.001 Is self-efficacy associated with readiness to engage advance care planning among medical university students in Taiwan? BOS1c。台湾医科大学生的自我效能感与参与事前照护计划的准备程度有关系吗?

Oral abstracts Pub Date : 2023-05-01 DOI: 10.1136/spcare-2023-acp.5

Cheng-Pei Lin, J. Liao, C. Hsiung, Sang-Ju Yu, Ping-Jen Chen

引用次数: 0

BOS4b.003 A definitional framework of advance care planning in dementia achieved a consensus in a 33-country delphi study BOS4b。003在一项33个国家的德尔菲研究中，痴呆症预先护理计划的定义框架达成了共识

Oral abstracts Pub Date : 2023-05-01 DOI: 10.1136/spcare-2023-acp.27

J. T. van der Steen, M. Nakanishi, L. Van den Block, I. Korfage