Advance Care Planning Individualised Approach and Research Projec

Herlev and Gentofte Hospital10 enrolled

Overview

The study will investigate the effect of a palliative approach in the out-patient management of patients with COPD.

Randomised control trial. A total of 90 patients will be randomise 1:1 to either palliative intervention or standard care. The intervention group will receive follow up in a newly established outpatient clinic for COPD in the specialized palliative united and the control group will receive standard follow up in the respiratory out-patient clinic.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

NONE

Enrollment

Conditions

Severe COPD

Interventions

palliative careOTHER

complex and multi-faceted individualized palliative care

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * • Diagnosis of COPD by spirometry * Patients followed in Herlev and Gentofte hospitals' respiratory out-patient-clinics or admitted to Herlev or Gentofte hospital for acute exacerbation * 2 or more admissions for acute exacerbation of COPD within the last 12 months * CAT \> 20 * Cognitive and linguistic able to understand and give informed consent Exclusion Criteria: * • Expected remaining life time less than 6 months due to other disease than COPD e.g. active cancer * Participating in other studies

Locations (1)

Herlev & Gentofte hoospital

Copenhagen, Herlev/ Reghion H, Denmark

Outcomes

Primary Outcomes

Change from Baseline in total Hospital and Anxiety Depression scale (HADS) at 6 months

questionnaire measuring anxiety and Depression in 2 subscales in this study we use the total value of the 2 subscales combined. The higher the number the worse the psychological impact. HADS total was a range from 0 to 24 where 0 is no psychological distress

Time frame: baseline, 3 and 6 months

Secondary Outcomes

Change from Baseline EORTC QLQ-C15-PAL at 6 months

questionnaire, consists of 14 questions and a license audit goal from 1 to 7 where 7 is the best possible quality of life.For the first 14 questions about symptoms, the scale goes from 1 to 4 where 4 is the worst

Time frame: baseline, 3 and 6 months

Change from Baseline Life-Space Assessment (LSA) at 6 months

questionnaire,5 questions about where the patient has been in the last 4 weeks. Question 1 is other than bedroom and question 5 is out of his home town. In addition, questions are asked about how frequently and on the use of aids.finally the scales are converted to numerical value between 0 and 120 where 0 is worst and expresses that the patient is constant in bed

Time frame: baseline, 3 and 6 months

Change from Baseline copd assessment test (CAT) at 6 months

questionnaire. 8 items questionnaire where there should be between 0 and 5 where 5 is the worst. Together, this gives a total scale between 0 and 40 where 40 is worst

Time frame: baseline, 3 and 6 months

Data from ClinicalTrials.gov

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