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A complex regional intervention to implement advance care planning in one town's nursing homes: Protocol of a controlled inter-regional study by Jürgen in der Schmitten; Sonja Rothärmel; Christine Mellert; Stephan Rixen; Bernard J Hammes; Linda Briggs; Karl Wegscheider; Georg Marckmann is a Health Professions article available to read on EtoBox.
What is A complex regional intervention to implement advance care planning in one town's nursing homes: Protocol of a controlled inter-regional study about?
## Background Advance Care Planning (ACP) is an emerging strategy to ensure that well-reflected, meaningful and clearly documented treatment preferences are available and respected when critical decisions about life-sustaining treatment need to be made for patients unable to consent. In Germany, recent legislation confirms that advance directives (AD) have to be followed if they apply to the medical situation, but implementation of ACP has not yet been described. ## Methods/Design In a longitudinal controlled study, we compare 1 intervention region (4 nursing homes [n/hs], altogether 421 residents) with 2 control regions (10 n/hs, altogether 985 residents). Inclusion went from 01.02.09 to 30.06.09, observation lasted until 30.06.10. Primary endpoint is the prevalence of ADs at follow-up, 17 (12) months after the first (last) possible inclusion. Secondary endpoints compare relevance and validity of ADs, process quality, the rate of life-sustaining interventions and, in deceased residents, location of death and intensity of treatment before death. The regional multifaceted intervention on the basis of the US program Respecting Choices^®^ comprises training of n/h staff as facilitator
Who reads A complex regional intervention to implement advance care planning in one town's nursing homes: Protocol of a controlled inter-regional study?
It is typically read by researchers, students, and practitioners in Health Professions.
- Author
- Jürgen in der Schmitten; Sonja Rothärmel; Christine Mellert; Stephan Rixen; Bernard J Hammes; Linda Briggs; Karl Wegscheider; Georg Marckmann
- Publisher
- BioMed Central; Springer (Biomed Central Ltd.); London: BioMed Central, 2001-; Springer Science and Business Media LLC; Society for Mining, Metallurgy and Exploration Inc. (ISSN 1472-6963)
- Published
- 2011
- Language
- EN
- Field
- Health Professions (Health Sciences)