Development and Management of Networks of Care at the End of Life (the REDCUIDA Intervention): Protocol for a Nonrandomized Controlled Trial
Librada Flores, Silvia
Herrera Molina, Emilio
Díaz Díez, Fátima
Redondo Moralo, María José
Castillo Rodríguez, Cristina
Nabal Vicuña, Maria
Jadad Garcia, Tamen
Lucas Díaz, Miguel Ángel
Trabado Lara, Inmaculada
Guerra-Martín, María Dolores
MetadataShow full item record
Background: End-of-life needs can be only partly met by formalized health and palliative care resources. This creates the opportunity for the social support network of family and community to play a crucial role in this stage of life. Compassionate communities can be the missing piece to a complete care model at the end of life. Objective: The main objective of this study is to evaluate the REDCUIDA (Redes de Cuidados or Network of Care) intervention for the development and management of networks of care around people with advanced disease or at the end of life. Methods: The study is a 2-year nonrandomized controlled trial using 2 parallel groups. For the intervention group, we will combine palliative care treatment with a community promoter intervention, compared with a control group without intervention. Participants will be patients under a community palliative care team’s supervision with and without intervention. The community promotor will deliver the intervention in 7 sessions at 2 levels: the patient and family level will identify unmet needs, and the community level will activate resources to develop social networks to satisfy patient and family needs. A sample size of 320 patients per group per 100,000 inhabitants will offer adequate information and will give the study 80% power to detect a 20% increase in unmet needs, decrease families’ burden, improve families’ satisfaction, and decrease the use of health system resources, the primary end point. Results will be based on patients’ baseline and final analysis (after 7 weeks of the intervention). We will carry out descriptive analyses of variables related to patients’ needs and of people involved in the social network. We will analyze pre- and postintervention data for each group, including measures of central tendency, confidence intervals for the 95% average, contingency tables, and a linear regression. For continuous variables, we will use Student t test to compare independent samples with normal distribution and Mann-Whitney U test for nonnormal distributions. For discrete variables, we will use Mann-Whitney U test. For dichotomous variables we will use Pearson chi-square test. All tests will be carried out with a significance level alpha=.05. Results: Ethical approval for this study was given by the Clinical Research Committee of Andalusian Health Service, Spain (CI 1020-N-17), in June 2018. The community promoter has been identified, received an expert community-based palliative care course, and will start making contacts in the community and the palliative care teams involved in the research project. Conclusions: The results of this study will provide evidence of the benefit of the REDCUIDA protocol on the development and assessment of networks of compassionate communities at the end of life. It will provide information about clinical and emotional improvements, satisfaction, proxy burden, and health care resource consumption regarding patients in palliative care.
Is part ofJMIR Research Protocols, 2018, vol. 7, núm 10, art. e10515
European research projects
The following license files are associated with this item:
Except where otherwise noted, this item's license is described as cc-by (c) Silvia Librada et al., 2018
Showing items related by title, author, creator and subject.
The effect on quality of life of vitamin d administration for advanced cancer treatment (vidafact study): Protocol of a randomised controlled trial Martínez Alonso, Montserrat; Ariza Carrió, Gemma; Dusso Rosso, Adriana; Nabal Vicuña, Maria (BMJ Publishing Group, 2015)Introduction: Vitamin D is related to resistance to chronic diseases, physiological parameters and functional measures. All of these relationships underscore the potential benefits of cholecalciferol or D3 (nutritional ...
Effectiveness of a telephone-based intervention for smoking cessation in patients with severe mental disorders: study protocol for a randomized controlled trial Ballbè, Montse; Martínez Martínez, Cristina; Feliu, Ariadna; Torres, Núria; Nieva, Gemma; Pinet, Cristina; Raich, Antònia; Mondon, Sílvia; Barrio, Pablo; Hernández-Ribas, Rosa; Vicens, Jordi; Costa, Sílvia; Vilaplana Mayoral, Jordi; Alaustre, Laura; Vilalta, Eva; Blanch, Roser; Subirà, Susana; Bruguera, Eugeni; Suelves, Josep Maria; Guydish, Joseph; Fernandez, Esteve (BMC, 2019)Background Up to 75% of inpatients with mental disorders smoke, and their life expectancy is decreased by up to 25 years compared to the general population. Hospitalized patients without monitoring after discharge quickly ...
Impact of an Educational Program to Reduce Healthcare Resources in CommunityAcquired Pneumonia: The EDUCAP Randomized Controlled Trial Adamuz, Jordi; Viasus, Diego; Simonetti, Antonella; Jiménez-Martínez, Emilio; Molero, Lorena; González-Samartino, Maribel; Castillo, Elena; Juvé-Udina, María-Eulalia; Alcocer, María-Jesús; Hernández, Carme; Buera, María-Pilar; Roel, Asunción; Abad, Emilia; Zabalegui, Adelaida; Ricart, Pilar; Gonzalez, Anna; Isla, Pilar; Dorca, Jordi; Garcia-Vidal, Carolina; Carratalà, Jordi (Public Library of Science, 2015)Background: Additional healthcare visits and rehospitalizations after discharge are frequent among patients with community-acquired pneumonia (CAP) and have a major impact on healthcare costs. We aimed to determine whether ...