Trial document




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  DRKS00007119

Trial Description

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Title

Barriers and facilitator to palliative care of patients with chronic heart failure

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Trial Acronym

PaCa-HF

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URL of the Trial

http://www.uniklinik-freiburg.de/aqms/projekte/versorgungsforschung/pacahf.html

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Brief Summary in Lay Language

In Germany, the number of patients dying from chronic heart failure (CHF) is higher than the number of patients dying from cancer. Patients with CHF suffer from similar symptoms than patients with cancer (e.g. pain, fatigue, dyspnoe) and the symptom burden of both patient populations are comparable. Despite this, less patients with CHF than patients with cancer receive palliative care.
The present study aims (1) to investigate barriers and facilitators to palliative care perceived by physicians, cardiologists and nurses and (2) tries to develop recommendations to improve palliatice care of CHF patients.

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Brief Summary in Scientific Language

Despite a high prevalence rate, similar symptoms and a comparable symptom burden less patients with chronic heart failure (CHF) receive palliative care than patients with cancer, even though some studies could proof that palliative care is effective inCHF patients. Studies from outside Germany revealed that palliative care of CHF patients is lacking because of the following reasons (1) lack of knowledge of health care providers (HCP) about what palliative care is, (2) not clearly defined responsibilities of HCP regarding palliative care, (3) lack of communication between HCP and (4) difficulties, to identify the right moment to refer CHF patients to palliative care. For Germany, no data about perceived barriers and facilitators of HCP to refer CHF patients to palliative care could be identified.
Therefore, the present study aims to:
(1) identify HCP attitudes towards palliative care of patients with CHF
(2) identify HCP perceived barriers and facilitators to palliative care of CHF patients
(3) develop recommendations based on HCP perceived barriers and facilitators to palliative care of CHF patients
Attitudes towards palliative care of patients with CHF and perceived barriers and facilitators to palliative care of CHF patients will be evaluated using a qualitative (interview) and quantitative (questionnaire) design. Recommendations will be developed using a delphi technique.

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Organizational Data

  •   DRKS00007119
  •   2014/10/30
  •   [---]*
  •   yes
  •   Approved
  •   473/14, Ethik-Kommission der Albert-Ludwigs-Universität Freiburg
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Secondary IDs

  •   U1111-1163-4052 
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Health Condition or Problem studied

  •   I50 -  Heart failure
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Interventions/Observational Groups

  •   Physicians and nurses will be asked about their attitude towards and experiences with palliative care of patients with heart failure. Delphi technique will be used to develop recommendations to foster palliative care in patients with heart failure.
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Characteristics

  •   Non-interventional
  •   Observational study
  •   Single arm study
  •   Open (masking not used)
  •   [---]*
  •   Uncontrolled/Single arm
  •   Health care system
  •   Single (group)
  •   N/A
  •   N/A
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Primary Outcome

Perceived barriers and facilitators to palliative care of patients with chronic heart failure (data collection with interviews and questionnaire)

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Secondary Outcome

Attitude to palliative care of patients with chronic heart failure (data collection with interviews and questionnaire)

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Countries of Recruitment

  •   Germany
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Locations of Recruitment

  • [---]*
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Recruitment

  •   Actual
  •   2015/01/01
  •   170
  •   Monocenter trial
  •   National
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Inclusion Criteria

  •   Both, male and female
  •   18   Years
  •   no maximum age
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Additional Inclusion Criteria

- Physicians (cardiologist, general practitioner) and nurses (including heart failure nurses)
- Physiscians and nurses should treat/have contact with patients with chronic heart failure

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Exclusion Criteria

none

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Addresses

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    • Universitätsklinikum Freiburg Institut für Qualitätsmanagement und Sozialmedizin
    • Mr.  Dipl. Pflegepäd. (FH), MScN  Stefan  Köberich 
    • Engelbergerstr. 21
    • 79106  Freiburg
    • Germany
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    • Klinik für Palliativmedizin
    • Ms.  Prof. Dr. med. Dipl.-Theol. Dipl.-Caritaswiss.  Gerhild  Becker 
    • Robert-Koch-Straße 3
    • 79106  Freiburg
    • Germany
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    • Universitätsklinikum Freiburg Institut für Qualitätsmanagement und Sozialmedizin
    • Mr.  Prof. Dr.  Erik  Farin-Glattacker 
    • Engelbergerstr. 21
    • 79106  Freiburg
    • Germany
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    • Universitätsklinikum Freiburg Institut für Qualitätsmanagement und Sozialmedizin
    • Mr.  Dipl. Pflegepäd. (FH), MScN  Stefan  Köberich 
    • Engelbergerstr. 21
    • 79106  Freiburg
    • Germany
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    start of 1:1-Block address contact scientific-contact
    end of 1:1-Block address contact scientific-contact
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    • Universitätsklinikum Freiburg Institut für Qualitätsmanagement und Sozialmedizin
    • Mr.  Dipl. Pflegepäd. (FH), MScN  Stefan  Köberich 
    • Engelbergerstr. 21
    • 79106  Freiburg
    • Germany
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Sources of Monetary or Material Support

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    • Deutsche Stiftung für Herzforschung
    • Vogtstr. 50
    • 60322  Frankfur a.M.
    • Germany
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    •   +49(0)69/955128-0
    •   [---]*
    •   [---]*
    •   [---]*
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Status

  •   Recruiting complete, follow-up complete
  •   2016/03/31
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Trial Publications, Results and other Documents

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* This entry means the parameter is not applicable or has not been set.