Clinical trial NCT05662917: Advance Care Planning in Palliative Care
Official title: What Are the Views of Palliative Care Patients Regarding the Use of Anticipatory Prescribing ?
Study type: OBSERVATIONAL
Overall status: RECRUITING
Conditions: Palliative Care
Keywords: Palliative care
Advance care planning
Anticipatory prescribing
End of life
Patient experiences
Lead sponsor: Hospices Civils de Lyon
Sponsor class: OTHER
First posted: 2022-12-23
Enrollment: 10
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: COHORT
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: The study population concerns patients in palliative situation, either hospitalized in palliative care unit or followed at home by the Mobile Palliative Care Team. The number of subjects required is estimated at a minimum of 15 participants (depend on data saturation)

Brief summary: The question of the end of life is a major public health issue. In the field of palliative care, the notion of anticipation is central for people with a serious and progressive illness. Indeed, an important consideration for general practitioners is the need to anticipate the disease's evolution and the uncomfortable symptoms (physical or psychological) the patient is likely to experience. This approach aims to relieve the patient without delay and thus improve comfort to ensure an acceptable quality of life for patients and their families. Even if the usefulness of anticipatory prescribing seems obvious, their use is not generalized to all palliative care patients. Caregivers are confronted with obstacles to the implementation of these prescriptions, particularly with regard to the relationship with the patient. It can then be assumed that patients' experiences and perceptions may influence symptom management and the use of anticipatory prescriptions. It seems essential to explore this subject. For this purpose, the investigator will carry out a qualitative study based on individual semi-structured interviews with palliative care patients.


Eligibility criteria: Inclusion Criteria:

* Persons of all genders
* Persons 18 years of age and older
* In a palliative care situation of any serious illness
* Persons hospitalized in palliative care unit at the Givors hospital or followed at home by the Mobile Palliative Care Team
* Patients who have received full information about the study and signed a written consent.

Exclusion Criteria:

* Persons under legal protection
* Persons unable to express their consent, making it impossible to conduct interviews: dysarthria, cognitive disorders, mental confusion, altered state of consciousness
* Pregnant or breastfeeding persons

Primary outcomes:
measure: The primary outcome is patient views on the use of anticipatory prescribing.
timeFrame: The outcome will be collected at Day 1-End of study visit
Secondary outcomes:
Other outcomes:
Locations:
city: Givors
country: France
facility: Givors Hospital Center - Multidisciplinary medicine and palliative care department
Study officials:
affiliation: Multidisciplinary medicine and palliative care department
name: Manon JULLIAN
role: PRINCIPAL_INVESTIGATOR
References: