Process evaluation of a tailored nudge intervention to promote appropriate care and treatment of older patients at the end-of-life.

ABSTRACT:

Background

Non-beneficial treatment affects a considerable proportion of older people in hospital, and some will choose to decline invasive treatments when they are approaching the end of their life. The Intervention for Appropriate Care and Treatment (InterACT) intervention was a 12-month stepped wedge randomised controlled trial with an embedded process evaluation in three hospitals in Brisbane, Australia. The aim was to increase appropriate care and treatment decisions for older people at the end-of-life, through implementing a nudge intervention in the form of a prospective feedback loop. However, the trial results indicated that the expected practice change did not occur. The process evaluation aimed to assess implementation using the Consolidated Framework for Implementation

SUBMITTER: Bracci EL 

PROVIDER: S-EPMC10900675 | biostudies-literature | 2024 Feb

REPOSITORIES: biostudies-literature