BABEL (Better tArgeting, Better outcomes for frail ELderly patients) advance care planning: a comprehensive approach to advance care planning in nursing homes: a cluster randomised trial.

ABSTRACT:

Background

Nursing home (NH) residents should have the opportunity to consider, discuss and document their healthcare wishes. However, such advance care planning (ACP) is frequently suboptimal.

Objective

Assess a comprehensive, person-centred ACP approach.

Design

Unblinded, cluster randomised trial.

Setting

Fourteen control and 15 intervention NHs in three Canadian provinces, 2018-2020.

Subjects

713 residents (442 control, 271 intervention) aged ≥65 years, with elevated mortality risk.

Methods

The intervention was a structured, $\sim$60-min discussion between a resident, substitute decision-maker (SDM) and nursing home staff to: (i) confirm SDMs' identities and role; (ii) prepare SDMs for medical emergencies; (iii) explain residents' clinical cond

SUBMITTER: Garland A 

PROVIDER: S-EPMC8946666 | biostudies-literature | 2022 Mar

REPOSITORIES: biostudies-literature