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A cluster randomized controlled trial on the effects and costs of advance care planning in elderly care: study protocol

Overview of attention for article published in BMC Geriatrics, July 2015
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Title
A cluster randomized controlled trial on the effects and costs of advance care planning in elderly care: study protocol
Published in
BMC Geriatrics, July 2015
DOI 10.1186/s12877-015-0087-z
Pubmed ID
Authors

Ida J. Korfage, Judith A.C. Rietjens, Anouk Overbeek, Lea J. Jabbarian, Pascalle Billekens, Bernard J. Hammes, Ellen Hansen-van der Meer, Suzanne Polinder, Johan Severijnen, Siebe J. Swart, Frederika E. Witkamp, Agnes van der Heide

Abstract

Currently, health care and medical decision-making at the end of life for older people are often insufficiently patient-centred. In this trial we study the effects of Advance Care Planning (ACP), a formalised process of timely communication about care preferences at the end of life, for frail older people. We will conduct a cluster randomised controlled trial among older people residing in care homes or receiving home care in the Netherlands. The intervention group will receive the ACP program Respecting Choices® in addition to usual care. The control group will receive usual care only. Participants in both groups will fill out questionnaires at baseline and after 12 months. We hypothesize that ACP will lead to better patient activation in medical decision making and quality of life, while reducing the number of medical interventions and thus health care costs. Multivariate analysis will be used to compare differences between the intervention group and the control group at baseline and to compare differences in changes after 12 months following the inclusion. Our study can contribute to more understanding of the effects of ACP on patient activation and quality of life in frail older people. Further, we will gain insight in the costs and cost-effectiveness of ACP. This study will facilitate ACP policy for older people in the Netherlands. Nederlands Trial Register: NTR4454 .

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 146 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United Kingdom 1 <1%
Unknown 145 99%

Demographic breakdown

Readers by professional status Count As %
Student > Ph. D. Student 22 15%
Researcher 18 12%
Student > Master 15 10%
Other 11 8%
Student > Bachelor 11 8%
Other 35 24%
Unknown 34 23%
Readers by discipline Count As %
Medicine and Dentistry 37 25%
Nursing and Health Professions 20 14%
Social Sciences 16 11%
Psychology 9 6%
Agricultural and Biological Sciences 5 3%
Other 16 11%
Unknown 43 29%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 04 August 2015.
All research outputs
#18,420,033
of 22,818,766 outputs
Outputs from BMC Geriatrics
#2,632
of 3,187 outputs
Outputs of similar age
#189,669
of 263,980 outputs
Outputs of similar age from BMC Geriatrics
#33
of 35 outputs
Altmetric has tracked 22,818,766 research outputs across all sources so far. This one is in the 11th percentile – i.e., 11% of other outputs scored the same or lower than it.
So far Altmetric has tracked 3,187 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 9.5. This one is in the 10th percentile – i.e., 10% of its peers scored the same or lower than it.
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We're also able to compare this research output to 35 others from the same source and published within six weeks on either side of this one. This one is in the 2nd percentile – i.e., 2% of its contemporaries scored the same or lower than it.