## Protocol Section
### Identification Module
**NCT ID:** NCT06431659

**Brief Title:** Swedish Palliative Care Guide (S-PCG) at Residential Facilities

**Official Title:** Swedish Palliative Care Guide (S-PCG) at Residential Facilities

#### Organization Study ID Info
**ID:** 2023-02274-01-1
#### Organization
**Class:** OTHER
**Full Name:** Region Skane
### Status Module
#### Completion Date
**Date:** 2027-05-03

**Type:** ESTIMATED

#### Expanded Access Info
#### Last Update Post Date
**Date:** 2024-05-28

**Type:** ACTUAL

**Last Update Submit Date:** 2024-05-27

**Overall Status:** ENROLLING_BY_INVITATION

#### Primary Completion Date
**Date:** 2026-05-03

**Type:** ESTIMATED

#### Start Date
**Date:** 2024-05-20

**Type:** ESTIMATED

**Status Verified Date:** 2024-05

#### Study First Post Date
**Date:** 2024-05-28
**Type:** ACTUAL
**Study First Submit Date:** 2024-05-16
**Study First Submit QC Date:** 2024-05-27
### Sponsor Collaborators Module

#### Lead Sponsor

**Class:** OTHER

**Name:** Region Skane

#### Responsible Party

**Type:** SPONSOR

### Oversight Module

**Is FDA Regulated Device:** False

**Is FDA Regulated Drug:** False

### Description Module

**Brief Summary:** Palliative care aims to improve the quality of life for patients and families who are affected life-threatening, incurable disease. The care should be person-centred, but it is not entirely clear how this is best achieved. The Institute for Palliative Care, Lund, has developed the Swedish Palliative Care Guide (S-PCG) which support for a person-centred approach throughout the palliative care process. The aim of this study is to implement the Swedish Palliative Care Guide (S-PCG) part 2 at Residential Facilities and evaluate functionality, effect and patient benefit in clinical use.

**Detailed Description:** The concept of palliative care has changed over time and is not longer reserved for patients in the dying phase, on the contrary more and more studies show that early integration of palliative care and disease-specific care produce positive results. Specifically, palliative care is about prevent and alleviate suffering by early detection of symptoms and treatment of physical, psychological, social and existential problems. In order to provide the best care, a holistic approach is required that takes up what is important right now and not focus on individual diagnoses. The Swedish Palliative Care Guide (S-PCG) aims to support for a person-centred approach throughout the palliative care process. The purpose of S-PCG is to provide increased security and quality of life for patients and their relatives by identifying needs, make sure that these are addressed and followed up. S-PCG can be used cross-professionally and provides support for coordination and communication in care transitions, regardless of diagnosis or form of care.

The research questions for this study are:

1. Has people living at Residential Facilities to a greater extent treatment restrictions, a stated plan in case of deterioration and information to relatives documented in the medical record after S-PCG was implemented compared to people who were cared for, at the same Residential Facilities, before S-PCG was implemented?
2. Do patients cared for after S-PCG was implemented feel more involved in decisions about their care and do they feel more safe to discuss their thoughts about the end of life (if they so wish)?

### Conditions Module

**Conditions:**

- Age Problem

- Old Age; Debility

- Death

**Keywords:**

- Palliative care

- Elderly

- Residential Facilities

### Design Module

#### Design Info

**Observational Model:** CASE_CONTROL

**Time Perspective:** CROSS_SECTIONAL

#### Enrollment Info

**Count:** 300

**Type:** ESTIMATED

**Study Type:** OBSERVATIONAL

### Outcomes Module

#### Primary Outcomes

**Description:** Measured by likert scale, 1-5. Higher number indicate higher experience of security

**Measure:** Experience of security

**Time Frame:** baseline and 12 weeks after implementation of S-PCG

**Description:** Measured by likert scale, 1-5. Higher number indicate higher experience of participation

**Measure:** Experience of participation

**Time Frame:** baseline and 12 weeks after implementation of S-PCG

#### Secondary Outcomes

**Description:** Presence of documented break point conversations in medical records.

**Measure:** Breakpoint conversation

**Time Frame:** baseline and 12 weeks after implementation of S-PCG

**Description:** Presence of documented treatment limitations in medical records.

**Measure:** Treatment limitations

**Time Frame:** baseline and 12 weeks after implementation of S-PCG

### Eligibility Module

**Eligibility Criteria:** Inclusion Criteria:

* Patients living in residential facilities.
* Ability to answer a short survey in Swedish.

Exclusion Criteria:

- Patients with dementia or other Cognitive Dysfunction.

**Maximum Age:** 130 Years

**Minimum Age:** 65 Years

**Sampling Method:** PROBABILITY_SAMPLE

**Sex:** ALL

**Standard Ages:**

- OLDER_ADULT

**Study Population:** Patients living at included recidental facilities.

### Contacts Locations Module

#### Locations

**Location 1:**

**City:** Stockholm

**Country:** Sweden

**Facility:** Valgossens äldreboende

**State:** Region Stockholm

**Zip:** 11219

#### Overall Officials

**Official 1:**

**Affiliation:** Region Skåne

**Name:** Maria Schelin, ass. prof.

**Role:** PRINCIPAL_INVESTIGATOR

## Derived Section

### Condition Browse Module - Ancestors

- ID: D000010335

- Term: Pathologic Processes

### Condition Browse Module - Browse Branches

- Abbrev: BC23

- Name: Symptoms and General Pathology

- Abbrev: All

- Name: All Conditions

### Condition Browse Module - Browse Leaves

- ID: M6845

- Name: Death

- Relevance: LOW

- As Found: Unknown

- ID: M1175

- Name: Frailty

- Relevance: HIGH

- As Found: Debility

### Condition Browse Module - Meshes

- ID: D000073496

- Term: Frailty

### Misc Info Module

- Version Holder: 2024-05-31
