Development and management of networks of care at the end of life (the REDCUIDA Intervention): Protocol for a nonrandomized controlled trial

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dc.contributor.authorLibrada Flores, Silvia
dc.contributor.authorHerrera Molina, Emilio
dc.contributor.authorDíaz Díez, Fátima
dc.contributor.authorRedondo Moralo, María José
dc.contributor.authorCastillo Rodríguez, Cristina
dc.contributor.authorMcLoughlin, Kathleen
dc.contributor.authorAbel, Julian
dc.contributor.authorJadad Garcia, Tamen
dc.contributor.authorLucas Díaz, Miguel Ángel
dc.contributor.authorTrabado Lara, Inmaculada
dc.contributor.authorGuerra-Martín, María Dolores
dc.contributor.authorNabal, María
dc.date.accessioned2019-09-09T16:12:18Z
dc.date.available2019-09-09T16:12:18Z
dc.date.issued2018-03-28
dc.description.abstractBackground: End-of-life needs can be only partly met by formalized health and palliative care resources. This creates the opportunity for the social support network of family and community to play a crucial role in this stage of life. Compassionate communities can be the missing piece to a complete care model at the end of life. Objective: The main objective of this study is to evaluate the REDCUIDA (Redes de Cuidados or Network of Care) intervention for the development and management of networks of care around people with advanced disease or at the end of life. Methods: The study is a 2-year nonrandomized controlled trial using 2 parallel groups. For the intervention group, we will combine palliative care treatment with a community promoter intervention, compared with a control group without intervention. Participants will be patients under a community palliative care team’s supervision with and without intervention. The community promotor will deliver the intervention in 7 sessions at 2 levels: the patient and family level will identify unmet needs, and the community level will activate resources to develop social networks to satisfy patient and family needs. A sample size of 320 patients per group per 100,000 inhabitants will offer adequate information and will give the study 80% power to detect a 20% increase in unmet needs, decrease families’ burden, improve families’ satisfaction, and decrease the use of health system resources, the primary end point. Results will be based on patients’ baseline and final analysis (after 7 weeks of the intervention). We will carry out descriptive analyses of variables related to patients’ needs and of people involved in the social network. We will analyze pre- and postintervention data for each group, including measures of central tendency, confidence intervals for the 95% average, contingency tables, and a linear regression. For continuous variables, we will use Student t test to compare independent samples with normal distribution and Mann-Whitney U test for nonnormal distributions. For discrete variables, we will use Mann-Whitney U test. For dichotomous variables we will use Pearson chi-square test. All tests will be carried out with a significance level alpha=.05. Results: Ethical approval for this study was given by the Clinical Research Committee of Andalusian Health Service, Spain (CI 1020-N-17), in June 2018. The community promoter has been identified, received an expert community-based palliative care course, and will start making contacts in the community and the palliative care teams involved in the research project. Conclusions: The results of this study will provide evidence of the benefit of the REDCUIDA protocol on the development and assessment of networks of compassionate communities at the end of life. It will provide information about clinical and emotional improvements, satisfaction, proxy burden, and health care resource consumption regarding patients in palliative care. Registered Report Identifier: RR1-10.2196/10515.en
dc.description.statusPeer revieweden
dc.description.versionPublished Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.articleide10515en
dc.identifier.citationFlores, S.L., Molina, E.H., Díez, F.D., Moralo, M.J.R., Rodríguez, C.C., McLoughlin, K., Abel, J., Garcia, T.J., Díaz, M.Á.L., Lara, I.T. and Guerra-Martín, M.D., 2018. Development and Management of Networks of Care at the End of Life (the REDCUIDA Intervention): Protocol for a Nonrandomized Controlled Trial. JMIR research protocols, 7(10), (e10515). DOI:10.2196/10515en
dc.identifier.doi10.2196/10515en
dc.identifier.eissn1929-0748
dc.identifier.endpage9en
dc.identifier.issued10en
dc.identifier.journaltitleJMIR Research Protocolsen
dc.identifier.startpage1en
dc.identifier.urihttps://hdl.handle.net/10468/8493
dc.identifier.volume7en
dc.language.isoenen
dc.publisherJMIR Publicationsen
dc.relation.urihttp://www.researchprotocols.org/2018/10/e10515/
dc.rights© Silvia Librada Flores, Emilio Herrera Molina, Fátima Díaz Díez, María José Redondo Moralo, Cristina Castillo Rodríguez, Kathleen McLoughlin, Julian Abel, Tamen Jadad Garcia, Miguel Ángel Lucas Díaz, Inmaculada Trabado Lara, María Dolores Guerra-Martín, María Nabal. Originally published in JMIR Research Protocolsen
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/en
dc.subjectPalliative careen
dc.subjectPublic healthen
dc.subjectDelivery of health careen
dc.subjectCommunity networksen
dc.titleDevelopment and management of networks of care at the end of life (the REDCUIDA Intervention): Protocol for a nonrandomized controlled trialen
dc.typeArticle (peer-reviewed)en
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