INSPIRE (INvestigating Social and PractIcal suppoRts at the End of life): Pilot randomised trial of a community social and practical support intervention for adults with life-limiting illness

BMC Palliative Care

Study Protocol

Sinead McGilloway¹  Mairead Furlong¹  Kathleen McLoughlin²  Allan Kellehear³  David Currow⁴  Suresh Kumar⁵  Marian Conroy⁶  Michael Lucey⁶  Jim Rhatigan⁶  Joanne Callinan⁶  Feargal Twomey⁶  Emillio Herrera-Molina⁷  Max Watson⁸  Christopher Bailey⁹ 

[1] Department of Psychology, Maynooth University, Maynooth, Co., Kildare, Ireland;Department of Psychology, Maynooth University, Maynooth, Co., Kildare, Ireland;Milford Care Centre, Limerick, Ireland;Faculty of Health Studies, University of Bradford, Bradford, UK;Flinders University, Adelaide, Australia;Institute of Palliative Medicine, Kozhikode, Kerala, India;Milford Care Centre, Limerick, Ireland;Newhealth Foundation, Sevilla, Spain;Queens University Belfast and Northern Ireland Hospice, Belfast, UK;University of Southampton, Southampton, UK;

关键词: Randomised Controlled Trial;    Palliative care needs;    Practical support;    Social support;    Volunteers;    Community;    Adults;    Carers;    Quality of life;    INSPIRE;    Home;   

DOI  :  10.1186/s12904-015-0060-9

 received in 2015-01-07, accepted in 2015-11-09,  发布年份 2015

来源: Springer

【 摘 要 】

BackgroundFor most people, home is the preferred place of care and death. Despite the development of specialist palliative care and primary care models of community based service delivery, people who are dying, and their families/carers, can experience isolation, feel excluded from social circles and distanced from their communities. Loneliness and social isolation can have a detrimental impact on both health and quality of life. Internationally, models of social and practical support at the end of life are gaining momentum as a result of the Compassionate Communities movement. These models have not yet been subjected to rigorous evaluation. The aims of the study described in this protocol are: (1) to evaluate the feasibility, acceptability and potential effectiveness of The Good Neighbour Partnership (GNP), a new volunteer-led model of social and practical care/support for community dwelling adults in Ireland who are living with advanced life-limiting illness; and (2) to pilot the method for a Phase III Randomised Controlled Trial (RCT).DesignThe INSPIRE study will be conducted within the Medical Research Council (MRC) Framework for the Evaluation of Complex Interventions (Phases 0–2) and includes an exploratory two-arm delayed intervention randomised controlled trial. Eighty patients and/or their carers will be randomly allocated to one of two groups: (I) Intervention: GNP in addition to standard care or (II) Control: Standard Care. Recipients of the GNP will be asked for their views on participating in both the study and the intervention. Quantitative and qualitative data will be gathered from both groups over eight weeks through face-to-face interviews which will be conducted before, during and after the intervention. The primary outcome is the effect of the intervention on social and practical need. Secondary outcomes are quality of life, loneliness, social support, social capital, unscheduled health service utilisation, caregiver burden, adverse impacts, and satisfaction with intervention. Volunteers engaged in the GNP will also be assessed in terms of their death anxiety, death self efficacy, self-reported knowledge and confidence with eleven skills considered necessary to be effective GNP volunteers.DiscussionThe INSPIRE study addresses an important knowledge gap, providing evidence on the efficacy, utility and acceptability of a unique model of social and practical support for people living at home, with advanced life-limiting illness. The findings will be important in informing the development (and evaluation) of similar service models and policy elsewhere both nationally and internationally.Trial registrationISRCTN18400594 18th February 2015.

【 授权许可】

CC BY   
© McLoughlin et al. 2015