TY - JOUR
T1 - Beratung zu Advance Care Planning in der ambulanten Pflege
T2 - Interventionsentwicklung mit dem Behaviour Change Wheel
AU - Kirchner, Äanne
AU - Langner, Henriette
AU - Meyer, Gabriele
AU - Schnakenberg, Rieke
AU - Silies, Katharina
AU - Hoffmann, Falk
AU - Köpke, Sascha
AU - Köberlein-Neu, Juliane
AU - Berg, Almuth
N1 - Funding Information:
Oczkowski, S. J.,Chung, H.-O.,Hanvey, L.,Mbuagbaw, L.,& You, J. J. (2016). Communication Tools for End-of-Life Decision-Making in Ambulatory Care Settings: A Systematic Review and Meta-Analysis. PloS one, 11(4), e0150671. https://doi.org/10.1371/ journal.pone.0150671 Park, E.-J., Jo, M., Park, M., & Kang, S.-J. (2021). Advance care planning for older adults in community-based settings: An um-brella review. International journal of older people nursing, 16(5), e12397. https://doi.org/10.1111/opn.12397 Rietjens, J. A. C.,Sudore, R. L.,Connolly, M.,van Delden, J. J.,Drick-amer, M. A., Droger, M., van der Heide, A., Heyland, D. K., Hout-tekier, D., Janssen, D. J. A., Orsi, L., Payne, S., Seymour, J., Jox, R. J., & Korfage, I. J. (2017). Definition and recommenda-tions for advance care planning: an international consensus supported by the European Association for Palliative Care. The Lancet Oncology, 18(9), e543–e551. https://doi.org/10.1016/ S1470-2045(17)30582-X Ryan, D., & Jezewski, M. A. (2012). Knowledge, attitudes, experien-ces, and confidence of nurses in completing advance directives: a systematic synthesis of three studies. The journal of nursing research: JNR, 20(2), 131–141. https://doi.org/10.1097/jnr.0b 013e318256095f Schnakenberg, R., Silies, K., Berg, A., Kirchner, Ä., Langner, H., Chuvayaran, Y., Köberlein-Neu, J., Haastert, B., Wiese, B., Mey-er, G., Köpke, S., & Hoffmann, F. (2020). Study on advance care planning in care dependent community-dwelling older persons in Germany (STADPLAN): protocol of a cluster-randomised con-trolled trial. BMC geriatrics, 20(1), 142. https://doi.org/10.1186/ s12877-020-01537-4 Silies, K., Schnakenberg, R., Berg, A., Kirchner, Ä., Langner, H., Kö-berlein-Neu, J., Meyer, G., Hoffmann, F., & Köpke, S. (2020). Pro-cess evaluation of a complex intervention to promote advance care planning in community-dwelling older persons (the STAD-PLAN study)-study protocol. Trials, 21(1), 653. https://doi. org/10.1186/s13063-020-04529-2.
Publisher Copyright:
© 2022 Hogrefe AG.
PY - 2022/12/1
Y1 - 2022/12/1
N2 - Background: StAdPlan is a multicenter, cluster-randomized controlled trial aimed to develop and evaluate an advance care planning (ACP) intervention for the German home care setting. Aim: This paper reports the intervention development. Available ACP concepts were reviewed and adapted to the German home care context in terms of staffing and available time resources. Skilled nurses are assigned to raise the awareness on ACP among older care-dependent people and their informal caregivers/relatives through structured conversation and facilitating the use of existing counselling services. Methods: The Behavior Change Wheel (BCW) was applied to the development of the intervention components. Results: The complex intervention addresses care-dependent people aged 65 years and above and their informal caregivers. A two-day training session qualifies nursing professionals to offer guideline-based conversations which take place at least twice at the care-dependent person's home, if possible with the involvement of relatives. An additional information brochure is provided. Conclusions: The application of the BCW model proved to be appropriate for the analysis, description and definition of the specific functions of the intervention. The intervention is prepared for the effectiveness study.
AB - Background: StAdPlan is a multicenter, cluster-randomized controlled trial aimed to develop and evaluate an advance care planning (ACP) intervention for the German home care setting. Aim: This paper reports the intervention development. Available ACP concepts were reviewed and adapted to the German home care context in terms of staffing and available time resources. Skilled nurses are assigned to raise the awareness on ACP among older care-dependent people and their informal caregivers/relatives through structured conversation and facilitating the use of existing counselling services. Methods: The Behavior Change Wheel (BCW) was applied to the development of the intervention components. Results: The complex intervention addresses care-dependent people aged 65 years and above and their informal caregivers. A two-day training session qualifies nursing professionals to offer guideline-based conversations which take place at least twice at the care-dependent person's home, if possible with the involvement of relatives. An additional information brochure is provided. Conclusions: The application of the BCW model proved to be appropriate for the analysis, description and definition of the specific functions of the intervention. The intervention is prepared for the effectiveness study.
UR - http://www.scopus.com/inward/record.url?scp=85134707296&partnerID=8YFLogxK
U2 - 10.1024/1012-5302/a000897
DO - 10.1024/1012-5302/a000897
M3 - Zeitschriftenaufsätze
C2 - 35822829
AN - SCOPUS:85134707296
SN - 1012-5302
VL - 35
SP - 345
EP - 354
JO - Pflege
JF - Pflege
IS - 6
ER -
