Beratung zu Advance Care Planning in der ambulanten Pflege: Interventionsentwicklung mit dem Behaviour Change Wheel

Äanne Kirchner; Henriette Langner; Gabriele Meyer; Rieke Schnakenberg; Katharina Silies; Falk Hoffmann; Sascha Köpke; Juliane Köberlein-Neu; Almuth Berg

doi:10.1024/1012-5302/a000897

Beratung zu Advance Care Planning in der ambulanten Pflege: Interventionsentwicklung mit dem Behaviour Change Wheel

Äanne Kirchner^*, Henriette Langner, Gabriele Meyer, Rieke Schnakenberg, Katharina Silies, Falk Hoffmann, Sascha Köpke, Juliane Köberlein-Neu, Almuth Berg

^*Korrespondierende/r Autor/-in für diese Arbeit

3 Zitate (Scopus)

Abstract

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.

Originalsprache	Deutsch
Zeitschrift	Pflege
Jahrgang	35
Ausgabenummer	6
Seiten (von - bis)	345-354
Seitenumfang	10
ISSN	1012-5302
DOIs	https://doi.org/10.1024/1012-5302/a000897
Publikationsstatus	Veröffentlicht - 01.12.2022

Fördermittel

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.

UN SDGs

Dieser Output leistet einen Beitrag zu folgendem(n) Ziel(en) für nachhaltige Entwicklung

SDG 3 – Gesundheit und Wohlergehen

Strategische Forschungsbereiche und Zentren

Profilbereich: Zentrum für Bevölkerungsmedizin und Versorgungsforschung (ZBV)

Dokumente

10.1024/1012-5302/a000897

Weitere Links

Link to publication in Scopus

Zitieren

@article{f595d24c17c64523800d17eed7ee5647,

title = "Beratung zu Advance Care Planning in der ambulanten Pflege: Interventionsentwicklung mit dem Behaviour Change Wheel",

abstract = "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.",

author = "{\"A}anne Kirchner and Henriette Langner and Gabriele Meyer and Rieke Schnakenberg and Katharina Silies and Falk Hoffmann and Sascha K{\"o}pke and Juliane K{\"o}berlein-Neu and Almuth Berg",

note = "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, {\"A}., Langner, H., Chuvayaran, Y., K{\"o}berlein-Neu, J., Haastert, B., Wiese, B., Mey-er, G., K{\"o}pke, 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, {\"A}., Langner, H., K{\"o}-berlein-Neu, J., Meyer, G., Hoffmann, F., \& K{\"o}pke, 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: {\textcopyright} 2022 Hogrefe AG.",

year = "2022",

month = dec,

day = "1",

doi = "10.1024/1012-5302/a000897",

language = "Deutsch",

volume = "35",

pages = "345--354",

journal = "Pflege",

issn = "1012-5302",

publisher = "Hogrefe AG",

number = "6",

}

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 - https://www.scopus.com/pages/publications/85134707296

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 -