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X Demographics
Mendeley readers
Attention Score in Context
| Title |
Pragmatic cluster randomised controlled trial of facilitated family case conferencing compared with usual care for improving end of life care and outcomes in nursing home residents with advanced dementia and their families: the IDEAL study protocol
|
|---|---|
| Published in |
BMC Palliative Care, November 2015
|
| DOI | 10.1186/s12904-015-0061-8 |
| Pubmed ID | |
| Authors |
Meera Agar, Elizabeth Beattie, Tim Luckett, Jane Phillips, Georgina Luscombe, Stephen Goodall, Geoffrey Mitchell, Dimity Pond, Patricia M. Davidson, Lynnette Chenoweth |
| Abstract |
Care for people with advanced dementia requires a palliative approach targeted to the illness trajectory and tailored to individual needs. However, care in nursing homes is often compromised by poor communication and limited staff expertise. This paper reports the protocol for the IDEAL Project, which aims to: 1) compare the efficacy of a facilitated approach to family case conferencing with usual care; 2) provide insights into nursing home- and staff-related processes influencing the implementation and sustainability of case conferencing; and 3) evaluate cost-effectiveness. A pragmatic parallel cluster randomised controlled trial design will be used. Twenty Australian nursing homes will be randomised to receive either facilitated family case conferencing or usual care. In the intervention arm, we will train registered nurses at each nursing home to work as Palliative Care Planning Coordinators (PCPCs) 16 h per week over 18 months. The PCPCs' role will be to: 1) use evidence-based 'triggers' to identify optimal time-points for case conferencing; 2) organise, facilitate and document case conferences with optimal involvement from family, multi-disciplinary nursing home staff and community health professionals; 3) develop and oversee implementation of palliative care plans; and 4) train other staff in person-centred palliative care. The primary endpoint will be symptom management, comfort and satisfaction with care at the end of life as rated by bereaved family members on the End of Life in Dementia (EOLD) Scales. Secondary outcomes will include resident quality of life (Quality of Life in Late-stage Dementia [QUALID]), whether a palliative approach is taken (e.g. hospitalisations, non-palliative medical treatments), staff attitudes and knowledge (Palliative Care for Advanced Dementia [qPAD]), and cost effectiveness. Processes and factors influencing implementation, outcomes and sustainability will be explored statistically via analysis of intervention 'dose' and qualitatively via semi-structured interviews. The pragmatic design and complex nature of the intervention will limit blinding and internal validity but support external validity. The IDEAL Project will make an important contribution to the evidence base for dementia-specific case conferencing in nursing homes by considering processes and contextual factors as well as overall efficacy. Its strengths and weaknesses will both lie in its pragmatic design. Australian New Zealand Clinical Trials Registry (ANZCTR) ACTRN12612001164886 . Registered 02/11/2012. |
X Demographics
The data shown below were collected from the profiles of 6 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| New Zealand | 1 | 17% |
| Australia | 1 | 17% |
| Unknown | 4 | 67% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 6 | 100% |
Mendeley readers
The data shown below were compiled from readership statistics for 320 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United Kingdom | 2 | <1% |
| Spain | 1 | <1% |
| United States | 1 | <1% |
| Canada | 1 | <1% |
| Unknown | 315 | 98% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Master | 44 | 14% |
| Student > Bachelor | 37 | 12% |
| Researcher | 35 | 11% |
| Student > Ph. D. Student | 31 | 10% |
| Student > Doctoral Student | 21 | 7% |
| Other | 70 | 22% |
| Unknown | 82 | 26% |
| Readers by discipline | Count | As % |
|---|---|---|
| Nursing and Health Professions | 78 | 24% |
| Medicine and Dentistry | 53 | 17% |
| Psychology | 26 | 8% |
| Social Sciences | 20 | 6% |
| Pharmacology, Toxicology and Pharmaceutical Science | 9 | 3% |
| Other | 36 | 11% |
| Unknown | 98 | 31% |
Attention Score in Context
This research output has an Altmetric Attention Score of 4. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 18 April 2016.
All research outputs
#6,910,436
of 23,302,246 outputs
Outputs from BMC Palliative Care
#753
of 1,269 outputs
Outputs of similar age
#106,061
of 388,959 outputs
Outputs of similar age from BMC Palliative Care
#13
of 25 outputs
Altmetric has tracked 23,302,246 research outputs across all sources so far. This one has received more attention than most of these and is in the 70th percentile.
So far Altmetric has tracked 1,269 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 9.5. This one is in the 39th percentile – i.e., 39% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 388,959 tracked outputs that were published within six weeks on either side of this one in any source. This one has gotten more attention than average, scoring higher than 72% of its contemporaries.
We're also able to compare this research output to 25 others from the same source and published within six weeks on either side of this one. This one has gotten more attention than average, scoring higher than 52% of its contemporaries.