SPA-LTC Program for Frailty Syndrome

Recruiting at 3 trial locations

Overseen By Sally Shaw

Age: Any Age

Sex: Any

Trial Phase: Academic

Sponsor: McMaster University

Disqualifiers: Non-English speaking, others

No Placebo Group All trial participants will receive the active study treatment (no placebo)

Compensation: Varies

Number of Visits: Unknown

594 Participants Needed

Trial Summary

What is the purpose of this trial?

This study will evaluate the implementation of the Strengthening a Palliative Approach in Long-Term Care (SPA-LTC) program using a cross-jurisdictional, effectiveness-implementation type II hybrid design (dual testing of clinical and implementation interventions) to assess the implementation (feasibility, fidelity, reach, sustainability) and effectiveness (family satisfaction, staff knowledge and confidence implementing a palliative approach to care, hospital use).

Research Team

Sharon Kaasalainen, PhD

Principal Investigator

McMaster University, School of Nursing

Eligibility Criteria

This trial is for English-speaking residents in long-term care who are quite frail, with a score of 50% or less on the Palliative Performance Scale. It's not suitable for those who aren't fluent in English or are less frail (score above 50%).

Inclusion Criteria

English-speaking LTC residents with a score of 50% or less on the Palliative Performance Scale

Exclusion Criteria

Non-English speaking LTC residents

Residents with a score of more than 50% on the Palliative Performance Scale.

Timeline

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Intervention

Implementation of the SPA-LTC program in long-term care homes across three provinces

up to 160 weeks

Weekly checklists completed

Follow-up

Participants are monitored for family satisfaction, staff knowledge, and hospital use after the intervention

1-2 months

Post-Bereavement Follow-Up

Follow-up with families and staff after bereavement

6 weeks to 2 months after resident's death

Treatment Details

Interventions

• Strengthening a Palliative Approach in Long-Term Care (SPA-LTC) Program

Trial Overview The study tests the SPA-LTC program, which aims to improve palliative care in long-term facilities. It looks at how well it works and how feasible it is across different places by measuring family satisfaction and staff knowledge.

Participant Groups

Group I: Intervention Experimental Treatment 1 Intervention

Within the intervention arm 9 long-term care homes will receive the SPA-LTC program:3 in Ontario; 3 in Saskatchewan and 3 in Manitoba.

Group II: Control Active Control 1 Intervention

Within the control arm 9 long-term care homes will receive the standard of care: 3 in Ontario; 3 in Saskatchewan and 3 in Manitoba.

Who Is Running the Clinical Trial?

McMaster University

Lead Sponsor

Trials

936

Recruited

2,630,000+

Canadian Hospice Palliative Care Association

Collaborator

Trials

1

Recruited

590+

Saskatchewan Health Authority - Regina Area

Collaborator

Trials

29

Recruited

5,400+

Hospice Palliative Care Ontario

Collaborator

Trials

1

Recruited

590+

Canadian Virtual Hospice

Collaborator

Trials

2

Recruited

610+

Interlake-Eastern Regional Health Authority

Collaborator

Trials

1

Recruited

590+

Alberta Health services

Collaborator

Trials

168

Recruited

658,000+