Implementing, Evaluating, and Scaling Up of the Strengthening a Palliative Approach in Long Term Care (SPA-LTC) Program
NCT03935997 · Status: ACTIVE_NOT_RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 594
Last updated 2025-09-25
Summary
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).
Conditions
- Frail Elderly Syndrome
Interventions
- OTHER
-
Strengthening a Palliative Approach in Long-Term Care (SPA-LTC) Program
Our team will work with long-term care homes in the study to implement the Strengthening a Palliative Approach in Long Term Care (SPA-LTC) which consists of the following core, evidence-informed components: Palliative Champion Teams (to provide leadership and support implementation); Palliative Care Education (including illness trajectory pamphlets); Comfort Care Rounds with staff (for capacity building and reflection); Prognostic Tools to trigger end-of-life discussions; Palliative Care Conferences with families and residents; Bereavement Pamphlets; and Post-Bereavement Follow-Up for families, and staff.
Sponsors & Collaborators
-
Alberta Health services
collaborator OTHER -
Hospice Palliative Care Ontario
collaborator UNKNOWN -
Canadian Hospice Palliative Care Association
collaborator UNKNOWN -
Canadian Virtual Hospice
collaborator UNKNOWN -
Saskatchewan Health Authority - Regina Area
collaborator OTHER -
Interlake-Eastern Regional Health Authority
collaborator UNKNOWN - lead OTHER
Principal Investigators
-
Sharon Kaasalainen, PhD · McMaster University, School of Nursing
Study Design
- Allocation
- RANDOMIZED
- Purpose
- HEALTH_SERVICES_RESEARCH
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2022-06-01
- Primary Completion
- 2025-01-31
- Completion
- 2026-01-31
Countries
- Canada
Study Locations
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