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

No results posted yet for this study

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
  • McMaster University

    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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Entities

Read the full study record

This page highlights key information. For complete eligibility criteria, study locations, investigator contacts, and the full protocol, visit the original record on ClinicalTrials.gov.

View NCT03935997 on ClinicalTrials.gov