Evidence map›Paper›PMID 28694253›Full record

ArticleBMJ open2017

Implementing the compassion intervention, a model for integrated care for people with advanced dementia towards the end of life in nursing homes: a naturalistic feasibility study.

Kirsten J Moore, Bridget Candy, Sarah Davis, Anna Gola, Jane Harrington, Nuriye Kupeli, Victoria Vickerstaff, Michael King, Gerard Leavey, Irwin Nazareth and 3 more

Registry-linked trialAbstract readEvaluation StudyMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02840318 (The Compassion Intervention), which is not on this map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02840318 nacompletednot on this map

The Compassion Intervention: A Pilot Study of Enhanced Integrated Care for People With Severe Memory Problems

TypeinterventionalSponsorUniversity College, LondonRan2014 to 2015Enrolled41ConditionsDementiaArmsCompassion Intervention
3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Kirsten J MooreMarie Curie Palliative Care Research Department, Division of Psychiatry, University College London, London, UK.ORCID 0000-0002-8631-3213
Bridget CandyMarie Curie Palliative Care Research Department, Division of Psychiatry, University College London, London, UK.
Sarah DavisMarie Curie Palliative Care Research Department, Division of Psychiatry, University College London, London, UK.
Anna GolaMarie Curie Palliative Care Research Department, Division of Psychiatry, University College London, London, UK.
Jane HarringtonMarie Curie Palliative Care Research Department, Division of Psychiatry, University College London, London, UK.
Nuriye KupeliMarie Curie Palliative Care Research Department, Division of Psychiatry, University College London, London, UK.
Victoria VickerstaffMarie Curie Palliative Care Research Department, Division of Psychiatry, University College London, London, UK.
Michael KingDivision of Psychiatry, University College London, London, UK.
Gerard LeaveyBamford Centre for Mental Health & Wellbeing, University of Ulster, Derry Londonderry, UK.
Irwin NazarethDepartment of Primary Care and Population Health, University College London, UK.
Rumana Z OmarDepartment of Statistical Science, University College London, London, UK.
Louise JonesMarie Curie Palliative Care Research Department, Division of Psychiatry, University College London, London, UK.
Elizabeth L SampsonMarie Curie Palliative Care Research Department, Division of Psychiatry, University College London, London, UK.

Funding

Marie Curie MCCC-FCO-11-UMarie Curie MCCC-FPO-16-UMarie Curie MCCC-FPR-11-U
6 · The paper itself

Abstract

backgroundMany people with dementia die in nursing homes, but quality of care may be suboptimal. We developed the theory-driven 'Compassion Intervention' to enhance end-of-life care in advanced dementia.

objectivesTo (1) understand how the Intervention operated in nursing homes in different health economies; (2) collect preliminary outcome data and costs of an interdisciplinary care leader (ICL) to facilitate the Intervention; (3) check the Intervention caused no harm.

designA naturalistic feasibility study of Intervention implementation for 6 months. SETTINGS: Two nursing homes in northern London, UK.

participantsThirty residents with advanced dementia were assessed of whom nine were recruited for data collection; four of these residents' family members were interviewed. Twenty-eight nursing home and external healthcare professionals participated in interviews at 7 (n=19), 11 (n=19) and 15 months (n=10).

interventionAn ICL led two core Intervention components: (1) integrated, interdisciplinary assessment and care; (2) education and support for paid and family carers. DATA COLLECTED: Process and outcome data were collected. Symptoms were recorded monthly for recruited residents. Semistructured interviews were conducted at 7, 11 and 15 months with nursing home staff and external healthcare professionals and at 7 months with family carers. ICL hours were costed using Department of Health and Health Education England tariffs.

resultsContextual differences were identified between sites: nursing home 2 had lower involvement with external healthcare services. Core components were implemented at both sites but multidisciplinary meetings were only established in nursing home 1. The Intervention prompted improvements in advance care planning, pain management and person-centred care; we observed no harm. Six-month ICL costs were £18 255.

conclusionsImplementation was feasible to differing degrees across sites, dependent on context. Our data inform future testing to identify the Intervention's effectiveness in improving end-of-life care in advanced dementia.

trial registrationClinicalTrials.gov:NCT02840318: Results.

Indexed as

EmpathyAgedAged, 80 and overAttitude of Health PersonnelAttitude to HealthCaregiversDementiaFeasibility StudiesFemaleHomes for the AgedHumansLondonMaleNursing HomesPatient SatisfactionTerminal CareAdult palliative careChange managementDementiaMEDICAL EDUCATION & TRAINING

Identifiers

PMID28694253
PMCPMC5541605

What OpenQuestion holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.