Evidence map›Paper›PMID 36443793›Full record

ArticleBMC health services research2022

Quality of care in the last year of life: adaptation and validation of the German "Views of Informal Carers' Evaluation of Services - Last Year of Life - Cologne".

Gloria Dust, Nicolas Schippel, Stephanie Stock, Julia Strupp, Raymond Voltz, Christian Rietz, CoRe-Net Co-applicants

Open access · goldAbstract read
In one paragraph

Article in BMC health services research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.6field-weighted citation impact, top 30% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. Article
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

7 authors at 4 institutions in 1 country.

Gloria DustFaculty of Medicine and University Hospital, Department of Palliative Medicine, University of Cologne, 50924, Cologne, Germany. gloria.dust@uk-koeln.de.
Nicolas SchippelFaculty of Medicine and University Hospital, Department of Palliative Medicine, University of Cologne, 50924, Cologne, Germany.
Stephanie StockFaculty of Medicine and University Hospital, Institute of Health Economics and Clinical Epidemiology, University of Cologne, Cologne, Germany.
Julia StruppFaculty of Medicine and University Hospital, Department of Palliative Medicine, University of Cologne, 50924, Cologne, Germany.
Raymond VoltzFaculty of Medicine and University Hospital, Department of Palliative Medicine, University of Cologne, 50924, Cologne, Germany.
Christian RietzFaculty of Educational and Social Sciences, Department of Educational Science, University of Education Heidelberg, Heidelberg, Germany.
CoRe-Net Co-applicants
University Hospital Cologne · DEDüsseldorf University Hospital · DEHeidelberg University of Education · DEUniversity of Cologne · DE

Funding

Bundesministerium für Bildung und Forschung #01GY1606
6 · The paper itself

Abstract

backgroundTo inform quality improvement and strengthen services provided in the last year of life, measuring quality of care is essential. For Germany, data on care experiences in the last year of life that go beyond diagnoses and care settings are still rare. The aim of this study was to develop and validate a German version of the 'Views of Informal Carers' Evaluation of Services - Short Form (VOICES-SF)' suitable to assess the quality of care and services received across settings and healthcare providers in the German setting in the last year of life (VOICES-LYOL-Cologne).

methodsVOICES-SF was adapted and translated following the 'TRAPD' team approach. Data collected in a retrospective cross-sectional survey with bereaved relatives in the region of Cologne, Germany were used to assess validity and reliability.

resultsData from 351 bereaved relatives of adult decedents were analysed. The VOICES-LYOL-Cologne demonstrated construct validity in performing according to expected patterns, i.e. correlation of scores to care experiences and significant variability based on care settings. It further correlated with the PACIC-S9 Proxy, indicating good criterion validity. The newly added scale "subjective experiences of process and outcome of care in the last year of life" showed good internal consistency for each given care setting, except for the homecare setting. Test-retest analyses revealed no significant differences in satisfaction ratings according to the length of time since the patient's death. Overall, our data demonstrated the feasibility of collecting patient care experiences reported by proxy-respondents across multiple care settings.

conclusionVOICES-LYOL-Cologne is the first German instrument to analyse care experiences in the last year of life in a comprehensive manner and encourages further research in German-speaking countries. This instrument enables the comparison of quality of care between settings and may be used to inform local and national quality improvement activities.

trial registrationThis study was registered in the German Clinical Trials Register (DRKS00011925; Date of registration: 13/06/2017).

Indexed as

CaregiversQuality ImprovementAdultCross-Sectional StudiesHumansReproducibility of ResultsRetrospective StudiesAssessmentLast year of lifePalliative careProxyQuality of careValidation

Identifiers

PMID36443793
PMCPMC9707064
OpenAlexW4310092563

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.