A Universal Form for Treatment Options as an alternative to DNAR: Development and Evaluation

ISRCTN ISRCTN85474986
DOI https://doi.org/10.1186/ISRCTN85474986
Secondary identifying numbers 7932
Submission date
19/05/2010
Registration date
19/05/2010
Last edited
03/04/2014
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Other
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr Zoe Fritz
Scientific

Hinchingbrooke Park
Huntingdon
PE29 6NT
United Kingdom

Study information

Study designMulticentre observational process of care and treatment cohort study
Primary study designObservational
Secondary study designCohort study
Study setting(s)Hospital
Study typeTreatment
Scientific title
Study acronymA Universal Form for Treatment Options: Development and evaluation
Study objectivesOur main hypothesis is that introduction of universal form for treatment options (UFTO) will remove inequities in care resulting from current approaches to do not attempt resuscitation (DNAR) (patients with DNAR forms receive substandard treatment, while other patients have resuscitation inappropriately attempted on them), and improve experience of discussions surrounding resuscitation for patient, carer, family and clinical groups (hereafter referred to as "all groups").

Our project can be divided into the following aims:

1. Finalisation of the UFTO:
This form will be filled in on every patient (the DNAR is only completed on those NOT for resuscitation), stating which specific escalations (e.g., intensive care) are appropriate (the DNAR states that one treatment, resuscitation, should be withheld). We will then assess whether the UFTO alters qualitative and quantitative outcomes in comparison to the standard DNAR form.

2. Quantitative aims:
We hypothesise the UFTO will standardise the doctors' approach to DNAR, while allowing patients' individual choices to be respected.
Ethics approval(s)MREC approved (ref: 09/ho310/89)
Health condition(s) or problem(s) studiedTopic: Generic Health Relevance and Cross Cutting Themes; Subtopic: Generic Health Relevance (all Subtopics); Disease: Health Services Research
InterventionThe intervention is the use of the Universal Form of Treatment Options instead of the Current DNAR form.
Intervention typeOther
Primary outcome measureOutreach services
Secondary outcome measuresUFTO
Overall study start date01/11/2009
Completion date31/05/2012

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexBoth
Target number of participantsPlanned sample size: 1080
Key inclusion criteriaPatients:
1. All patients admitted on weekdays
2. Assessed following the post take round, until which time usual care will have been administered

Nurses and doctors:
3. All nurses and doctors on the participating wards will be eligible for inclusion for being interviewed for the qualitative aspects of the study

Both:
4. Male and female, lower age limit of 18 years
Key exclusion criteria1. Those under 18 years
2. Those for palliative care only
Date of first enrolment01/11/2009
Date of final enrolment31/05/2012

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centre

Hinchingbrooke Park
Huntingdon
PE29 6NT
United Kingdom

Sponsor information

Cambridge University Hospitals NHS Foundation Trust (UK)
Hospital/treatment centre

Addenbrookes Hospital
Hills Road
Cambridge
CB2 2QQ
England
United Kingdom

Website http://www.cuh.org.uk/
ROR logo "ROR" https://ror.org/04v54gj93

Funders

Funder type

Government

National Insititute for Health Research (NIHR) (UK)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 04/09/2013 Yes No