A Universal Form for Treatment Options as an alternative to DNAR: Development and Evaluation
| ISRCTN | ISRCTN85474986 |
|---|---|
| DOI | https://doi.org/10.1186/ISRCTN85474986 |
| Protocol serial number | 7932 |
| Sponsor | Cambridge University Hospitals NHS Foundation Trust (UK) |
| Funder | National Insititute for Health Research (NIHR) (UK) |
- 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
Scientific
Hinchingbrooke Park
Huntingdon
PE29 6NT
United Kingdom
Study information
| Primary study design | Observational |
|---|---|
| Study design | Multicentre observational process of care and treatment cohort study |
| Secondary study design | Cohort study |
| Scientific title | |
| Study acronym | A Universal Form for Treatment Options: Development and evaluation |
| Study objectives | Our 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) studied | Topic: Generic Health Relevance and Cross Cutting Themes; Subtopic: Generic Health Relevance (all Subtopics); Disease: Health Services Research |
| Intervention | The intervention is the use of the Universal Form of Treatment Options instead of the Current DNAR form. |
| Intervention type | Other |
| Primary outcome measure(s) |
Outreach services |
| Key secondary outcome measure(s) |
UFTO |
| Completion date | 31/05/2012 |
Eligibility
| Participant type(s) | Patient |
|---|---|
| Age group | Adult |
| Lower age limit | 18 Years |
| Sex | All |
| Target sample size at registration | 1080 |
| Key inclusion criteria | Patients: 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 criteria | 1. Those under 18 years 2. Those for palliative care only |
| Date of first enrolment | 01/11/2009 |
| Date of final enrolment | 31/05/2012 |
Locations
Countries of recruitment
- United Kingdom
- England
Study participating centre
Hinchingbrooke Park
Huntingdon
PE29 6NT
United Kingdom
PE29 6NT
United Kingdom
Results and Publications
| Individual participant data (IPD) Intention to share | No |
|---|---|
| IPD sharing plan summary | Not 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 |
