SPA-LTC Program for Frailty Syndrome
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial explores a program called Strengthening a Palliative Approach in Long-Term Care (SPA-LTC), designed to improve care for individuals with frailty syndrome in long-term care homes. The goal is to evaluate the program's effectiveness in real-life settings and assess family satisfaction with the care their loved ones receive. The trial compares homes using the SPA-LTC program with those maintaining standard care. Suitable candidates are English-speaking long-term care residents with limited mobility and activity levels. As an unphased trial, this study allows participants to contribute to research that could enhance care practices in long-term care settings.
Do I need to stop my current medications for the trial?
The trial information does not specify whether you need to stop taking your current medications.
What prior data suggests that the SPA-LTC program is safe for long-term care residents?
Research has shown that the Strengthening a Palliative Approach in Long-Term Care (SPA-LTC) program has been tested in various locations. Previous studies examined residents' and families' perceptions of the program and found no serious safety issues. Instead, they assessed the program's implementation and its impact on family satisfaction and staff confidence.
The program seeks to enhance care in long-term facilities by focusing on palliative care, which prioritizes comfort over cure. As a program rather than a medication or procedure, typical safety concerns like drug side effects do not apply. Any risks would relate to changes in daily routines or care practices, not direct health risks to participants.
Overall, evidence suggests the SPA-LTC program is well-received and aims to improve experiences for residents and their families without introducing new safety issues.12345Why are researchers excited about this trial?
Researchers are excited about the SPA-LTC Program because it introduces a new approach to managing frailty syndrome in long-term care homes. Unlike traditional methods that might focus solely on medical interventions, the SPA-LTC Program emphasizes integrating palliative care principles to enhance overall well-being and quality of life. This approach is unique because it aims to address the complex needs of frail individuals by fostering a more compassionate and holistic care environment, potentially leading to better outcomes and greater satisfaction for both residents and caregivers.
What evidence suggests that the SPA-LTC program is effective for frailty syndrome?
Research has shown that the Strengthening a Palliative Approach in Long-Term Care (SPA-LTC) program increases family satisfaction with care and boosts staff confidence. In earlier studies, families reported better communication and support when this program was implemented. Staff also felt more knowledgeable and confident in providing palliative care. Additionally, residents involved had fewer emergency hospital visits. In this trial, the intervention arm will test the SPA-LTC program, while the control arm will receive the standard of care. These findings suggest that the SPA-LTC program might effectively improve care for frailty syndrome in long-term care settings.12467
Who Is on the Research Team?
Sharon Kaasalainen, PhD
Principal Investigator
McMaster University, School of Nursing
Are You a Good Fit for This Trial?
This trial is for English-speaking residents in long-term care who are quite frail, with a score of 50% or less on the Palliative Performance Scale. It's not suitable for those who aren't fluent in English or are less frail (score above 50%).Inclusion Criteria
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Intervention
Implementation of the SPA-LTC program in long-term care homes across three provinces
Follow-up
Participants are monitored for family satisfaction, staff knowledge, and hospital use after the intervention
Post-Bereavement Follow-Up
Follow-up with families and staff after bereavement
What Are the Treatments Tested in This Trial?
Interventions
- Strengthening a Palliative Approach in Long-Term Care (SPA-LTC) Program
Find a Clinic Near You
Who Is Running the Clinical Trial?
McMaster University
Lead Sponsor
Canadian Hospice Palliative Care Association
Collaborator
Saskatchewan Health Authority - Regina Area
Collaborator
Hospice Palliative Care Ontario
Collaborator
Canadian Virtual Hospice
Collaborator
Interlake-Eastern Regional Health Authority
Collaborator
Alberta Health services
Collaborator