INSPIRE INvestigating Social and PractIcal suppoRts at the End of life: Pilot randomised trial of a community social and practical support intervention for adults with life-limiting illnessReportar como inadecuado

INSPIRE INvestigating Social and PractIcal suppoRts at the End of life: Pilot randomised trial of a community social and practical support intervention for adults with life-limiting illness - Descarga este documento en PDF. Documentación en PDF para descargar gratis. Disponible también para leer online.

BMC Palliative Care

, 14:65

First Online: 24 November 2015Received: 07 January 2015Accepted: 09 November 2015


BackgroundFor most people, home is the preferred place of care and death. Despite the development of specialist palliative care and primary care models of community based service delivery, people who are dying, and their families-carers, can experience isolation, feel excluded from social circles and distanced from their communities. Loneliness and social isolation can have a detrimental impact on both health and quality of life. Internationally, models of social and practical support at the end of life are gaining momentum as a result of the Compassionate Communities movement. These models have not yet been subjected to rigorous evaluation. The aims of the study described in this protocol are: 1 to evaluate the feasibility, acceptability and potential effectiveness of The Good Neighbour Partnership GNP, a new volunteer-led model of social and practical care-support for community dwelling adults in Ireland who are living with advanced life-limiting illness; and 2 to pilot the method for a Phase III Randomised Controlled Trial RCT.

DesignThe INSPIRE study will be conducted within the Medical Research Council MRC Framework for the Evaluation of Complex Interventions Phases 0–2 and includes an exploratory two-arm delayed intervention randomised controlled trial. Eighty patients and-or their carers will be randomly allocated to one of two groups: I Intervention: GNP in addition to standard care or II Control: Standard Care. Recipients of the GNP will be asked for their views on participating in both the study and the intervention. Quantitative and qualitative data will be gathered from both groups over eight weeks through face-to-face interviews which will be conducted before, during and after the intervention. The primary outcome is the effect of the intervention on social and practical need. Secondary outcomes are quality of life, loneliness, social support, social capital, unscheduled health service utilisation, caregiver burden, adverse impacts, and satisfaction with intervention. Volunteers engaged in the GNP will also be assessed in terms of their death anxiety, death self efficacy, self-reported knowledge and confidence with eleven skills considered necessary to be effective GNP volunteers.

DiscussionThe INSPIRE study addresses an important knowledge gap, providing evidence on the efficacy, utility and acceptability of a unique model of social and practical support for people living at home, with advanced life-limiting illness. The findings will be important in informing the development and evaluation of similar service models and policy elsewhere both nationally and internationally.

Trial registrationISRCTN18400594 18 February 2015.

KeywordsRandomised Controlled Trial Palliative care needs Practical support Social support Volunteers Community Adults Carers Quality of life INSPIRE Home  Download fulltext PDF

Autor: Kathleen McLoughlin - Jim Rhatigan - Sinead McGilloway - Allan Kellehear - Michael Lucey - Feargal Twomey - Marian Conroy -


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