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Primary Palliative Care - a Feasibility Cluster Trial

Not Yet RecruitingNA

Sponsor: University of Coimbra

Conditions: Palliative Care, Primary Palliative Care, Advanced Cancer, Chronic Obstructive Pulmonary Disease (COPD), Congestive Heart Failure Chronic

Interventions: Primary Palliative Care Complex Intervention (PrimPal)

Countries: Portugal

This feasibility cluster-controlled randomized trial (RCT) evaluates a complex intervention for the delivery of primary palliative care in Family Health Units (FHUs). The intervention consists of training General Practitioners (GPs) in palliative care through a 30 hour e-learning program and implementing a structured consultation model (4 consultations over 12 weeks) for adult patients with advanced chronic illness. One FHU will receive the intervention and one FHU will follow usual care. The primary goal is to assess feasibility metrics (GP adherence, patient recruitment rate, and patient retention rate), which will inform the design of a subsequent full-scale cluster RCT.

Eligibility overview

Sex: ALL

Age: 18 Years to —

Healthy volunteers: No

Study type: INTERVENTIONAL

Eligibility criteria

Inclusion Criteria:

* Aged 18 years or older.
* Enrolled as a patient on the list of a recruited General Practitioner in one of the participating Family Health Units.
* Diagnosed with one or more of the following advanced chronic conditions:
* Advanced-stage neoplasm (metastatic/stage IV cancer);
* Chronic Obstructive Pulmonary Disease (COPD) - GOLD classification III or IV;
* Congestive Heart Failure (CHF) - New York Heart Association (NYHA) functional classification III or IV;
* Chronic Kidney Disease (CKD) - stage IV or V.

Exclusion Criteria:

* Refusal to provide informed consent or to participate in the study at any point.
* Disease severity requiring urgent medical intervention (acute crisis/emergency care need at time of recruitment).

Locations (2)

Coimbra, Portugal
Coimbra, Portugal