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Table 1 Intervention elements of the STADPLAN study

From: Study on advance care planning in care dependent community-dwelling older persons in Germany (STADPLAN): protocol of a cluster-randomised controlled trial

Intervention groupControl group (optimised usual care)
Home care service level
2-day training for participating nurses
Divided into 7 modules:
M1: Introduction of the STADPLAN study
M2: Introduction of the topic ACP
M3: Practical exercise of the counselling conversations, extensive practise of the guided conversations with partners using different health situations/cases
M4: Facilitator’s tasks and schedule in the course of the study
M5: Reflexion on conversation experiences
M6: Special practical training of difficult conversational situations, refresher of knowledge on ACP
M7: Feedback and closing of the training
Patient level
ACP counselling (divided into 2 parts)
Part 1: Information on the project, ACP, aim of the conversations, information on the tasks and features of the surrogate/ representative, information on the written living will, introduction of the written information brochure, preparation of the next conversation: topic and goal, presence of a representative,
Part 2: Repeating information on project, ACP and aim of the conversation, introduction of the following topics: attitudes, preferences and values of the participant, reflection on the use of the additional written information and integration of notes, clarification: further conversations requested?
Written information on ACP:
Information brochure of about 60 pages containing:
• Introduction to ACP, surrogate decision making and advance directive documents
• Presentation of critical health scenarios along with incapacity
• Glossary of medical and legal terms, contact information on local consultancies
Written information on ACP:
Brochure of about 15 pages containing:
• Introduction to ACP, surrogate decision making and advance directive documents (condensed)
• Presentation of critical health scenarios along with incapacity (condensed)
• Glossary of medical and legal terms, contact information on local consultancies
  1. ACP advance care planning, BEVA trained nurse facilitator
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