Interprofessional RelationsSCOP3 qualiNCT03171779
Impact of Interprofessional Training and Co-ordination on Early Identification and Proactive Approach to End-of-life Situations in the Context of Primary Care
An observational study of Interprofessional Relations and End-of-life Situations, run by Centre Hospitalier Universitaire, Amiens at 1 site in France.
Trial summary
More than 300,000 people die each year in France from a disease that may require palliative care. Nevertheless, only a small proportion of these patients are able to access this care, in particular because of a too late identification. Read more about this study
- Who is it for?
- Any age
- Conditions the study is for
- Interprofessional Relations, End-of-life Situations
- What is being tested?
- Patients approaching the end of their lives
- How many people
- 58 participants
- Where
- 1 siteFrance
- Study dates
- 17 Jun 2015to 18 Oct 2027
- Phase
- Observational
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages Any age
- All sexes
- No healthy volunteers
- Child, Adult, Older adult
Study population: Being a multi-professional health care home (MSP)
Who may be able to join
- Being a multi-professional health care home (MSP)
- At least one specialized palliative care resource available in the MSP territory (USP, EMSP, palliative care network)
Who cannot join
- Health centers, group medical practices, clinics
- Less than 3 general practitioners (GPs) and / or absence of nurses (FDI) within the MSP
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
France1 site, 1 recruiting
- Recruiting
CHU Amiens Picardie
Amiens, Picardie, 80054
Maxime GIGNON, Dr, +33322667606, gignon.maxime@chu-amiens.fr
About this study
More than 300,000 people die each year in France from a disease that may require palliative care. Nevertheless, only a small proportion of these patients are able to access this care, in particular because of a too late identification.
While several factors may hinder access to specialized palliative care resources, one of the major barriers to the initiation of palliative care, and particularly to the implementation of quality end-of-life care, Remains the failure to recognize that patients with advanced chronic illness are actually approaching the end of their lives.
Read more
However, it is now clearly established that early integration of palliative care in the care of people living with a serious, incurable and progressive disease:
- has an impact on the quality (and sometimes the expectation) of life of these people,
- avoids aggressive treatments and unplanned hospitalizations,
- is associated with lower health costs than other end-of-life patients. Primary health care providers have a major role to play in facilitating access to palliative care, but their practice has been hampered in our country by the fragmented and poorly coordinated nature of primary care and Negligible in terms of training. However, they remain the first contact of the patients with the system of care, and are also structuring for the continuation of the patient's journey within the health system.
The first hypothesis is that the work of genuine interprofessional primary care teams in multi-professional health centers (MSPs), coupled with adequate training in the use of simple tools, can contribute to the early identification of patients approaching End of life, to meet their palliative care needs.
However, various European programs (Gold Standards Framework in the UK, NECPAL in Catalonia, RADPAC in the Netherlands) have shown that identification alone is not enough to increase access to specialized palliative care. The second hypothesis is that it must be articulated for this with a training of the professionals to carry out conversations of anticipated planning of the care with their patients.
- Being tested
- Patients approaching the end of their lives
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Patients approaching the end of their livesOther
To determine whether the use of simple tools by a primary care team for the early identification of end-of-life patients can improve access to specialized palliative care resources
| Study group | Role | What they receive |
|---|---|---|
| Usual practice | Not described Receives: Other: Patients approaching the end of their lives | |
| IPEM | Interprofessional Training in Early Identification and Multidimensional Evaluation (IPEM) of patients' palliative needs Receives: Other: Patients approaching the end of their lives | |
| IPEM and PAS | Interprofessional Early Identification Training and Multidimensional Assessment (IPEM) of patients' palliative needs, and to the Early Care Planning (SAP) Receives: Other: Patients approaching the end of their lives |
What is being measured
The primary outcome is the main question the study is designed to answer.
Proportion of patients who have died from a condition that may require palliative care
Proportion of patients who have died from a condition that may require palliative care
Measured: 3 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted31 May 2017
- Study start17 Jun 2015
- Primary completion18 Oct 2027 (estimated)
- Study completion18 Oct 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Interprofessional RelationsStudies of the same condition, open and under way.
- More trials run by Centre Hospitalier Universitaire, AmiensThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Cohort
- Time perspective
- Prospective
- Enrolment
- 58 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Centre Hospitalier Universitaire, Amiens
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03171779
- Sponsor's protocol ID
- PI2015_843_0038
- Acronym
- SCOP3 quali
- Status last verified
- Mar 2025
- First submitted
- 29 May 2017
- Last updated
- 2 Apr 2025
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 2 Apr 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Impact of Interprofessional Training and Co-ordination on Early Identification and Proactive Approach to End-of-life Situations in the Context of Primary Care
- ClinicalTrials.gov ID
- NCT03171779
- Acronym / sponsor ID
- SCOP3 quali / PI2015_843_0038
- Study type
- Observational
- Recruitment status
- Recruiting
- Enrolment
- 58 participants (estimated)
- Lead sponsor
- Centre Hospitalier Universitaire, AmiensUniversity, hospital or other
- Study start
- 17 Jun 2015 (actual)
- Primary completion
- 18 Oct 2027 (estimated)
- Study completion
- 18 Oct 2027 (estimated)
- First posted
- 31 May 2017 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
More than 300,000 people die each year in France from a disease that may require palliative care. Nevertheless, only a small proportion of these patients are able to access this care, in particular because of a too late identification.
While several factors may hinder access to specialized palliative care resources, one of the major barriers to the initiation of palliative care, and particularly to the implementation of quality end-of-life care, Remains the failure to recognize that patients with advanced chronic illness are actually approaching the end of their lives.
However, it is now clearly established that early integration of palliative care in the care of people living with a serious, incurable and progressive disease:
- has an impact on the quality (and sometimes the expectation) of life of these people,
- avoids aggressive treatments and unplanned hospitalizations,
- is associated with lower health costs than other end-of-life patients. Primary health care providers have a major role to play in facilitating access to palliative care, but their practice has been hampered in our country by the fragmented and poorly coordinated nature of primary care and Negligible in terms of training. However, they remain the first contact of the patients with the system of care, and are also structuring for the continuation of the patient's journey within the health system.
The first hypothesis is that the work of genuine interprofessional primary care teams in multi-professional health centers (MSPs), coupled with adequate training in the use of simple tools, can contribute to the early identification of patients approaching End of life, to meet their palliative care needs.
However, various European programs (Gold Standards Framework in the UK, NECPAL in Catalonia, RADPAC in the Netherlands) have shown that identification alone is not enough to increase access to specialized palliative care. The second hypothesis is that it must be articulated for this with a training of the professionals to carry out conversations of anticipated planning of the care with their patients.
Study design
- Observational model
- Cohort
- Time perspective
- Prospective
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Usual practice | – | Other: Patients approaching the end of their lives |
| IPEM | – | Other: Patients approaching the end of their livesInterprofessional Training in Early Identification and Multidimensional Evaluation (IPEM) of patients' palliative needs |
| IPEM and PAS | – | Other: Patients approaching the end of their livesInterprofessional Early Identification Training and Multidimensional Assessment (IPEM) of patients' palliative needs, and to the Early Care Planning (SAP) |
Who may qualify
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult, Older adult
- Study population
- Being a multi-professional health care home (MSP)
Key inclusion criteria (2 listed)
- Being a multi-professional health care home (MSP)
- At least one specialized palliative care resource available in the MSP territory (USP, EMSP, palliative care network)
Key exclusion criteria (2 listed)
- Health centers, group medical practices, clinics
- Less than 3 general practitioners (GPs) and / or absence of nurses (FDI) within the MSP
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Patients approaching the end of their livesTo determine whether the use of simple tools by a primary care team for the early identification of end-of-life patients can improve access to specialized palliative care resources | Other | IPEM, IPEM and PAS, Usual practice |
Primary outcome
Proportion of patients who have died from a condition that may require palliative care
Time frame: 3 years
Proportion of patients who have died from a condition that may require palliative care
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 2 Apr 2025.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Interprofessional Relations and End-of-life Situations, run by Centre Hospitalier Universitaire, Amiens at 1 site in France.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 2 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: looking for participants now, as of the sponsor's last update on 2 Apr 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in France. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Maxime GIGNON, Dr (+33322667606, gignon.maxime@chu-amiens.fr), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Proportion of patients who have died from a condition that may require palliative care (time frame: 3 years). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 2 Apr 2025.