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Abstract
Background We have developed 1) a card game (Anticip’action) to help patients clarify their values and priorities in life and develop aligned action plans, and 2) a three step ACP intervention involving the use of the game to be routinely implemented in the nephrology unit.
We will present preliminary results of an ongoing study (start date: January 2022; expected end: sept 2023) designed to 1) evaluate the acceptability and feasibility of this intervention, from patients and health professionals’ points of view, and 2) observe the effect of the intervention on ACP documentation in patient’s medical record.
Method We include patients on dialysis (with or without transplant project) & nurses working in the nephrology unit who are responsible for conducting ACP with those patients.
Two ACP discussion sessions with the use of the game Anticip’action are offered by trained nurses (n=10) to their patients (expected n=30), followed by an ACP consultation, involving the patient, the nurse, and a nephrologist. During discussions, the patients’ electronic medical record is updated.
We record inclusion and dropout rates, difficulties encountered, evaluate the pre-post quality of information in patients’ medical record, and conduct semi-structured interviews with 10–15 patients, one focus group with the nurses and one with the interprofessional team.
Results By the time of the conference, we will have collected enough data to present substantial preliminary results about the number of nurses trained, the number of patients included, dropouts in both groups, barriers encountered during the recruitment and ACP procedure (e.g. nurses lack of compliance to the procedure, and patients’ death before completion of the process are difficulties we can already highlight), qualitative feed-backs from patients and nurses.
Conclusions This study will help us assess the feasibility of our ACP procedure, identify what can be improved, and provide background data for future efficacy studies.