Shared Decision-making on Treatment Escalation Planning (patients)
Research type
Research Study
Full title
Shared decision making on TReatment Escalation planning for Acute deterioration in the emergency Medical Setting – Patients (STREAMS-P)
IRAS ID
320271
Contact name
Stephen Brett
Contact email
Sponsor organisation
Imperial College London
Clinicaltrials.gov Identifier
https://osf.io/g369k , Open Science Framework
Duration of Study in the UK
2 years, 7 months, 3 days
Research summary
Patients admitted to hospital have the potential to deteriorate and require progressively invasive intervention to prolong life. The adult UK population is aging and patients with multimorbidity are a challenging cohort to manage when attempting to predict outcomes and appropriate intervention. Expectations for decision-making around escalation of care for patients with potential to deteriorate have evolved over time. There is currently an active move to formalise documentation around contingency planning for a range of intensities of intervention in the event of deterioration and to increase the role of patient involvement in this decision making. This study will involve in-depth interviews with older patients to explore their perspectives on the role of shared decision making in treatment escalation planning in the acute medical inpatient setting. Qualitative analysis will be performed to identify themes. This research will increase our understanding of the extent to which patient involvement in decision making around treatment escalation in the UK acute medical setting is considered feasible or desirable and thereby has the potential to improve decision making in this context.
REC name
South Central - Hampshire A Research Ethics Committee
REC reference
22/SC/0476
Date of REC Opinion
28 Dec 2022
REC opinion
Favourable Opinion