NCT05676359

Knowledge of Living Will in Patients With Rheumatic Diseases

Knowledge of Living Will in Patients With Rheumatic Diseases. A Case-control Study

• Status: Unknown
• Phase: —
• Study type: Observational
• Enrollment: 157 (estimated)
• Sponsor: National Institute of Medical Sciences and Nutrition, Salvador Zubiran · Academic / Other
• Sex: All
• Age: 18 Years – 100 Years
• Healthy volunteers: Accepted

Summary

The living will is a legal document derived from a communication and deliberation process, medical ethical aspect, currently regulated in Mexico by the General Health Law and the Health Law of Mexico City. Knowledge of living will in the population with chronic diseases, including rheumatic diseases, has been little addressed. Most patients do not know what the living will document is, so they do not carry it out and others, despite knowing it, have a passive attitude toward doing it.

Detailed description

A study will be carried out on patients with rheumatic diseases and healthy family controls. Patients will be selected from those attending the Department of Immunology and Rheumatology in Mexico City outpatient department, including consecutive cases. The patients will be assessed for their quality of life and disability. Patients and controls will be evaluated on the knowledge of living will, their perceptions about specific health outcomes, sociodemographic characteristics, comorbidities, and psychiatric pathology.

Conditions

• Rheumatic Disorder

Interventions

Type	Name	Description
OTHER	Health Assessment Questionnaire (HAQ)	The HAQ is based on five patient-centered dimensions: disability, pain, medication effects, costs of care, and mortality
OTHER	Depression, Anxiety and Stress Scale (DASS-21)	DASS-21 is a set of three self-report scales designed to measure the emotional states of depression, anxiety, and stress. Each of the three DASS-21 scales contains 7 items, divided into subscales with similar content
OTHER	Brief Resilient Coping Scale	Brief Resilient Coping Scale is a 4-item measure designed to capture tendencies to cope with stress in a highly adaptive manner
OTHER	WHOQOL-BREF	WHOQOL-BREF is a 26-item instrument consisting of four domains: physical health, psychological health, social relationships, and environmental health; it also contains QOL and general health items
OTHER	Routine assessment of patient index data 3 (RAPID-3)	RAPID- 3 measures: function, pain, and patient global estimate of status. Each of the 3 individual measures is scored 0 to 10, for a total of 30
OTHER	Rheumatic disease comorbidity index	It is rated from 0 to 9 and comprises 11 comorbid conditions including lung disease, cardio-vascular disease, hypertension, diabetes, fracture, depression, cancer, and gastrointestinal ulcer
OTHER	Living will questionnaire	A questionnaire with 17 items about knowledge of the living will.
OTHER	Perceptions of Health Outcomes Questionnaire	A questionnaire with 7 items about the probability of quitting the job, getting an infectious disease, requiring emergency medical attention, hospitalization or intensive care, dependence and death.

Timeline

• Start date: 2023-02-01
• Primary completion: 2023-07-31
• Completion: 2024-07-31
• First posted: 2023-01-09
• Last updated: 2023-09-26

Locations

1 site across 1 country: Mexico