Co-designing an intervention to increase uptake of Advance Care Planning in later life following emergency hospitalisation: a research protocol using Accelerated Experience-Based Co-design (AEBCD) and The Behaviour Change Wheel (BCW).

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Title: Co-designing an intervention to increase uptake of Advance Care Planning in later life following emergency hospitalisation: a research protocol using Accelerated Experience-Based Co-design (AEBCD) and The Behaviour Change Wheel (BCW).
Authors: Bielinska, A
Archer, S
Darzi, A
Urch, C
Item Type: Journal Article
Abstract: Introduction: Despite the potential benefits of advance care planning, uptake in older adults is low. In general, there is a lack of guidance as to how to initiate advance care planning conversations and encourage individuals to take action in planning their future care, including after emergency hospitalisation. Participatory action research methods are harnessed in health services research to design interventions that are relevant to end-users and stakeholders. This study aims to involve older persons, carers and healthcare professionals in co-designing an intervention to increase uptake of advance care planning in later life, which can be used by social contacts and healthcare professionals, particularly in the context of a recent emergency hospitalisation. Methods and analysis: The theory-driven participatory design research method integrates and adapts Accelerated Experience-Based Co-Design with the Behaviour Change Wheel, in the form of a collaborative multi-stakeholder co-design workshop. In total, 12 participants, comprising 4 lay persons aged 70+, 4 carers and 4 healthcare professionals with experience in elder care, will be recruited to participate in two online half-day sessions, together comprising one online workshop. There will be a maximum of 2 workshops. Firstly, in the discovery phase, participants will reflect on findings from earlier qualitative research on views and experiences of advance care planning from three workstreams: patients, carers, and healthcare professionals. Secondly, in the co-design phase, participants will explore practical mechanisms in which older persons aged 70+ can be encouraged to adopt advance care planning behaviours based on the Behaviour Change Wheel, in order to co-design a behavioural intervention to increase uptake of advance care planning in older adults after an emergency hospitalisation. Ethics and dissemination: Ethical approval has been obtained from the Science Engineering Technology Research Ethics Committee at Imperial College London (Reference:19IC5538). The findings from this study will be disseminated through publications, conferences and meetings.
Issue Date: 19-May-2022
Date of Acceptance: 28-Apr-2022
URI: http://hdl.handle.net/10044/1/97015
DOI: 10.1136/bmjopen-2021-055347
ISSN: 2044-6055
Publisher: BMJ Journals
Start Page: 1
End Page: 7
Journal / Book Title: BMJ Open
Volume: 12
Issue: 5
Copyright Statement: © Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY. Published by BMJ. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https://creativecommons.org/licenses/by/4.0/.
Keywords: Advance Care Planning
Behavior
1103 Clinical Sciences
1117 Public Health and Health Services
1199 Other Medical and Health Sciences
Publication Status: Published
Conference Place: UK
Online Publication Date: 2022-05-19
Appears in Collections:Department of Surgery and Cancer
Faculty of Medicine
Institute of Global Health Innovation



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