• Palliative medicine · Dec 2019

    Observational Study

    Use of time in people with a life-limiting illness: A longitudinal cohort feasibility pilot study.

    • Terry A Jones, Timothy S Olds, David C Currow, and Marie T Williams.
    • Alliance for Research in Exercise, Nutrition and Activity (ARENA), School of Health Sciences, University of South Australia, Adelaide, SA, Australia.
    • Palliat Med. 2019 Dec 1; 33 (10): 1319-1324.

    BackgroundTo date, time-use studies in palliative care have been limited to exploration of time commitments of caregivers. Understanding time-use in people with a life-limiting illness might provide insight into disease progression, symptom management and quality of life.AimTo determine the feasibility of a repeated-measures, time-use study in people with a life-limiting illness, and their primary caregivers, and to explore associations between time-use and perceived quality of life.DesignAn observational repeated-measures feasibility pilot study. A priori criteria were established for study uptake (70%), retention (80%) and study value/burden (⩾7 Numerical Rating Scale 0-10). Burden and value of the study, use of time (Multimedia Activity Recall for Children and Adults with adjunctive accelerometry) and quality of life data (EuroQol-5 Dimension-5-Level Health Questionnaire and Australia-modified Karnofsky Performance Status scale) were assessed at time-points across five consecutive months.Setting/ParticipantsPeople living with a life-limiting illness and caregivers recruited from Southern Adelaide Palliative Services outpatient clinics.ResultsA total of 10 participants (2 caregivers and 8 people with a life-limiting illness) enrolled in the study. All but one of the criteria thresholds was met: 66% of participants who consented to be screened were enrolled in the study, 80% of enrolled participants (n = 8) completed all assessments (two participants died during the study) and mean Numerical Rating Scale scores for acceptable burden and value of the study exceeded the criteria thresholds at every time-point.ConclusionA repeated-measures time-use study design is feasible and was not unduly burdensome for caregivers and people living with a life-limiting illness.

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