Live well, die well. A research programme to support living until the end (iLive)

German Version

Project management: Prof. Dr. Raymond Voltz, Priv.-Doz. Dr. Dr. Julia Strupp
Contact: Priv.-Doz. Dr. Dr. Julia Strupp, Melanie Joshi
Duration: 01/2019-12/2022
Funding: EU-Horizon 2020

Short project description

In this four-year project, which is coordinated by the ErasmusMC in Rotterdam, researchers from 11 countries will collaborate to increase our knowledge and provide applicable policy advice on palliative care in Europe. The iLIVE project will investigate the effectiveness and cost-effectiveness of two innovative interventions in end-of-life care. Its objective is to develop and evaluate a digital clinical tool to optimize medication management to relieve symptoms that occur at the end of life, and an international volunteer programme to support patients dying in the hospital and their families. A prospective cohort study will collect data on the concerns, expectations and preferences concerning dying and end-of-life care, of terminally ill patients and their caregivers and deliver the first Core Outcome Set for care of the dying.

Our part in Cologne is to collect data on these issues at the individual level and we will also relate the findings on individual participants to broader cultural and religious values. Within the cohort, data will be collected upon patients’ inclusion in the study (baseline assessment), one month after inclusion (follow-up assessment 1), in the last days of life (follow-up assessment 2), and 90 days post-bereavement (follow-up assessment 3).

In principle, all competent adult patients with a life-limiting disease are eligible, regardless of their diagnosis, gender or age, or place of residence. To define eligibility for the study, we will use a modified version of the Gold Standards Framework Proactive Identification Guidance (GSF-PIG) that includes the ‘surprise question’ (SQ) and the Supportive and Palliative Care Indicators Tool (SPICT).

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Melanie Joshi, M. A.

Research Associate

Qualifications and professional experience
Since 10/2018Research associate at the Department of Palliative Medicine, University Hospital of Cologne
10/2013 - 03/2017Master of Arts (Latin American Studies/ Social Sciences), University of Cologne
10/2012 - 10/2013Second Course of Studies: Politics and Society, University of Bonn
10/2008 - 03/2013Bachelor of Arts (Latin American Studies/ Economics), University of Cologne
2010 - 2018 Student assistant in the care sector/Nurse, University Hospital Cologne
2004 - 2007Nursing-School, Offenbach a.M.

Research Focus

  • Evaluation of specialized outpatient palliative care (APVEL)
  • Live well, die well (iLIVE)
  • Early Palliative Care for Glioblastoma Patients (EPCOG)

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Priv.-Doz. Dr. Dr.--Strupp-Julia
Priv.-Doz. Dr. Dr. Julia Strupp

Head of research group Health Sevice Research and Palliative Care
Research Coordinator

Publications (PubMed)

Qualifications and professional experience
2021Habilitation in Health Services Research and Palliative Care
Since 07/2013Research Coordinator at the Department of Palliative Medicine, University of Cologne
2015Doctoral Thesis (Dr. rer. medic.) - Validation of the German Version of the Schedule of Attitudes towards Hastened Death (SAHD-D) (Prof. Dr. Raymond Voltz, Medical Faculty of the University of Cologne)
2011Doctoral Thesis (Dr. paed.) - Successful aging of people with physical disabilities and the sense of coherence as a resource in the aging process (Prof. Dr. Mathilde Niehaus, Faculty of Human Sciences / University of Cologne)
2009 - 2013Research Associate at the Department of Palliative Medicine, University of Cologne
2005 - 2009Research Associate at the Leibniz Institute for the Social Sciences (GESIS) at the Center of Excellence Women and Science (CEWS)
2004Magistra Artium (M.A.)
1999 - 2004Social and Behavioral Sciences (University of Hagen)
1999 - 2005Division of Disability Services, Family Supportive Services, Diakonie Bonn

Research Focus

Health Services Research, last year of life, desire to hasten death, palliative care integration for neurological patients (early integration, unmet needs); patient-centered care, value-based healthcare.


  • Competence Field: Death, Dying and Bereavement (Lecture)
  • “Methods of Empirical Social Research, Text Analysis and Counselling and Intervention" (Master Gender & Queer Studies)
  • Medical Sociology (Research Processes in Medical Sociology), Seminar
  • Lecture series Research Track
  • Health Technology Assesment / Health Economics


Member of the Consilium for junior researchers at the University of Cologne (Representative for the Medical Faculty)
Member of the Research Working Group (AG Forschung) of the German Association of Palliative Medicine (DGP)
Steering Board Member CoReNet (Cologne Research and Development Network)

Completed projects

Last Year of Life Study Cologne (LYOL-C)
Validation of the German version of the Schedule of Attitudes toward Hastened Death (DKH funded)
Impact of a case management model on the specialised palliative care multi-professional team (DKH funded)
Palliative Care for severely affected MS patients: a Delphi survey of healthcare professionals (DMSG)
Multiple Sclerosis and Palliative Care: Assessing Unmet Needs“ (Gemeinnützige Hertie-Stiftung)
Views on life of palliative care patients (DKH)
Advance Directive and Health Care Proxy – Strengthening cancer patient autonomy by improving surrogate decision making (CIO)

Other activities

Reviewer for e.g., “Palliative Medicine”, “Journal of Palliative Medicine”, “European Journal of Public Health”, “Zeitschrift für Palliativmedizin”, “PLOS One”, “Social Work in Health Care”, “Psycho-Oncology”

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