Promoting Palliative Care for People With Heart Failure: The P3HF Pilot Study
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- 入组人数
- 2,260
- 试验地点
- 2
- 主要终点
- Mean System Usability Scale score
研究概览
简要总结
This project will develop and test a novel clinical decision support tool (CDS) that encourages timely referral to palliative care for people hospitalized with heart failure. This intervention will incorporate an existing, validated 1-year mortality risk model into a CDS to deliver prognostic information and evidence-based decision support at the point of care. Thus, this research may lead to improved care-concordant and goal-directed care for people with heart failure.
详细描述
Healthcare providers will encounter the tool during the routine care of their hospitalized patients. Patients randomized to the intervention arm will have providers who receive the tool and can complete one post-trial survey. High use providers will also have the opportunity to participate in a survey and 1 post-trial interview. Level 2 providers will participate in one interview.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Healthcare providers must meet the following criteria:
- •Are an attending physician, fellow, or resident, advanced practice nurse, or physician associate
- •Has ordering privileges
- •Are members of one of the hospitals' admitting teams (e.g., hospitalist service, cardiology service)
- •Anticipate employment at one of the two study sites for the 15-month trial period.
- •Palliative care team member
- •Hospital administrator/quality and safety personnel
- •Patients of providers enrolled in the study must meet the following criteria for heart failure during hospitalization:
- •Age 18 years of age or older
- •N-terminal pro-B-type natriuretic peptide values of >500 pg/ml
- •Received intravenous diuretics within 24 hours of admission.
排除标准
- •Pregnant at the time of admission.
研究组 & 干预措施
Clinical Decision Support (CDS) Tool
Patients will be randomized to have the CDS tool to deliver prognostic information and evidence-based decision support at the point of care for timely referral to palliative care for participants hospitalized with heart failure.
干预措施: Clinical Decision Support Tool (Behavioral)
Standard of Care
Providers will provide usual standard of care for participants hospitalized with heart failure.
结局指标
主要结局
Mean System Usability Scale score
时间窗: up to 15 months
System Usability Scale, 10-item Likert questionnaire. Total score range 0-100. Higher values indicate higher usability
Mean Acceptability of Intervention Measure score
时间窗: up to 15 months
Acceptability of Intervention Measure, 4-item questionnaire. Total score range 1-4. Higher values indicate higher acceptability.
Mean Appropriateness of Intervention Measure score
时间窗: up to 15 months
Appropriateness of Intervention Measure, 4-item questionnaire. Total score range 1-4. Higher values indicate higher appropriateness.
Mean Feasibility of Intervention Measure score
时间窗: up to 15 months
Feasibility of Intervention Measure, 4-item questionnaire. Total score range 1-4. Higher values indicate higher feasibility.
次要结局
- Change in Code Status(up to 15 months)
- Referral to Specialist Palliative Care(up to 15 months)
- Consultation by Specialist Palliative Care(up to 15 months)
- Advance Care Plan Documentation(up to 15 months)
- Participants enrolled in hospice(up to 15 months)
- Mean hospital length of stay(up to 15 months)
- Participants readmitted to hospital(up to 15 months)