Community Health Worker Based Intervention to Improve Palliative Care
试验速览
- 阶段
- 不适用
- 状态
- Enrolling By Invitation
- 入组人数
- 160
- 试验地点
- 5
- 主要终点
- Number of participants who completed Advance Directives
研究概览
简要总结
The study aims to find out if community health worker (CHW) support will improve palliative care outcomes in African American patients with advanced cancer, by comparing the quality of life of patients who are receiving standard care to those whose standard care is supplemented with CHW support.
详细描述
This research is being done to establish the effectiveness of a Community Health Worker based palliative care intervention among African American patients with advanced solid organ malignancies and their care givers.
The investigators' long-term goal is to reduce the research-to-practice gap in utilization of evidence-based palliative care (PC) in African Americans with advanced cancer. The objectives of this study are to establish the effectiveness of a CHW-based palliative care intervention and develop generalizable knowledge on how contextual factors influence implementation.
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
- •Patient Inclusion Criteria:
- •Self-identified African American patients with advanced (AJCC stage III or IV) solid organ malignancy
- •>=18 years old
- •English speaking
- •Intact cognition and ability to provide informed consent
排除标准
- •Participants < 18 years of age
- •Participants who are already receiving palliative care services
- •Caregiver Inclusion Criteria:
- •Adult (>=18 years old) caregivers providing informal (unpaid) care to an eligible African American cancer patient (related or unrelated)
- •English speaking
- •Intact cognition and ability to provide informed consent
- •Caregiver Exclusion Criteria:
- •Participants < 18 years of age
研究组 & 干预措施
Standard care + DeCIDE PC intervention
Community health worker support and standard cancer care
干预措施: Community Health Worker (CHW) based palliative care (Other)
Standard care
Standard cancer care
结局指标
主要结局
Number of participants who completed Advance Directives
时间窗: 6 months after enrollment
Advanced care planning
次要结局
- Functional Assessment of Chronic Illness Therapy-Palliative Subscale (FACIT-PAL) score(6 months after enrollment)
- Number of participants who utilize hospice care(6 months after enrollment)
- Goals of care as assessed by Quality of communication (QOC) scale(6 months after enrollment)
- Symptom Intensity as assessed by the Edmonton Symptom Assessment Score (ESAS)(6 months after enrollment)
- Depression as assessed by the Center for Epidemiologic Studies Depression Scale (CES-D)(6 months after enrollment)
- Quality of life assessed by the 5-Level EuroQol 5-Dimensional (EQ-5D-5L)(6 months after enrollment)