Palliative Care Consultations in the Skilled Nursing Facility (SNF) Setting
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|ClinicalTrials.gov Identifier: NCT03958552|
Recruitment Status : Enrolling by invitation
First Posted : May 22, 2019
Last Update Posted : November 12, 2019
|Condition or disease||Intervention/treatment||Phase|
|Palliative Care Advance Care Planning Skilled Nursing Facilities||Other: Palliative Care Consultation||Not Applicable|
|Study Type :||Interventional (Clinical Trial)|
|Estimated Enrollment :||160 participants|
|Intervention Model:||Parallel Assignment|
|Intervention Model Description:||Pre-post design where control data will be collected prior to intervention being implemented|
|Masking:||None (Open Label)|
|Primary Purpose:||Supportive Care|
|Official Title:||Palliative Care Consultations for Persons in the Medicare Skilled Nursing Facility (SNF) Setting|
|Actual Study Start Date :||October 3, 2019|
|Estimated Primary Completion Date :||December 2020|
|Estimated Study Completion Date :||December 2021|
No Intervention: Standard Care
Participants will receive the standard Medicare Skilled Nursing Facility care.
Experimental: Palliative Care Consult
Participants will receive the standard Medicare Skilled Nursing Facility care plus a Palliative Care Consultation with a trained provider.
Other: Palliative Care Consultation
Trained provider will discuss illness trajectories, establish and communicate patient-directed goals that guide health care decisions, identify and treat illness-related symptoms, and identify psycho-spiritual needs and approaches to mitigate suffering.
- Patient/Caregiver Quality of Life [ Time Frame: Collected upon admission to the nursing home and again 15-days post-admission to the nursing home. ]10 item Survey that measures quality of life in five dimensions: 1) physical; 2) emotional; 3) psychological; 4) spiritual needs, and 5) provision of information and support. Items scored on a 5 point Likert Scale (0=not at all, 4= overwhelmingly) based on symptom/need in the past week. Overall profile score is calculated by summing responses (range 0-40). Source: patient or family caregiver; Time to complete: 5-7 minutes
- Consult Satisfaction [ Time Frame: Collected within 7 days of palliative care consultation ]Measured using the Consultation Satisfaction Questionnaire (CSQ). The CSQ is an 18 item patient/caregiver-reported instrument that measures communication and satisfaction of a consult in four domains: 1) general satisfaction, 2) professional care, 3) depth of relationship, 4) perceived length of consultation.(scale format: 5-point Likert Scale (0= strongly disagree, 4=strongly agree).Overall score is calculated by summing responses (range 0-72) Source: patient or family caregiver; Time to complete: 3-5 minutes
- Adherence to SNF-PCC recommendations [ Time Frame: 30 Days post-admission ]
Adherence Protocol. Medical record review and/or phone interview with patient/caregiver
We will determine a recommendation adherence score after each participants' SNF-PCC. Each recommendation will be assigned 2 points, then we will define full (2 points), partial (1 point) and no adherence (0 point) to each recommendation. We will sum the points for each SNF-PCC recommendation and use this as the denominator. We will sum each recommendation with full, partial, no adherence and use this as the numerator. The fraction will be converted to a percentage ranging from 0-100% reflecting the recommendation adherence score.
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03958552
|United States, Pennsylvania|
|Acts Continuing Care Retirement Communities|
|Philadelphia, Pennsylvania, United States, 19104|