N/A
N=209
A Culturally-Based Palliative Care Tele-consult Program for Rural Southern Elders
Cancer · Cardiac Disease · Pulmonary Disease · Neuro-Degenerative Disease · Renal Disease
Bottom Line
View on ClinicalTrials.gov: NCT03767517 ↗Enrolled (actual)
209
Serious AEs
0.0%
Results posted
May 2025
Primary outcome: Primary: Patient Symptom Burden (Edmonton Symptom Assessment Scale [ESAS]) — 35.1; 34.6; 38.6; 38 score on a scale
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- Active Intervention (Other); Usual Care (Other)
- Age
- Adult, Older Adult · 55+ yrs
- Sex
- All
- Sponsor
- University of Alabama at Birmingham
- Primary completion
- Dec 2023
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Patient Symptom Burden (Edmonton Symptom Assessment Scale [ESAS]) |
35.1; 34.6; 38.6; 38; 40.5; 39.4 | — |
| SECONDARY The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. |
76.2; 78.6; 23.8; 21.4; 85.7; 84.8 | — |
| SECONDARY Patient Quality of Life (Patient-Reported Outcomes Measurement Information System Global Health-10 [PROMIS Global Health-10]) |
35.1; 34.6; 38.6; 38; 45.5; 43.7 | — |
| SECONDARY Caregiver Quality of Life (Patient-Reported Outcomes Measurement Information System Global Health-10 [PROMIS Global Health-10]) |
48.5; 47.6; 50.9; 49.4; 50; 47.7 | — |
| SECONDARY Caregiver Burden Scale (Montgomery Borgatta Caregiver Burden Scale [MBCB]) |
19.5; 19.9; 19.1; 19.4; 13.4; 13.1 | — |
| SECONDARY Resource Use |
0.19; 0.16; 0.2; 0.14 | — |
| SECONDARY The Mean Percentage of Caregivers Who Responded Completely/Quite a Bit to the Patient Satisfaction With Care (Feeling Heard and Understood) Survey. |
76.9; 76.9; 88.4; 90.5; 23.1; 23.1 | — |
Summary
Rural patients with life-limiting illness are at very high risk of not receiving appropriate care due to a lack of health professionals, long distances to treatment centers, and limited palliative care (PC) clinical expertise. Secondly, although culture strongly influences people's response to diagnosis, illness and treatment preferences, culturally-based care models are not currently available for most seriously-ill rural patients and their family caregivers. Lack of sensitivity to cultural differences may compromise PC for minority patients. The purpose of this study is to compare a culturally-based Tele-consult program to usual hospital care to determine whether a culturally-based PC Tele-consult program leads to lower symptom burden in hospitalized African American and White older adults with a life-limiting illness.
Eligibility Criteria
Inclusion Criteria
- AA or W;
- 55 years old; has a condition which fits into one of 3 illness paradigms -cancer, chronic progressive, frailty.
- Clinician answers "no" to question: "Would you be surprised if this person died in the next 12 months?"
- Patient has a caregiver who has been involved in their care.
- Able to complete baseline interviews
Exclusion Criteria
- Unable to complete baseline interviews;
- Currently receiving hospice care;
- No family member/caregiver.
Data sourced from ClinicalTrials.gov (NCT03767517). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.