N/A N=131 Pilot Evaluation of Hospice Decision Support Tools
Hospice · End-of-life Decision Making · Hospice Decision Making
Primary: Hospice Knowledge Scale — 18; 17 score on a scale
Clinical Trial Search
Completed trials with posted results — search by concept, filter by the parameters that matter at the bedside.
N/A N=40 Shared Decision Making to Improve Palliative Care in the Nursing Home
Pain
Primary: Difference in Mean Patient Health Questionaire 9 Score From Baseline — .74; 3.38 units on a scale — p=<.009
N/A N=144 Underutilization of Hospice in Older African Americans
Hospice Decision Making
Primary: Hospice Knowledge Scale — 17; 17 units on a scale
N/A N=120 A Culturally Sensitive Values-Guided Aid for End of Life Decision-Making
Congestive Heart Failure · Chronic Obstructive Pulmonary Disease · Cirrhosis
Primary: Presence of Discussions About End of Life Care Goals/Wishes — 13; 8 participants — p=.77
N/A N=83 The Hospice Advanced Dementia Symptom Management and Quality of Life Trial
Dementia
Primary: Percentage of Hospice IDT Members Who Complete Required Education and Training — 92 percentage of participants
N/A N=22 End-of-Life Care for African Americans
Colonic Neoplasms · Breast Neoplasms · Lung Neoplasms
Primary: Intent to Discuss Advance Directives (Based on the Transtheoretical Stages of Change Model) — 0; 1; 1; 3 Participants
N/A N=18 Removing Transfusion Dependence as a Barrier to Hospice Enrollment
Hematologic Malignancy · Myelodysplastic Syndromes · Acute Myeloid Leukemia
Primary: Proportion of Eligible Patients Choosing to Participate in the Care Model Under Study Rather Than Standard of Care. — 10 Participants
N/A N=302 Goals of Care: A Nursing Home Trial of Decision Support for Advanced Dementia
Dementia
Primary: Quality of Communication and Decision-making — 6.0; 5.6; 3.7; 3.0 units on a scale
N/A N=7,590 Improving Palliative Care Through Teamwork
Palliative Care
Primary: Hospital Site of Death: Number of Decedents Cared for in an Enrolled and Assigned NH Facility, Who Were Transferred to a Hospital and Died in the Hospital During the…
N/A N=416 Improving Decision Making for Patients With Prolonged Mechanical Ventilation
Surrogate Decision Makers · Prolonged Mechanical Ventilation
Primary: Change in Clinician-surrogate Concordance Scale Score — -6.6; -4.8; 33.6; 34.3 score on a scale — p=<0.05
N/A N=414 Preparing Older Veterans With Serious and Chronic Illness for Decision Making
Aging
Primary: New Advance Care Planning Documentation in the Medical Record at 9 Months — 35; 25 percentage of participants
N/A N=80 Piloting a Multi-component Technology-based Care Intervention to Address Patient Symptoms in Home Hospice
Hospice
Primary: Participant Recruitment Rate — 37.7 percentage of enrolled participants
N/A N=242 Preparation for End-of-Life Decision Making in Mild Dementia
Dementia
Primary: Dyad Congruence With Goals-of-Care Tool — 9; 4; 11; 24 Participants
N/A N=514 Hospice Problem Solving Intervention
Hospice Informal Caregivers
Primary: Caregiver Anxiety: Change From Baseline to Post-Intervention Exit — -0.9; -2.0; -0.7 units on a scale — p=0.002
N/A N=210 A Representational Intervention to Promote Preparation for End-of-life Decision Making
End Stage Renal Disease
Primary: Dyad Congruence — 48; 64 percentage of congruent dyads — p=<.05
N/A N=102 Shared Decision Making in Dialysis
End Stage Renal Disease · Chronic Kidney Diseases
Primary: Mean Feasibility of Intervention Measure — 16.4; 16.1; 19.0 score on a scale
N/A N=45 Palliative Care Consultations in the Skilled Nursing Facility (SNF) Setting
Palliative Care · Advance Care Planning · Skilled Nursing Facilities
Primary: Number of Participants Who Completed Patient Quality of Life Surveys — 10; 35; 10; 35 participants
N/A N=523 A Problem Solving Intervention for Hospice Caregivers
Anxiety Generalized · Quality of Life · Depression
Primary: Table 2. Comparison of 4 Groups — -2.54; -1.49; -2.27; -1.52 units on a scale — p=0.1860
N/A N=7 Palliative Care for Persons With ADRD and CI in SNF
Advance Care Planning · Palliative Care · Skilled Nursing Facility
Primary: Number of Participants That Completed Patient Quality of Life Survey — 4; 3; 3; 3 Participants
N/A N=60 Palliative Care at Home for Dementia
Dementia
Primary: Number of Patients Who Completed the Symptom Management at the End of Life for Dementia Scale (SM-EOLD) — 14; 16; 6; 5 Participants
N/A N=47,396 Aligning Patient Preferences: a Role Offering Alzheimer's Patients, Caregivers, and Healthcare Providers Education and Support
Alzheimer Disease · Dementia
Primary: Hospital Transfers — 1.2; 1.3 number of hospital transfers — p=0.3313
N/A N=200 Intuition vs. Deliberation in Medical Decision Making
Decision Making About Life-sustaining Treatment in Patients With Serious Cardiac, Respiratory and Oncological Conditions Likely to Limit Life Expectancy
Primary: Acceptance or Refusal of a Feeding Tube for Chronic Aspiration — 41; 45; 56; 57 Participants
N/A N=23 Standardized Patient-Centered Medication Review in Home Hospice
Hospices · Poly Pharmacy · Deprescriptions
Primary: Intervention Training Completion by Hospice Staff — 17; 0 Participants
N/A N=132 The Influence of Default Options in Advance Directives
Advance Care Planning
Primary: Proportion of Subjects Who Select Palliative Care Options — 31; 50; 47 percentage who select palliative care
N/A N=4,779 Palliative Care Educator
Advance Care Planning · Palliative Care · Alzheimer's Disease and Related Dementias
Primary: Identification of a Goals of Care Conversation in the Electronic Health Record (EHR) During the Index Hospitalization — 3744; 2396 Participants
N/A N=134 Evaluation of Methods for Implementation of a Comfort Care Order Set
Terminal Conditions, End of Life
Primary: Presence of an Active Opioid Order at Time of Death — 1330; 1543 Participants — p=0.445
N/A N=192 Involving Nursing Home Residents and Their Families in Acute Care Transfer Decisions
Chronic Disease · Acute Disease
Primary: Preparation for Decision Making — 39.59; 36.00 score on a scale — p=0.046
N/A N=1,151 Implementation of Knowledge-Based Palliative Care
Ageing
Primary: World Health Organization Quality of Life-BREF (WHOQOL-BREF) — 86; 82; 3; 3 score on a scale
N/A N=562 Predictive Analytics and Behavioral Nudges to Improve Palliative Care in Advanced Cancer
Cancer
Primary: Number of Study Participants Who Have Completed a Palliative Care Visit Within 3 Months of Enrollment — 22; 130 participants
N/A N=262 Intervention to Improve Expression of End of Life Preferences for Homeless Persons
Healthy
Primary: Completion of Advance Directive — 15; 55 Participants — p=<0.05