A Culturally-Based Palliative Care Tele-consult Program for Rural Southern Elders
NCT03767517 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 209
Last updated 2025-05-23
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.
Conditions
- Cancer
- Cardiac Disease
- Pulmonary Disease
- Neuro-Degenerative Disease
- Renal Disease
- Stroke
- Sepsis
- Hepatic Disease
Interventions
- OTHER
-
Active Intervention
Half of the patients will receive tele-consult program. Tele-consult intervention includes: initial consult and 2 follow up contacts. Usual care includes assessment and treatment by the admitting physician, along with any subspecialists that are consulted.
- OTHER
-
Usual Care
Half of the patients will receive usual care. Usual care includes assessment and treatment by the admitting physician, along with any subspecialists that are consulted.
Sponsors & Collaborators
-
National Institute of Nursing Research (NINR)
collaborator NIH -
University of Alabama at Birmingham
lead OTHER
Principal Investigators
-
Marie A Bakitas, DNSc · University of Alabama at Birmingham
Study Design
- Allocation
- RANDOMIZED
- Purpose
- SUPPORTIVE_CARE
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 55 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2020-08-24
- Primary Completion
- 2023-12-07
- Completion
- 2024-08-30
Countries
- United States
Study Locations
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