Trial Outcomes & Findings for Palliative Care Consultations in the Skilled Nursing Facility (SNF) Setting (NCT NCT03958552)
NCT ID: NCT03958552
Last Updated: 2024-07-11
Results Overview
The Patient Outcome Survey (POS) 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). Higher values represent a worse outcome.
COMPLETED
NA
45 participants
Collected upon admission to the nursing home and enrollment and again 15-21 days after enrollment in the study (control group) or intervention received (intervention group).
2024-07-11
Participant Flow
Participant milestones
| Measure |
Standard Care (Control)
Participants received the standard Medicare Skilled Nursing Facility care, Patient Outcome Survey (POS) at enrollment and follow-up 15-21 days later.
|
Palliative Care Consult
Participants received the standard Medicare Skilled Nursing Facility care plus a Palliative Care Consultation. They also received a Patient Outcome Survey (POS) at enrollment and followup POS and Consultation Satisfaction Questionnaire (CSQ) 15-21 later.
|
|---|---|---|
|
Overall Study
STARTED
|
10
|
35
|
|
Overall Study
COMPLETED
|
10
|
35
|
|
Overall Study
NOT COMPLETED
|
0
|
0
|
Reasons for withdrawal
Withdrawal data not reported
Baseline Characteristics
Palliative Care Consultations in the Skilled Nursing Facility (SNF) Setting
Baseline characteristics by cohort
| Measure |
Standard Care
n=10 Participants
Participants received the standard Medicare Skilled Nursing Facility care.
|
Palliative Care Consult
n=35 Participants
Participants received the standard Medicare Skilled Nursing Facility care plus a Palliative Care Consultation with a trained provider.
Palliative Care Consultation: Trained provider discussed 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.
|
Total
n=45 Participants
Total of all reporting groups
|
|---|---|---|---|
|
Age, Categorical
<=18 years
|
0 Participants
n=99 Participants
|
0 Participants
n=107 Participants
|
0 Participants
n=206 Participants
|
|
Age, Categorical
Between 18 and 65 years
|
0 Participants
n=99 Participants
|
0 Participants
n=107 Participants
|
0 Participants
n=206 Participants
|
|
Age, Categorical
>=65 years
|
10 Participants
n=99 Participants
|
35 Participants
n=107 Participants
|
45 Participants
n=206 Participants
|
|
Sex: Female, Male
Female
|
7 Participants
n=99 Participants
|
27 Participants
n=107 Participants
|
34 Participants
n=206 Participants
|
|
Sex: Female, Male
Male
|
3 Participants
n=99 Participants
|
8 Participants
n=107 Participants
|
11 Participants
n=206 Participants
|
|
Ethnicity (NIH/OMB)
Hispanic or Latino
|
0 Participants
n=99 Participants
|
0 Participants
n=107 Participants
|
0 Participants
n=206 Participants
|
|
Ethnicity (NIH/OMB)
Not Hispanic or Latino
|
10 Participants
n=99 Participants
|
35 Participants
n=107 Participants
|
45 Participants
n=206 Participants
|
|
Ethnicity (NIH/OMB)
Unknown or Not Reported
|
0 Participants
n=99 Participants
|
0 Participants
n=107 Participants
|
0 Participants
n=206 Participants
|
|
Race (NIH/OMB)
American Indian or Alaska Native
|
0 Participants
n=99 Participants
|
0 Participants
n=107 Participants
|
0 Participants
n=206 Participants
|
|
Race (NIH/OMB)
Asian
|
0 Participants
n=99 Participants
|
0 Participants
n=107 Participants
|
0 Participants
n=206 Participants
|
|
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
|
0 Participants
n=99 Participants
|
0 Participants
n=107 Participants
|
0 Participants
n=206 Participants
|
|
Race (NIH/OMB)
Black or African American
|
0 Participants
n=99 Participants
|
1 Participants
n=107 Participants
|
1 Participants
n=206 Participants
|
|
Race (NIH/OMB)
White
|
10 Participants
n=99 Participants
|
34 Participants
n=107 Participants
|
44 Participants
n=206 Participants
|
|
Race (NIH/OMB)
More than one race
|
0 Participants
n=99 Participants
|
0 Participants
n=107 Participants
|
0 Participants
n=206 Participants
|
|
Race (NIH/OMB)
Unknown or Not Reported
|
0 Participants
n=99 Participants
|
0 Participants
n=107 Participants
|
0 Participants
n=206 Participants
|
|
Region of Enrollment
United States
|
10 participants
n=99 Participants
|
35 participants
n=107 Participants
|
45 participants
n=206 Participants
|
PRIMARY outcome
Timeframe: Collected upon admission to the nursing home and enrollment and again 15-21 days after enrollment in the study (control group) or intervention received (intervention group).Population: Both intervention and control groups are administered a baseline POS and follow up POS.
The Patient Outcome Survey (POS) 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). Higher values represent a worse outcome.
Outcome measures
| Measure |
Standard Care (Control Group)
n=10 Participants
Participants received the standard Medicare Skilled Nursing Facility care.
|
Palliative Care Consult (Intervention Group)
n=35 Participants
Participants received the standard Medicare Skilled Nursing Facility care plus a Palliative Care Consultation with a trained provider.
Palliative Care Consultation: Trained provider discussed 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.
|
|---|---|---|
|
Number of Participants Who Completed Patient Quality of Life Surveys
Completed Baseline POS
|
10 participants
|
35 participants
|
|
Number of Participants Who Completed Patient Quality of Life Surveys
Completed Follow up POS
|
10 participants
|
35 participants
|
SECONDARY outcome
Timeframe: Collected within 15-21days of palliative care consultation for the intervention group.Population: Participants in the Control arm were not administered the CSQ survey. Only participants in the intervention group were administered the CSQ survey
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). Higher values represent a worse outcome.
Outcome measures
| Measure |
Standard Care (Control Group)
Participants received the standard Medicare Skilled Nursing Facility care.
|
Palliative Care Consult (Intervention Group)
n=10 Participants
Participants received the standard Medicare Skilled Nursing Facility care plus a Palliative Care Consultation with a trained provider.
Palliative Care Consultation: Trained provider discussed 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.
|
|---|---|---|
|
Number of Participants Who Completed the Consult Satisfaction Survey (CSQ)
|
—
|
10 participants
|
SECONDARY outcome
Timeframe: 30 Days post-admissionPopulation: Data were not collected due to study teams limited access to the medical records to review Adherence to SNF-PCC recommendations (due to Covid 19)
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.
Outcome measures
Outcome data not reported
Adverse Events
Standard Care
Palliative Care Consult
Serious adverse events
Adverse event data not reported
Other adverse events
Adverse event data not reported
Additional Information
Dr. Joan Carpenter
University of Maryland School of Nursing
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place