Journal of pain and symptom management
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J Pain Symptom Manage · Feb 2020
Randomized Controlled TrialEarly-Integrated Palliative home care and standard care for end-stage COPD (EPIC): A Phase II pilot RCT testing feasibility, acceptability and effectiveness.
Although early integrated palliative home care (PHC) is believed to be beneficial for patients with chronic obstructive pulmonary disease (COPD), trials testing this hypothesis are rare and show inconclusive results. ⋯ Our intervention on early integrated PHC for end-stage COPD is feasible and accepted but did not yield the anticipated preliminary effectiveness. Before moving to a Phase III trial, enhanced coordination of care, more GP involvement, more intensive training for PHCNs in COPD support, and revision of the trial design, for example, of targeted outcomes in line with individual patient goals and care preferences should be done.
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J Pain Symptom Manage · Feb 2020
Randomized Controlled TrialA feasibility study to develop and test a cognitive behavioral stress management mobile health application for HIV-related fatigue.
Exacerbated by life stressors, fatigue is the most common symptom for people living with HIV. ⋯ We have proof of concept as to the feasibility, acceptability, and initial signals of efficacy for an mHealth intervention to help people with HIV-related fatigue better cope with stress and reduce their fatigue.