Journal of pain and symptom management
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J Pain Symptom Manage · Dec 2024
Randomized Controlled Trial Multicenter StudyPredictors of Specialty Outpatient Palliative Care Utilization Among Persons with Serious Illness.
Outpatient Palliative Care (OPC) benefits persons living with serious illness, yet barriers exist in utilization. ⋯ Efforts to improve OPC utilization should focus on those with lower education, more functional limitations, older age, female sex, and those with less social support. Trial Registration ClinicalTrials.gov Identifier: NCT03325985.
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J Pain Symptom Manage · Dec 2024
Randomized Controlled TrialCulturally Adapted RN-MD Collaborative SICP-Based ACP: Feasibility RCT in Advanced Cancer Patients.
Cultural adaptation is essential for optimizing programs centered around autonomy, such as the Serious Illness Care Program (SICP), especially for populations valuing family-involved decision-making. ⋯ Despite not meeting the targeted completion rate, the intervention group demonstrated enhanced spiritual well-being, QOL, and ACP progress. Our findings suggest revisions to the intervention manual to improve feasibility and to progress to an efficacy-focused randomized controlled trial.