Articles: palliative-care.
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Randomized Controlled Trial Multicenter Study
Home-based palliative approach for people with severe multiple sclerosis and their carers: study protocol for a randomized controlled trial.
Preliminary evidence suggests that palliative care may be useful for people with severe multiple sclerosis (MS). The aim of this study is to determine the effectiveness of a home-based palliative approach (HPA) for people with severe MS and their carers. ⋯ The results of our study will show whether the HPA is feasible and beneficial to people with severe MS and their carers living in the three Italian geographic areas. The nested qualitative study will add to the understanding of the strengths and limitations of the intervention.
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J Pain Symptom Manage · Apr 2015
Randomized Controlled TrialApoyo con Cariño: a pilot randomized controlled trial of a patient navigator intervention to improve palliative care outcomes for latinos with serious illness.
Latinos experience significant health disparities at the end of life compared with non-Latinos. ⋯ A culturally tailored patient navigator intervention was feasible and suggests improved palliative care outcomes for Latinos facing advanced medical illness, justifying a fully powered randomized controlled trial.
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Oncology nursing forum · Mar 2015
Randomized Controlled Trial Comparative StudyA pilot randomized, controlled trial of the effectiveness of a psychoeducational intervention on family caregivers of patients with advanced cancer.
To evaluate the effectiveness of a psychoeducational intervention, the Caring for the Caregiver Programme (CCP). ⋯ A psychoeducational intervention potentially could help caregivers cope with the demands of caregiving.
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J Pain Symptom Manage · Mar 2015
Randomized Controlled TrialDoctors' decisions when faced with contradictory patient advance directives and health care proxy opinion: a randomized vignette-based study.
Sometimes a written advance directive contradicts the opinion of a health care proxy. How this affects doctors' decision making is unknown. ⋯ Contradictions between advance directives and proxy opinions result in a weak preference for abstention from treatment and increase the difficulty of the decision.
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Randomized Controlled Trial Comparative Study
A comparison of Web-based and small-group palliative and end-of-life care curricula: a quasi-randomized controlled study at one institution.
Few studies have compared the effect of Web-based eLearning versus small-group learning on medical student outcomes. Palliative and end-of-life (PEOL) education is ideal for this comparison, given uneven access to PEOL experts and content nationally. ⋯ Findings showed equivalent gains in self-efficacy and knowledge between students participating in a Web-based PEOL curriculum in comparison with students learning similar content in a small-group format. Web-based curricula can standardize content presentation when local teaching expertise is limited, but it may lead to decreased user satisfaction.