Trial Outcomes & Findings for Implementation of a Telehealth Palliative Care Model for Persons With Dementia (NCT NCT05001620)

Last Updated: 2024-08-13

Results Overview

Investigators will determine a recommendation adherence score after each participants' encounter. Each recommendation will be assigned 2 points, then will define full (2 points), partial (1 point) and no adherence (0 point) to each recommendation. Investigators will sum the points for each SNF-PCC recommendation and use this as the denominator. Investigators 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.

Recruitment status

COMPLETED

Study phase

Target enrollment

16 participants

Primary outcome timeframe

30 days post admission

Results posted on

2024-08-13

Participant Flow

Participant milestones

Participant milestones
Measure	Palliative Care Consultation in Post-Acute Care Subjects will receive usual care plus a telehealth palliative care consultation by specialty providers who will document their findings in the Electronic Health Record (EHR), and communicate their findings and recommendations to the clinical team. Palliative Care Consultation: The PC provider conducts the structured PCC-PAC via videoconference or telephone with the PLWD and/or their care partner and the social work (SW) champion in the NH. The SW and PC provider will set up a mutually agreed upon consultation day/time with the PLWD and/or care partner, within 5 business days of NH admission and follow up visits will occur no more than 30 days later (if needed).	Stakeholder Engagement We will engage stakeholders in a stakeholder engagement plan that include Palliative Care providers; Social Work (SW) NH champions; post-acute care unit nursing staff and providers (including medial directors); NH leadership, information technology staff; and a PLWD and their care partners in focus groups and one on one semi structured interviews via phone or videoconference.
Overall Study STARTED	2	14
Overall Study COMPLETED	1	14
Overall Study NOT COMPLETED	1	0

Reasons for withdrawal

Reasons for withdrawal
Measure	Palliative Care Consultation in Post-Acute Care Subjects will receive usual care plus a telehealth palliative care consultation by specialty providers who will document their findings in the Electronic Health Record (EHR), and communicate their findings and recommendations to the clinical team. Palliative Care Consultation: The PC provider conducts the structured PCC-PAC via videoconference or telephone with the PLWD and/or their care partner and the social work (SW) champion in the NH. The SW and PC provider will set up a mutually agreed upon consultation day/time with the PLWD and/or care partner, within 5 business days of NH admission and follow up visits will occur no more than 30 days later (if needed).	Stakeholder Engagement We will engage stakeholders in a stakeholder engagement plan that include Palliative Care providers; Social Work (SW) NH champions; post-acute care unit nursing staff and providers (including medial directors); NH leadership, information technology staff; and a PLWD and their care partners in focus groups and one on one semi structured interviews via phone or videoconference.
Overall Study Didn't complete the telehealth Palliative Care Consultation	1	0

Baseline Characteristics

Implementation of a Telehealth Palliative Care Model for Persons With Dementia

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure	Palliative Care Consultation in Post-Acute Care n=2 Participants Subjects will receive usual care plus a telehealth palliative care consultation by specialty providers who will document their findings in the Electronic Health Record (EHR), and communicate their findings and recommendations to the clinical team. Palliative Care Consultation: The PC provider conducts the structured PCC-PAC via videoconference or telephone with the PLWD and/or their care partner and the social work (SW) champion in the NH. The SW and PC provider will set up a mutually agreed upon consultation day/time with the PLWD and/or care partner, within 5 business days of NH admission and follow up visits will occur no more than 30 days later (if needed).	Stakeholder Engagement n=14 Participants We will engage stakeholders in a stakeholder engagement plan that include Palliative Care providers; Social Work (SW) NH champions; post-acute care unit nursing staff and providers (including medial directors); NH leadership, information technology staff; and a PLWD and their care partners in focus groups and one on one semi structured interviews via phone or videoconference.	Total n=16 Participants Total of all reporting groups
Age, Customized >18 years of age	2 Participants n=5 Participants	14 Participants n=7 Participants	16 Participants n=5 Participants
Sex/Gender, Customized Male	1 Participants n=5 Participants	0 Participants n=7 Participants	1 Participants n=5 Participants
Sex/Gender, Customized Female	0 Participants n=5 Participants	0 Participants n=7 Participants	0 Participants n=5 Participants
Sex/Gender, Customized Unknown	1 Participants n=5 Participants	14 Participants n=7 Participants	15 Participants n=5 Participants
Race (NIH/OMB) American Indian or Alaska Native	0 Participants n=5 Participants	0 Participants n=7 Participants	0 Participants n=5 Participants
Race (NIH/OMB) Asian	0 Participants n=5 Participants	0 Participants n=7 Participants	0 Participants n=5 Participants
Race (NIH/OMB) Native Hawaiian or Other Pacific Islander	0 Participants n=5 Participants	0 Participants n=7 Participants	0 Participants n=5 Participants
Race (NIH/OMB) Black or African American	0 Participants n=5 Participants	0 Participants n=7 Participants	0 Participants n=5 Participants
Race (NIH/OMB) White	1 Participants n=5 Participants	0 Participants n=7 Participants	1 Participants n=5 Participants
Race (NIH/OMB) More than one race	0 Participants n=5 Participants	0 Participants n=7 Participants	0 Participants n=5 Participants
Race (NIH/OMB) Unknown or Not Reported	1 Participants n=5 Participants	14 Participants n=7 Participants	15 Participants n=5 Participants
Region of Enrollment United States	2 participants n=5 Participants	14 participants n=7 Participants	16 participants n=5 Participants

PRIMARY outcome

Timeframe: 30 days post admission

Population: no data were collected

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 30 days post admission

Population: The one participant that completed the study did not have any hospitalizations. The Stakeholders were not included in the analysis.

Number of hospitalization(s)

Outcome measures

Outcome measures
Measure	Palliative Care Consultation in Post-Acute Care n=1 Participants Subjects will receive usual care plus a telehealth palliative care consultation by specialty providers who will document their findings in the Electronic Health Record (EHR), and communicate their findings and recommendations to the clinical team. Palliative Care Consultation: The PC provider conducts the structured PCC-PAC via videoconference or telephone with the PLWD and/or their care partner and the social work (SW) champion in the NH. The SW and PC provider will set up a mutually agreed upon consultation day/time with the PLWD and/or care partner, within 5 business days of NH admission and follow up visits will occur no more than 30 days later (if needed).	Stakeholder Engagement We will engage stakeholders in a stakeholder engagement plan that include Palliative Care providers; Social Work (SW) NH champions; post-acute care unit nursing staff and providers (including medial directors); NH leadership, information technology staff; and a PLWD and their care partners in focus groups and one on one semi structured interviews via phone or videoconference.
Number of Hospitalizations	0 Participants	0 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: 1 year

Population: no arm 1 participants were enrolled in arm 2

We engaged participants in focus groups and semi-structured interviews to deepen understanding of barriers and facilitators to telehealth palliative care implementation.

Outcome measures

Outcome measures
Measure	Palliative Care Consultation in Post-Acute Care n=2 Participants Subjects will receive usual care plus a telehealth palliative care consultation by specialty providers who will document their findings in the Electronic Health Record (EHR), and communicate their findings and recommendations to the clinical team. Palliative Care Consultation: The PC provider conducts the structured PCC-PAC via videoconference or telephone with the PLWD and/or their care partner and the social work (SW) champion in the NH. The SW and PC provider will set up a mutually agreed upon consultation day/time with the PLWD and/or care partner, within 5 business days of NH admission and follow up visits will occur no more than 30 days later (if needed).	Stakeholder Engagement n=14 Participants We will engage stakeholders in a stakeholder engagement plan that include Palliative Care providers; Social Work (SW) NH champions; post-acute care unit nursing staff and providers (including medial directors); NH leadership, information technology staff; and a PLWD and their care partners in focus groups and one on one semi structured interviews via phone or videoconference.
Number of Participants With Completed Stakeholder Interviews/Focus Groups	1 Participants	14 Participants

Adverse Events

Palliative Care Consultation in Post-Acute Care

Serious events: 0 serious events

Other events: 0 other events

Deaths: 0 deaths

Stakeholder Engagement

Serious events: 0 serious events

Other events: 0 other events

Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Joan G. Carpenter

University of Maryland School of Nursing

Phone: 443-880-1430

Email: [email protected]

Results disclosure agreements

Principal investigator is a sponsor employee
Publication restrictions are in place