Health TrialsbyHealthPanel

Promoting Palliative Care for People With Heart Failure

ConditionsHeart FailurePalliative Care
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorYale University

About this trial

This project will develop and test a novel clinical decision support tool (CDS) that encourages timely referral to palliative care for people hospitalized with heart failure. This intervention will incorporate an existing, validated 1-year mortality risk model into a CDS to deliver prognostic information and evidence-based decision support at the point of care. Thus, this research may lead to improved care-concordant and goal-directed care for people with heart failure.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Are an attending physician, fellow, or resident, advanced practice nurse, or physician associate

Has ordering privileges

Are members of one of the hospitals' admitting teams (e.g., hospitalist service, cardiology service)

Anticipate employment at one of the two study sites for the 15-month trial period.

Disqualifiers

Pregnant at the time of admission.

Trial design

Design model

Parallel

Treatments tested in this trial

  • Clinical Decision Support Tool

    Behavioral

    Deliver prognostic information and evidence-based decision support at the point of care

Treatment groups

2,260 Participants
are divided into 2 treatment groups
Group A: Clinical Decision Support (CDS) ToolExperimental treatment 1 intervention
Group B: Standard of CareNo intervention 0 interventions

Trial outcomes

Primary outcomes

1

Mean System Usability Scale score

System Usability Scale, 10-item Likert questionnaire. Total score range 0-100. Higher values indicate higher usability

Time frame
up to 15 months
2

Mean Acceptability of Intervention Measure score

Acceptability of Intervention Measure, 4-item questionnaire. Total score range 1-4. Higher values indicate higher acceptability.

Time frame
up to 15 months
3

Mean Appropriateness of Intervention Measure score

Appropriateness of Intervention Measure, 4-item questionnaire. Total score range 1-4. Higher values indicate higher appropriateness.

Time frame
up to 15 months
4

Mean Feasibility of Intervention Measure score

Feasibility of Intervention Measure, 4-item questionnaire. Total score range 1-4. Higher values indicate higher feasibility.

Time frame
up to 15 months

Secondary outcomes

1

Referral to Specialist Palliative Care

Proportion of participants who are referred to Specialist Palliative Care

Time frame
up to 15 months
2

Consultation by Specialist Palliative Care

Proportion of participants who have a completed consultation order by Specialist Palliative Care

Time frame
up to 15 months
3

Advance Care Plan Documentation

Proportion of participants who have a documented Advance Care Plan

Time frame
up to 15 months
4

Participants enrolled in hospice

Proportion of participants enrolled in hospice during hospitalization

Time frame
up to 15 months

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Yale University

Lead sponsor

National Heart, Lung, and Blood Institute (NHLBI)

Collaborator

Source ClinicalTrials.gov
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