A Culturally-Based Palliative Care Tele-consult Program for Rural Southern Elders

Part of paid clinical trials in Alexander City, Alabama.

Sponsor
University of Alabama at Birmingham
Study ID
NCT03767517
Status
Completed

Conditions

  • Cancer
  • Cardiac Disease
  • Hepatic Disease
  • Neuro-Degenerative Disease
  • Pulmonary Disease
  • Renal Disease
  • Sepsis
  • Stroke

Eligibility Criteria

Sex
ALL
Age
55 Years - N/A
Healthy Volunteers
Not accepted

Interventions

  • Active Intervention — OTHER
    Half of the patients will receive tele-consult program. Tele-consult intervention includes: initial consult and 2 follow up contacts. Usual care includes assessment and treatment by the admitting physician, along with any subspecialists that are consulted.
  • Usual Care — OTHER
    Half of the patients will receive usual care. Usual care includes assessment and treatment by the admitting physician, along with any subspecialists that are consulted.

Study Details

Rural patients with life-limiting illness are at very high risk of not receiving appropriate care due to a lack of health professionals, long distances to treatment centers, and limited palliative care (PC) clinical expertise. Secondly, although culture strongly influences people's response to diagnosis, illness and treatment preferences, culturally-based care models are not currently available for most seriously-ill rural patients and their family caregivers. Lack of sensitivity to cultural differences may compromise PC for minority patients. The purpose of this study is to compare a culturally-based Tele-consult program to usual hospital care to determine whether a culturally-based PC Tele-consult program leads to lower symptom burden in hospitalized African American and White older adults with a life-limiting illness.

Key Dates

Start date
Aug 24, 2020
Status verified
May 2025
Primary completion
Dec 7, 2023
Completion
Aug 30, 2024

Study Design

Enrollment
209 participants (actual)
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE

Arms

  • Experimental: Active Intervention
    Usual Care + Tele-consult Intervention
  • Active Comparator: Usual Care
    Usual care includes assessment and treatment by the admitting physician, along with any subspecialists that are consulted.

Primary Outcome Measure

Patient Symptom Burden (Edmonton Symptom Assessment Scale [ESAS]) [ Time Frame: baseline and 7 days post-baseline and 30 days post-baseline ]

Locations (4)

FacilityCityStateZIPSite coordinators
Russell Medical CenterAlexander CityAlabama35010-
Anderson Regional Medical CenterMeridianMississippi39301-
Highland Community HospitalPicayuneMississippi39466-
Aiken Regional Medical CenterAikenSouth Carolina29801-

Find similar trials in Alexander City, AL

By condition
Stroke
By specialty
NeurologyBrain disorders
By research site
Russell Medical Center· Alexander City, ALAnderson Regional Medical Center· Meridian, MSHighland Community Hospital· Picayune, MSAiken Regional Medical Center· Aiken, SC

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