Menu
Recruiting NCT06933875

Promoting Palliative Care for People With Heart Failure

No phase Interventional Heart Failure Palliative Care

For patients and families

In plain language

An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.

What is being studied
The protocol lists: Clinical Decision Support Tool.
Who it may be relevant to
Registry conditions: Heart Failure, Palliative Care. Basic parameters: from 18 years · All.
What needs checking
Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
Where it takes place
United States
Next step
Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →

Unsure about the terms? Read our patient guide →

Official title

Promoting Palliative Care for People With Heart Failure: The P3HF Pilot Study

Overview

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.

Detailed description

Healthcare providers will encounter the tool during the routine care of their hospitalized patients. Patients randomized to the intervention arm will have providers who receive the tool and can complete one post-trial survey. High use providers will also have the opportunity to participate in a survey and 1 post-trial interview. Level 2 providers will participate in one interview.

Interventions

  • Behavioral Clinical Decision Support Tool
    Deliver prognostic information and evidence-based decision support at the point of care

Primary outcome measures

  • Mean System Usability Scale score [Time frame: up to 15 months]
  • Mean Acceptability of Intervention Measure score [Time frame: up to 15 months]
  • Mean Appropriateness of Intervention Measure score [Time frame: up to 15 months]
  • Mean Feasibility of Intervention Measure score [Time frame: up to 15 months]
Secondary outcome measures (7)
  • Referral to Specialist Palliative Care [Time frame: up to 15 months]
  • Consultation by Specialist Palliative Care [Time frame: up to 15 months]
  • Advance Care Plan Documentation [Time frame: up to 15 months]
  • Participants enrolled in hospice [Time frame: up to 15 months]
  • Mean hospital length of stay [Time frame: up to 15 months]
  • Participants readmitted to hospital [Time frame: up to 15 months]
  • Change in Code Status [Time frame: up to 15 months]

Eligibility criteria

Inclusion criteria

Healthcare providers must meet the following criteria:

  • 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.

Or

  • Palliative care team member
  • Hospital administrator/quality and safety personnel

Patients of providers enrolled in the study must meet the following criteria for heart failure during hospitalization:

  • Age 18 years of age or older
  • N-terminal pro-B-type natriuretic peptide values of >500 pg/ml
  • Received intravenous diuretics within 24 hours of admission.

Exclusion criteria

  • Pregnant at the time of admission.

Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.

Healthy volunteers: No

Study design

Allocation
Randomized
Model
Parallel assignment
Masking
Open label
Primary purpose
Supportive care

Study locations

United States · 2 centers
  • Yale New Haven Hospital Saint Raphael — New Haven
  • Yale New Haven Hospital York Street — New Haven

Publications

  • Men Y, Wright N, O'Connor G, Han L, Kaur H, Suh E, Chen J, Kadhim B, Ahmad T, Beasley M, Segar N, Kim N, Quang J, Sharifi M, Feder S. Promoting palliative care for people with heart failure: the P3HF study protocol. BMC Palliat Care. 2026 Jul 11. doi: 10.1186/s12904-026-02206-w. Online ahead of print. PMID 42432643

Identifiers

NCT: NCT06933875 · 2000038269 · 1R34HL174885-01

Primary sources (government registries)

View this study on ClinicalTrials.gov ↗