Promoting Palliative Care for People With Heart Failure

Официальное название

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

Обзор

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.

Подробное описание

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.

Вмешательства

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

Первичные конечные точки

• Mean System Usability Scale score [Срок оценки: up to 15 months]
• Mean Acceptability of Intervention Measure score [Срок оценки: up to 15 months]
• Mean Appropriateness of Intervention Measure score [Срок оценки: up to 15 months]
• Mean Feasibility of Intervention Measure score [Срок оценки: up to 15 months]

Вторичные конечные точки (7)

• Referral to Specialist Palliative Care [Срок оценки: up to 15 months]
• Consultation by Specialist Palliative Care [Срок оценки: up to 15 months]
• Advance Care Plan Documentation [Срок оценки: up to 15 months]
• Participants enrolled in hospice [Срок оценки: up to 15 months]
• Mean hospital length of stay [Срок оценки: up to 15 months]
• Participants readmitted to hospital [Срок оценки: up to 15 months]
• Change in Code Status [Срок оценки: up to 15 months]

Критерии участия

Критерии включения

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.

Критерии исключения

• Pregnant at the time of admission.

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Открытое

Основная цель

Поддерживающая терапия

Центры проведения

США · 2 центра

• Yale New Haven Hospital Saint Raphael — New Haven
• Yale New Haven Hospital York Street — New Haven

Публикации

• 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

Идентификаторы

NCT: NCT06933875 · 2000038269 · 1R34HL174885-01

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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