Meier 2004.
Trial name or title | |
Methods | Cluster RCT; Unit of allocation: Care coordinator nurse |
Participants | Patients in their end‐of‐life's phase Setting / country: Franklin Health's offices in New Jersey (headquarters) and locally health units in communities (in all the 50 states) / United States Phase of care: Palliative care Planned sample size at randomisation: 321 |
Interventions | Usual complex case management + palliative care assessment and feedback (CCM +): training for care coordinator nurses, clinical account managers, and physician managers on: (1) formal symptom assessment, (2) use of computer‐based treatment protocols and care pathways, (3) communication skills for advance care planning and bad news discussions and (4) feedback to treating physicians. Control: Usual care complex case management (CCM) (initial visit, signed consent, initial assessment, identification of issues and goals, work with patient/family/providers to achieve goals/monitor status, measure of impacts, summary reports). |
Outcomes | Patient: Pain, symptoms, QoL, communication about treatment preferences, satisfaction, medication prescribed for symptom control Informal carer: Satisfaction Professional: Evaluation of acceptability, feasibility, utility and benefits of the intervention for the patients Process: Hospital days, intensive care unit days, emergency department use, physician visits, length of stay in complex care management, physician inpatient and outpatient relative value units, hospice referral rate, home care services used, analgesic/anxiolytic/antidepressant prescribing, and site of death |
Starting date | |
Contact information | |
Notes | Planned study duration: 6‐8 weeks (or until death) for symptoms; 9‐16 weeks (or until death) for patient and family satisfaction |