Aim 1: Outcomes
|
|
|
Primary Outcome: HADS depression score |
Depressive and anxiety symptoms |
Patients and/or Families: Enrollment (if able),1, 3, 6, months post-randomization for all; 1 month after death for family members |
SUPPORT question109
|
Goal-concordant care |
Impact of event scale (IES)88,105,106
|
Post-traumatic stress symptoms |
QUAL-E and QUAL-E (Fam)114–116
|
Quality of life |
Aim 1: Potential Mediators of the Intervention
|
|
|
Perceived Competence Scale (PCS)117,118
|
Efficacy/capability/expectations for health behavior |
Patients and/or Families: Enrollment (if able),1, 3, 6 months post-randomization |
Aim 2: Outcomes
|
|
|
Hospitalizations, ICU admits,, palliative care consultations |
Healthcare utilization; use of palliative care |
Medical record: After-death or 6 months |
Hospital and ICU costs |
Inpatient costs of care from index hospitalization (direct and indirect) |
Medical record/financial databases(US only) |
Aim 3: Implementation Factors and Outcomes
|
|
|
Domains: intervention, settings, individual, process |
Key factors identified from CFIR125
|
Patients/families/clinicians: Qualitative interviews |
Outcomes: acceptability, fidelity, penetration |
Key outcomes identified by Proctor126
|