Evaluation of Methods for Implementation of a Comfort Care Order Set
Completed · Not applicable
Conditions studied: Terminal Conditions, End of Life
In brief
The overarching goal of this research program is to improve the quality of end-of-life care provided to Veterans dying in VA Medical Centers (VAMCs), by transferring the best practices of home hospice and palliative care for the last days and hours of life into the inpatient setting. This trial will examine two methods of delivering a Comfort Care Education Intervention utilizing the established infrastructure of VA Palliative Care Consult Teams (PCCT): a Basic Implementation Approach using a teleconference to review educational materials and activate PCCTs to educate other providers, and an Enhanced Implementation Approach utilizing in-person, train-the-"champion" workshops to prepare PCCT members to be leaders and trainers at their home sites. Findings will provide a robust evaluation of the implementation process, and will be used to refine the Comfort Care Education Intervention and implementation strategies in preparation for nationwide dissemination of best practices for end-of-life care within the VA Healthcare System.
Key facts
- Study ID
- NCT02383173
- Run by
- VA Office of Research and Development
- People needed
- 134
- Starts
- 2015-03-01
- Expected to finish
- 2020-01-31
- Last updated by the study team
- 2023-07-27
Who can join
Age: any. Sex: any. Healthy volunteers: accepted.
You may qualify if…
- To be eligible, each provider had to be a member of a VA palliative care consult team (PCCT)
You may not qualify if…
- VAMCs were excluded if the facility scored in the top 10th percentile or lowest 10th percentile on PROMISE after-death survey; if they had no prescribing provider on the PCCT team; or if there were fewer than 30 deaths in VAMC during the reporting period
Where it is running
- Birmingham VA Medical Center, Birmingham, AL — Birmingham, Alabama, United States
Full record on ClinicalTrials.gov
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