A Culturally-Based Palliative Care Tele-consult Program for Rural Southern Elders

Completed · Not applicable

Conditions studied: Cancer, Cardiac Disease, Pulmonary Disease, Neuro-Degenerative Disease, Renal Disease, Stroke, Sepsis, Hepatic Disease

In brief

Rural patients with life-limiting illness are at very high risk of not receiving appropriate care due to a lack of health professionals, long distances to treatment centers, and limited palliative care (PC) clinical expertise. Secondly, although culture strongly influences people's response to diagnosis, illness and treatment preferences, culturally-based care models are not currently available for most seriously-ill rural patients and their family caregivers. Lack of sensitivity to cultural differences may compromise PC for minority patients. The purpose of this study is to compare a culturally-based Tele-consult program to usual hospital care to determine whether a culturally-based PC Tele-consult program leads to lower symptom burden in hospitalized African American and White older adults with a life-limiting illness.

Key facts

Study ID

NCT03767517

Run by

University of Alabama at Birmingham

People needed

209

Starts

2020-08-24

Expected to finish

2024-08-30

Last updated by the study team

2025-05-23

Who can join

Age: 55 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• AA or W;
• 55 years old; has a condition which fits into one of 3 illness paradigms -cancer, chronic progressive, frailty.
• Clinician answers "no" to question: "Would you be surprised if this person died in the next 12 months?"
• Patient has a caregiver who has been involved in their care.
• Able to complete baseline interviews

You may not qualify if…

• Unable to complete baseline interviews;
• Currently receiving hospice care;
• No family member/caregiver.

Where it is running

• Russell Medical Center — Alexander City, Alabama, United States
• Anderson Regional Medical Center — Meridian, Mississippi, United States
• Highland Community Hospital — Picayune, Mississippi, United States
• Aiken Regional Medical Center — Aiken, South Carolina, United States

Full record on ClinicalTrials.gov

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