ArticleJournal of palliative medicine2014
Translating and testing the ENABLE: CHF-PC concurrent palliative care model for older adults with heart failure and their family caregivers.
Article in Journal of palliative medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 6 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
45 citing papers in PubMed, 6 syntheses or guidelines pooled it, 90 citations in OpenAlex.
- Effectiveness of interventions for informal caregivers of people with end-stage chronic illness: a systematic review.Systematic reviews · 2024Pooled it
- Differences in family caregiver experiences and expectations of end-of-life heart failure care across providers and settings: a systematic literature review.BMC health services research · 2023Pooled it
- Referral Criteria to Palliative Care for Patients With Heart Failure: A Systematic Review.Circulation. Heart failure · 2020Pooled it
- A systematic review of heart failure dyadic self-care interventions focusing on intervention components, contexts, and outcomes.International journal of nursing studies · 2018Pooled it
- Psychosocial needs and interventions for heart failure patients and families receiving palliative care support: a systematic review.Heart failure reviews · 2017Pooled it
- The gap between policy and practice: a systematic review of patient-centred care interventions in chronic heart failure.Heart failure reviews · 2015Pooled it
- Trial
- The impact of an integrated early palliative care telehealth intervention on the quality of life of heart failure patients: a randomized controlled feasibility study.BMC palliative care · 2024Trial
- African American Recruitment in Early Heart Failure Palliative Care Trials: Outcomes and Comparison With the ENABLE CHF-PC Randomized Trial.Journal of palliative care · 2023Trial
- Hospice Family Caregiver Perceptions of Benefits and Challenges of a Telenovela Educational Intervention.Journal of palliative medicine · 2022Trial
- Effect of an Early Palliative Care Telehealth Intervention vs Usual Care on Patients With Heart Failure: The ENABLE CHF-PC Randomized Clinical Trial.JAMA internal medicine · 2020Trial
- Effects of a Telehealth Early Palliative Care Intervention for Family Caregivers of Persons With Advanced Heart Failure: The ENABLE CHF-PC Randomized Clinical Trial.JAMA network open · 2020Trial
- Engaging patients and families to create a feasible clinical trial integrating palliative and heart failure care: results of the ENABLE CHF-PC pilot clinical trial.BMC palliative care · 2017Trial
- Cultural adaptation of Educate, Nurture, Advise, Before Life Ends (ENABLE) for patients with heart failure and their caregivers in South-East Asia - a qualitative formative evaluation study.BMC palliative care · 2026Article
- Korean Society of Heart Failure Guidelines for the Palliative Care and Hospice for Heart Failure Patients.International journal of heart failure · 2026Review
- Article
- Cultural adaptation of ENABLE (Educate, Nurture, Advise, Before Life Ends) an early palliative care model for Iranian patients with heart failure and their caregivers: a qualitative study protocol.Archives of public health = Archives belges de sante publique · 2025Article
- Healthcare professionals' perspectives of barriers to cancer care delivery for American Indian, rural, and frontier populations.PEC innovation · 2024Article
- Identifying priority challenges of older adults with COPD: A multiphase intervention refinement study.Journal of the American Geriatrics Society · 2024Article
- Palliative Care for the Elderly With Heart Diseases in Tertiary Health care: A Concept Analysis.The American journal of hospice & palliative care · 2024Article
Corrections and comments
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Authors and funding
8 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundHeart failure (HF) and palliative care (PC) organizations recommend early PC to improve the quality of life of patients living with HF.
objectiveWe conducted a two-phase formative evaluation study to translate a cancer-focused concurrent PC intervention into one that would be appropriate for rural-dwelling adults with New York Heart Association Class III-IV HF and their primary caregivers.
methodsPhase I: We tailored the intervention for an HF population via literature review, expert consultation, and clinician (N=15) small group interviews. Phase II: We enrolled 11 patient/caregiver dyads to assess intervention feasibility and satisfaction. We assessed participants' experiences and satisfaction after session/week three and session/week six via digitally recorded interviews. Clinician and participant interviews were transcribed and content analyzed. Outcome measures were evaluated for completion rates and effect sizes.
resultsPhase I: Clinicians described barriers to initiating PC in HF, triggers for initiating PC, and suggestions for intervention improvement. Phase II: Participants were able to complete the majority of study sessions, measures, and interviews. Satisfaction interviews revealed the content to be relevant and comprehensive in addressing HF patient and caregiver primary concerns; however, participants unanimously suggested making the intervention available earlier in the illness trajectory. Efficacy measures demonstrated small to medium effect sizes.
conclusionsWe tailored and demonstrated feasibility of providing an early, concurrent palliative care intervention to patients with advanced HF and their caregivers. Based on this experience we are now conducting an efficacy trial in a racially diverse sample.
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Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.