Evidence map›Paper›PMID 25240788›Full record

Trial reportJournal of pain and symptom management2015

Apoyo con Cariño: a pilot randomized controlled trial of a patient navigator intervention to improve palliative care outcomes for Latinos with serious illness.

Stacy M Fischer, Lilia Cervantes, Regina M Fink, Jean S Kutner

2 registry-linked trialsAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Journal of pain and symptom management, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 39 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 7 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

NCT02616588 nacompletednot on this mapstarted 2016, after this paper: background citation

Vets Helping Vets Pilot Study

TypeinterventionalSponsorVA Eastern Colorado Health Care SystemRan2016 to 2017Enrolled17ConditionsAdvanced Stage CancerArmsVeteran Patient Navigator and Social Work Intervention
NCT03978806 nacompletednot on this mapstarted 2020, after this paper: background citation

Fostering Resilience on Dialysis: A Peer Navigator Study to Improve the Well-being of Latinos on Hemodialysis

TypeinterventionalSponsorUniversity of Colorado, DenverRan2020 to 2024Enrolled139ConditionsRacial/Ethnic Minorities on DialysisArmsActive Comparator: peer navigator, Placebo Comparator: Control Arm (standard of care)
3 · Its place in the literature

Who cites it

39 citing papers in PubMed, 7 syntheses or guidelines pooled it.

  1. Interventions for improving health literacy in migrants.The Cochrane database of systematic reviews · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Stacy M FischerDivision of General Internal Medicine, Department of Medicine, University of Colorado School of Medicine, Aurora, Colorado, USA. Electronic address: stacy.fischer@ucdenver.edu.
Lilia CervantesDenver Health and Hospital Authority, Denver, Colorado, USA.
Regina M FinkUniversity of Colorado Hospital, Aurora, Colorado, USA; University of Colorado College of Nursing, Aurora, Colorado, USA.
Jean S KutnerDivision of General Internal Medicine, Department of Medicine, University of Colorado School of Medicine, Aurora, Colorado, USA.

Funding

Improving Care at the End of Life for Latinos:A Cultural Navigator InterventionK23AG028957 · NIA · UNIVERSITY OF COLORADO DENVER · PI FISCHER, STACY M · 2006 to 2010
$719k
NIA NIH HHS 5K23AG028957-04NIA NIH HHS K23 AG028957
6 · The paper itself

Abstract

contextLatinos experience significant health disparities at the end of life compared with non-Latinos.

objectivesTo determine the feasibility of a patient navigator intervention to improve palliative care outcomes for Latino adults with serious illness.

methodsThis was a pilot randomized controlled trial that included 64 Latino adults with life-limiting illness randomized to an intervention or a control group. All participants received a packet of linguistically matched materials on palliative care. In addition, intervention participants received up to five home visits from the bilingual, bicultural patient navigator. Visits focused on addressing barriers to palliative care through education, activation, and culturally tailored messaging. Outcomes included feasibility and advance care planning rates, documentation of pain management discussions in the medical record, and hospice utilization.

resultsOf the 32 patients randomized to the intervention arm, 81% had at least one home visit (range 1-5) with the patient navigator. Overall, advance care planning was higher in the intervention group (47% [n = 15] vs. 25% [n = 8], P = 0.06), and 79% of intervention participants had a discussion about pain management documented in their medical record vs. 54% of control patients (P = 0.05). Hospice enrollment between the two groups (n = 18 decedents) was similar (n = 7 intervention vs. n = 6 control); length of stay in the intervention group was 36.4 ± 51.6 vs. 19.7 ± 33.6 days for control patients (P = 0.39).

conclusionA culturally tailored patient navigator intervention was feasible and suggests improved palliative care outcomes for Latinos facing advanced medical illness, justifying a fully powered randomized controlled trial.

Indexed as

Hispanic or LatinoAdvance Care PlanningCommunity Health WorkersCulturally Competent CareFeasibility StudiesFemaleFollow-Up StudiesHospice CareHouse CallsHumansMaleMiddle AgedMultilingualismPain ManagementPalliative CarePatient Navigationhealth disparitiespalliative carePatient navigation

Identifiers

PMID25240788
PMCPMC4705861

What OpenQuestion holds

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Read underepoch 390

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.