Evidence map›Paper›PMID 32703245›Full record

ArticleTrials2020

Community Tele-pal: A community-developed, culturally based palliative care tele-consult randomized controlled trial for African American and White Rural southern elders with a life-limiting illness.

Kristen Allen Watts, Shena Gazaway, Emily Malone, Ronit Elk, Rodney Tucker, Susan McCammon, Michele Goldhagen, Jacob Graham, Veronica Tassin, Joshua Hauser and 6 more

Registry-linked trialOpen access · goldAbstract readClinical Trial Protocol
PubMed Full text at PMC Publisher
In one paragraph

Article in Trials, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03767517 (A Community Developed, Culturally-Based Palliative Care Tele-Consult Program for African American and White Rural Southern Elders With a Life Limiting Illness), which is not on this map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 9% of its field
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.

NCT03767517 nacompletednot on this map

A Community Developed, Culturally-Based Palliative Care Tele-Consult Program for African American and White Rural Southern Elders With a Life Limiting Illness

TypeinterventionalSponsorUniversity of Alabama at BirminghamRan2020 to 2024Enrolled209ConditionsCancer, Cardiac Disease, Pulmonary Disease, Neuro-Degenerative DiseaseArmsActive Intervention, Usual Care
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.

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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

16 authors at 8 institutions in 1 country.

Kristen Allen WattsSchool of Medicine, Division of Gerontology, Geriatrics, and Palliative Care, University of Alabama at Birmingham, Birmingham, USA.
Shena GazawayCollege of Nursing, Augusta University, Augusta, USA.
Emily MaloneSchool of Medicine, Division of Gerontology, Geriatrics, and Palliative Care, University of Alabama at Birmingham, Birmingham, USA.
Ronit ElkSchool of Medicine, Division of Gerontology, Geriatrics, and Palliative Care, University of Alabama at Birmingham, Birmingham, USA.
Rodney TuckerSchool of Medicine, Division of Gerontology, Geriatrics, and Palliative Care, University of Alabama at Birmingham, Birmingham, USA.
Susan McCammonCenter for Palliative and Supportive Care, University of Alabama at Birmingham, Birmingham, USA.
Michele GoldhagenRussell Medical Center, Alexander City, USA.
Jacob GrahamForrest General Hospital, Hattiesburg, USA.
Veronica TassinHighland Community Hospital, Picayune, USA.
Joshua HauserDepartment of Medical Education at Northwestern University, Chicago, USA.
Sidney RhoadesAiken Regional Medical Center, Aiken, USA.
Marjorie Kagawa-SingerFielding School of Public Health, Department of Community Health Sciences, University of California Los Angeles, Los Angeles, USA.
Eric WallaceDepartment of Medicine, Division of Nephrology, University of Alabama at Birmingham, Birmingham, USA.
James McElligottCollege of Medicine, The Medical University of South Carolina, Charleston, USA.
Richard KennedySchool of Medicine, Division of Gerontology, Geriatrics, and Palliative Care, University of Alabama at Birmingham, Birmingham, USA.
Marie BakitasSchool of Nursing, University of Alabama at Birmingham, Birmingham, USA. mbakitas@uab.edu.ORCID http://orcid.org/0000-0002-2913-2053
University of Alabama at Birmingham · USAugusta University · USForrest General Hospital · USHighland Community College - Illinois · USMedical University of South Carolina · USNorthwestern University · USRegional Medical Center · USUniversity of California, Los Angeles · US

Funding

A Community-Developed, Culturally-Based PC Tele-Consult Program for African American and White Rural Southern Elders with a Life-limiting Illness. (Diversity Supplement)R01NR017181 · NINR · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI BAKITAS, MARIE ANNE, ELK, RONIT · 2018 to 2022
$3.7M
NINR NIH HHS R01 NR017181NINR NIH HHS R01NR017181
6 · The paper itself

Abstract

backgroundPatients living in rural areas experience a variety of unmet needs that result in healthcare disparities. The triple threat of rural geography, racial inequities, and older age hinders access to high-quality palliative care (PC) for a significant proportion of Americans. Rural patients with life-limiting illness are at risk of not receiving appropriate palliative care due to a limited specialty workforce, long distances to treatment centers, and limited PC clinical expertise. 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. The purpose of this randomized clinical trial (RCT) is to compare a culturally based tele-consult program (that was developed by and for the rural southern African American (AA) and White (W) population) to usual hospital care to determine the impact on symptom burden (primary outcome) and patient and care partner quality of life (QOL), care partner burden, and resource use post-discharge (secondary outcomes) in hospitalized AA and White older adults with a life-limiting illness.

methodsCommunity Tele-pal is a three-site RCT that will test the efficacy of a community-developed, culturally based PC tele-consult program for hospitalized rural AA and W older adults with life-limiting illnesses (n = 352) and a care partner. Half of the participants (n = 176) and a care partner (n = 176) will be randomized to receive the culturally based palliative care consult. The other half of the patient participants (n = 176) and care partners (n = 176) will receive usual hospital care appropriate to their illness. DISCUSSION: This is the first community-developed, culturally based PC tele-consult program for rural southern AA and W populations. If effective, the tele-consult palliative program and methods will serve as a model for future culturally based PC programs that can reduce patients' symptoms and care partner burden.

trial registrationClinicalTrials.gov NCT03767517 . Registered on 27 December 2018.

Indexed as

Culturally Competent CarePalliative CareReferral and ConsultationRural PopulationTelemedicineAgedBlack or African AmericanCaregiversHumansMulticenter Studies as TopicQuality of LifeRandomized Controlled Trials as TopicWhite PeopleAfrican AmericansCommunity-based participatory researchCulturally basedPalliative careRural hospitalsTele-consultationTele-healthWhites

Identifiers

PMID32703245
PMCPMC7376880
OpenAlexW3044469392

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.