Evidence map›Paper›PMID 33864847›Full record

Trial reportJournal of pain and symptom management2021

Increasing Readiness for Early Integrated Palliative Oncology Care: Development and Initial Evaluation of the EMPOWER 2 Intervention.

Laura M Perry, Oliver Sartor, Sonia Malhotra, Sarah Alonzi, Seowoo Kim, Hallie M Voss, James L Rogers, William Robinson, Kendra Harris, Jessica Shank and 7 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of pain and symptom management, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed.

  1. Trial
  2. Review
  3. Navigating Long-Term Co-Creative Research With Young Adults Diagnosed With Cancer: A Qualitative Study.Health expectations : an international journal of public participation in health care and health policy · 2026
    Article
  4. Article
  5. Review
  6. Review
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  10. Article
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  12. Article
  13. Family Meetings in Palliative Care: Benefits and Barriers.Current treatment options in oncology · 2022
    Review
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

17 authors.

Laura M PerryTulane University, New Orleans, Louisiana, USA.
Oliver SartorTulane University, New Orleans, Louisiana, USA.
Sonia MalhotraTulane University, New Orleans, Louisiana, USA; University Medical Center New Orleans, New Orleans, Louisiana, USA.
Sarah AlonziTulane University, New Orleans, Louisiana, USA.
Seowoo KimTulane University, New Orleans, Louisiana, USA.
Hallie M VossTulane University, New Orleans, Louisiana, USA.
James L RogersNational Cancer Institute, Bethesda, Maryland, USA.
William RobinsonUniversity of Mississippi Medical Center, Jackson, Mississippi, USA.
Kendra HarrisTulane University, New Orleans, Louisiana, USA.
Jessica ShankTulane University, New Orleans, Louisiana, USA.
David G MorrisonThe Oncology Institute of Hope and Innovation, New Orleans, Louisiana, USA.
Ashley B LewsonIndiana University-Purdue University, Indianapolis, Indiana, USA.
Jyotsna FuloriaUniversity Medical Center New Orleans, New Orleans, Louisiana, USA.
Lucio MieleLouisiana State University Health Sciences Center, New Orleans, Louisiana, USA.
Brian LewisTulane University, New Orleans, Louisiana, USA.
Brenna MossmanTulane University, New Orleans, Louisiana, USA.
Michael HoergerTulane University, New Orleans, Louisiana, USA; University Medical Center New Orleans, New Orleans, Louisiana, USA. Electronic address: mhoerger@tulane.edu.

Funding

Tracking & Evaluation CoreU54GM104940 · NIGMS · LSU PENNINGTON BIOMEDICAL RESEARCH CTR · PI JUDD E SHELLITO · 2012 to 2026
$69.1M
NIGMS NIH HHS U54 GM104940
6 · The paper itself

Abstract

contextEarly integrated palliative care improves quality of life, but palliative care programs are underutilized. Psychoeducational interventions explaining palliative care may increase patients' readiness for palliative care.

objectivesTo 1) collaborate with stakeholders to develop the EMPOWER 2 intervention explaining palliative care, 2) examine acceptability, 3) evaluate feasibility and preliminary efficacy.

methodsThe research was conducted at a North American cancer center and involved 21 stakeholders and 10 patient-participants. Investigators and stakeholders iteratively developed the intervention. Stakeholders rated acceptability of the final intervention. Investigators implemented a pre-post trial to examine the feasibility of recruiting 10 patients with metastatic cancer within one month and with a ≥50% consent rate. Preliminary efficacy outcomes were changes in palliative care knowledge and attitudes.

resultsUsing feedback from four stakeholder meetings, we developed a multimedia intervention tailored to three levels of health-literacy. The intervention provides knowledge and reassurance about the purpose and nature of palliative care, addressing cognitive and emotional barriers to utilization. Stakeholders rated the intervention and design process highly acceptable (3.78/4.00). The pilot met a priori feasibility criteria (10 patients enrolled in 14 days; 83.3% consent rate). The intervention increased palliative care knowledge by 83.1% and improved attitudes by 18.9 points on a 0 to 51 scale (Ps < 0.00001).

conclusionsThis formative research outlines the development of a psychoeducational intervention about palliative care. The intervention is acceptable, feasible, and demonstrated promising pilot test results. This study will guide clinical teams in improving patients' readiness for palliative care and inform the forthcoming EMPOWER 3 randomized clinical trial.

Indexed as

Hospice and Palliative Care NursingNeoplasmsEmotionsHumansPalliative CareQuality of Lifeattitudedecision support techniquesinformation disseminationneoplasmsPalliative carepatient educationprofessional practice gapsstakeholder participation

Identifiers

PMID33864847
PMCPMC8526633

What OpenQuestion holds

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Registered trials

None linked

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.