Evidence map›Paper›PMID 37718442›Full record

ArticleBMC palliative care2023

Dissemination and Implementation of a Community Health Worker Intervention for Disparities in Palliative Care (DeCIDE PC): a study protocol for a hybrid type 1 randomized controlled trial.

Amn Siddiqi, Olivia Monton, Alison Woods, Taleaa Masroor, Shannon Fuller, Jill Owczarzak, Gayane Yenokyan, Lisa A Cooper, Karen M Freund, Thomas J Smith and 5 more

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

Article in BMC palliative care, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05407844 (Community Health Worker Based Intervention to Improve Palliative Care), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
2.0field-weighted citation impact, top 13% 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.

NCT05407844 naenrolling by invitationnot on this map

Community Health Worker Based Intervention to Improve Palliative Care

TypeinterventionalSponsorWake Forest University Health SciencesRan2023 to 2027Enrolled160ConditionsCancer, End Stage Cancer, Malignancy, Advanced CancerArmsCommunity Health Worker (CHW) based palliative care
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
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

15 authors at 7 institutions in 1 country.

Amn SiddiqiDepartment of Surgery, Johns Hopkins University School of Medicine, 600 N Wolfe Street, Baltimore, MD, 21287, USA.
Olivia MontonDepartment of Surgery, Johns Hopkins University School of Medicine, 600 N Wolfe Street, Baltimore, MD, 21287, USA.
Alison WoodsDepartment of Surgery, Johns Hopkins University School of Medicine, 600 N Wolfe Street, Baltimore, MD, 21287, USA.
Taleaa MasroorDepartment of Surgery, Johns Hopkins University School of Medicine, 600 N Wolfe Street, Baltimore, MD, 21287, USA.
Shannon FullerDepartment of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, 624 N Broadway, Baltimore, MD, 21205, USA.
Jill OwczarzakDepartment of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, 624 N Broadway, Baltimore, MD, 21205, USA.
Gayane YenokyanDepartment of Biostatistics, Johns Hopkins Bloomberg School of Public Health, 615 N Wolfe Street, Baltimore, MD, 21205, USA.
Lisa A CooperDepartment of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, 624 N Broadway, Baltimore, MD, 21205, USA.
Karen M FreundDepartment of Medicine, Tufts University School of Medicine, 800 Washington Street, Boston, MA, 02111, USA.
Thomas J SmithDepartment of Medicine, Johns Hopkins University School of Medicine, 600 N Wolfe Street, Baltimore, MD, 21287, USA.
Jean S KutnerDepartment of Medicine, University of Colorado School of Medicine, 12401 E 17th Ave, Aurora, CO, 80045, USA.
Kathryn L ColbornDepartment of Medicine, School of Medicine, University of Colorado Anschutz Medical Campus, 13001 E 17th Place, Aurora, CO, 80045, USA.
Robert JoynerRichard A. Henson Research Institute, TidalHealth Peninsula Regional, 100 East Carroll Street, Salisbury, MD, 21801, USA.
Ronit ElkDepartment of Medicine, University of Alabama at Birmingham, 933 19th Street S, Birmingham, AL, 35205, USA.
Fabian M JohnstonDivision of Surgical Oncology, Department of Surgery, Johns Hopkins University, 600 N Wolfe Street, Blalock 606, Baltimore, MD, 21287, USA. fjohnst4@jhmi.edu.
Johns Hopkins University · USJohns Hopkins Medicine · USPeninsula Regional Medical Center · USTufts University · USUniversity of Alabama at Birmingham · USUniversity of Colorado Anschutz Medical Campus · USUniversity of Colorado Denver · US

Funding

Dissemination and Implementation of a Community Health Worker Intervention for Disparities in Palliative Care (DeCIDE-PC)R01CA252101 · NCI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI Fabian M Johnston · 2021 to 2026
$2.0M
NCI NIH HHS 1R01CA252101-01A1NCI NIH HHS R01 CA252101
6 · The paper itself

Abstract

backgroundThere are persistent racial and ethnic health disparities in end-of-life health outcomes in the United States. African American patients are less likely than White patients to access palliative care, enroll in hospice care, have documented goals of care discussions with their healthcare providers, receive adequate symptom control, or die at home. We developed Community Health Worker Intervention for Disparities in Palliative Care (DeCIDE PC) to address these disparities. DeCIDE PC is an integrated community health worker (CHW) palliative care intervention that uses community health workers (CHWs) as care team members to enhance the receipt of palliative care for African Americans with advanced cancer. The overall objectives of this study are to (1) assess the effectiveness of the DeCIDE PC intervention in improving palliative care outcomes amongst African American patients with advanced solid organ malignancy and their informal caregivers, and (2) develop generalizable knowledge on how contextual factors influence implementation to facilitate dissemination, uptake, and sustainability of the intervention.

methodsWe will conduct a multicenter, randomized, assessor-blind, parallel-group, pragmatic, hybrid type 1 effectiveness-implementation trial at three cancer centers across the United States. The DeCIDE PC intervention will be delivered over 6 months with CHW support tailored to the individual needs of the patient and caregiver. The primary outcome will be advance care planning. The treatment effect will be modeled using logistic regression. The secondary outcomes are quality of life, quality of communication, hospice care utilization, and patient symptoms. DISCUSSION: We expect the DeCIDE PC intervention to improve integration of palliative care, reduce multilevel barriers to care, enhance clinic and patient linkage to resources, and ultimately improve palliative care outcomes for African American patients with advanced cancer. If found to be effective, the DeCIDE PC intervention may be a transformative model with the potential to guide large-scale adoption of promising strategies to improve palliative care use and decrease disparities in end-of-life care for African American patients with advanced cancer in the United States.

trial registrationRegistered on ClinicalTrials.gov (NCT05407844). First posted on June 7, 2022.

Indexed as

Hospice and Palliative Care NursingTerminal CareCommunity Health WorkersDeathHumansMulticenter Studies as TopicPalliative CarePragmatic Clinical Trials as TopicQuality of LifeRandomized Controlled Trials as TopicAdvanced cancerCancerCHWCommunityCommunity health workerHealth disparitiesPalliative careRacial disparities

Identifiers

PMID37718442
PMCPMC10506196
OpenAlexW4386817496

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.