<p>In this 12-month, virtual, RCT, we compared usual care to a nurse-led primary palliative care intervention on chronically ill, community-dwelling older adults across the United States with varying levels of cognitive impairment. Significantly higher rates of advance care planning (89.1% vs 3.0%) and reporting of supportive care needs (86.1% vs 29.3%) in the intervention vs usual care arm highlights the improvement in the care of older adults with cognitive impairment. <i>Trial Registration:</i> <a href="https://clinicaltrials.gov/study/NCT03881579">https://clinicaltrials.gov/study/NCT03881579</a>.</p>

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Impact of a virtual nurse-led Early paLlIative Care IntervenTion (ELICIT) randomized controlled trial

  • Vyjeyanthi S. Periyakoil,
  • Eric Neri,
  • Kristine Isabel M. Mallari,
  • Hsiao Min Huang,
  • Elizabeth Deleon Padilla,
  • Kenneth Covinsky,
  • Charles F. von Gunten,
  • Helena Kraemer

摘要

In this 12-month, virtual, RCT, we compared usual care to a nurse-led primary palliative care intervention on chronically ill, community-dwelling older adults across the United States with varying levels of cognitive impairment. Significantly higher rates of advance care planning (89.1% vs 3.0%) and reporting of supportive care needs (86.1% vs 29.3%) in the intervention vs usual care arm highlights the improvement in the care of older adults with cognitive impairment. Trial Registration: https://clinicaltrials.gov/study/NCT03881579.