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• W2573445197 abstract "•Identify methodologic strengths and weaknesses involving palliative care delivery research.•Understand the role of patient navigators to promote and support primary palliative care in the cancer care setting. Efforts to increase access to palliative care (PC) must maximize primary PC and community-based models to meet the ever growing need in a culturally-sensitive manner. Our pilot data suggest that a culturally tailored patient navigator intervention has the potential to improve PC outcomes for Latinos with advanced cancer. To conduct a multi-site randomized controlled trial testing the effectiveness of a patient navigator intervention to improve PC outcomes. Latino adults with advanced cancer were randomized to control (educational materials) or intervention (educational materials and ∼5 navigator visits). Measured 3 month outcomes: Brief Pain Inventory, McGill QOL Questionnaire, and a process measure; 6 months: documented advance directives (AD) in EMR; Ongoing data collection: hospice utilization, length of stay, and aggressiveness of care at end-of-life. 223 patients enrolled and were randomized to control (111) or intervention groups (112). Intervention group patients reported an average pain severity score (0-10) of 2.88 (+2.52) versus control 3.52 (+2.90), p=0.12 and pain interference of 3.36 (+3.27) versus control 3.83 (+3.56), p=0.37. Only physical subscale showed a significant effect in QOL (6.86+2.53 intervention vs. 5.76+2.86 control, p=0.007). Documented AD in the EMR 69% (66) of intervention versus 33% (28) control, p<0.0001. Process outcomes: 84% of intervention patients reported discussing advance care planning with families and providers (60%), compared to control (55% and 35%, respectively), p<0.0001 and p=0.001, would recommend hospice for loved ones (88%) or themselves (88%) in intervention group compared to control (65% and 66% respectively), p=0.0004 and 0.0005. A culturally tailored patient navigator intervention can increase advance care planning and help patients align with a palliative approach in Latinos with advanced cancer." @default.
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• W2573445197 date "2017-02-01" @default.
• W2573445197 modified "2023-09-26" @default.
• W2573445197 title "Apoyo con Cariño: Patient Navigation to Improve Palliative Care Outcomes for Latinos with Advanced Cancer (SA508B)" @default.
• W2573445197 doi "https://doi.org/10.1016/j.jpainsymman.2016.12.185" @default.
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