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- W3036050232 abstract "•Incorporate keystone considerations into the behavioral intervention research lifecycle.•Integrate ethical and cultural considerations in the design and evaluation of behavioral research. The design of behavioral interventions in hospice and palliative care needs to acknowledge the unique challenges of these settings. Strategies to integrate ethical and cultural considerations, and to improve likelihood for translation into practice are needed. This presentation demonstrates how ethical considerations, cultural congruence, interdisciplinary collaboration and engagement of stakeholders can serve as keystones, namely foundational threads that inform the design, implementation and evaluation of a behavioral intervention in hospice and palliative care. A model for behavioral intervention research was developed by our research team specifically for the hospice and palliative care settings. This model includes iterative steps that cover the spectrum of behavioral intervention research, starting from the definition and analysis of a problem, moving into the design of an intervention, pilot-testing, refining and formally evaluating the intervention as well as disseminate findings and translating the intervention. Based on three federally funded clinical trials in various settings (including two clinical trials in home hospice and one in outpatient palliative care) we demonstrate how stakeholders can be engaged in all phases of the intervention development and testing. Similarly, strategies to address cultural congruence and methods to incorporate interdisciplinary perspectives are presented. Ethical considerations and challenges associated with the testing of behavioral interventions in these settings are discussed. In order to ensure that behavioral interventions can be tailored and effective and easily translatable into practice, extensive planning is required. A structured approach that integrates ethical and cultural considerations as well as interdisciplinary perspectives in all phases of the intervention design and testing, rather than an afterthought, can maximize the chances of a successful implementation and translation into practice." @default.
- W3036050232 created "2020-06-25" @default.
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- W3036050232 date "2020-07-01" @default.
- W3036050232 modified "2023-09-29" @default.
- W3036050232 title "Keystones in Behavioral Intervention Research in Hospice and Palliative Care (RP502)" @default.
- W3036050232 doi "https://doi.org/10.1016/j.jpainsymman.2020.04.094" @default.
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