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Promoting Palliative Care for People With Heart Failure

Promoting Palliative Care for People With Heart Failure: The P3HF Pilot Study

Who can join

As published by the study on ClinicalTrials.gov. "Not stated" means the study hasn't said — ask the study team.

Age
18 Years and older
Sex
All sexes
Healthy volunteers
Not accepted
Compensation
Not stated

Other requirements are listed under Eligibility below. Only the study team can confirm whether you can join.

What to expect

No one can promise a trial will help you personally — that is what the research is trying to find out.

What participation involves

  • Procedures mentioned: Questionnaires, Interviews

Only what the study's summary and detailed description on ClinicalTrials.gov say. Time periods may describe the whole study or a part of it — ask the study team what applies to you.

Show the study's own words
  • "Patients randomized to the intervention arm will have providers who receive the tool and can complete one post-trial survey."
  • "High use providers will also have the opportunity to participate in a survey and 1 post-trial interview."
  • "Level 2 providers will participate in one interview."
Compensation
Not stated
  • Study-related exams and procedures are typically provided at no cost. This is how many trials work in general — confirm the details for this study with the study team.
  • Participants are monitored closely by the research team throughout the study.
  • Some participants may receive access to an investigational treatment, which is still being studied.
  • Your participation helps researchers learn whether this approach could help future patients.

About this study

In plain language

This study will develop and test a tool to help care teams refer people in the hospital with heart failure to palliative care sooner. Palliative care helps ease symptoms and match care to a person's goals. The study includes hospital staff and adult patients with heart failure.

This project will develop and test a novel clinical decision support tool (CDS) that encourages timely referral to palliative care for people hospitalized with heart failure. This intervention will incorporate an existing, validated 1-year mortality risk model into a CDS to deliver prognostic information and evidence-based decision support at the point of care. Thus, this research may lead to improved care-concordant and goal-directed care for people with heart failure.

Compensation is read from the study's own description and may be missing — always confirm with the study team.

Eligibility

Who can join

  • Providers must be doctors (attending doctors, fellows, or residents), advanced practice nurses, or physician associates.
  • These providers must be allowed to order care and belong to a team that admits patients to the hospital.
  • These providers must expect to work at one of the two study hospitals for the full 15-month trial.
  • Palliative care team members, hospital administrators, and quality and safety staff may also join.
  • Patients must receive care from a provider in the study and have heart failure during their hospital stay.
  • Patients must be age 18 or older.
  • Patients must have an NT-proBNP blood test result above 500 pg/ml. This test measures a sign of strain on the heart.
  • Patients must have received medicine through a vein to remove extra fluid within 24 hours of entering the hospital.

Who can't join

  • Patients who are pregnant when admitted to the hospital.

Simplified for readability. The official criteria below are what the study team uses.

Official eligibility criteria

Inclusion Criteria: Healthcare providers must meet the following criteria: * Are an attending physician, fellow, or resident, advanced practice nurse, or physician associate * Has ordering privileges * Are members of one of the hospitals' admitting teams (e.g., hospitalist service, cardiology service) * Anticipate employment at one of the two study sites for the 15-month trial period. Or * Palliative care team member * Hospital administrator/quality and safety personnel Patients of providers enrolled in the study must meet the following criteria for heart failure during hospitalization: * Age 18 years of age or older * N-terminal pro-B-type natriuretic peptide values of \>500 pg/ml * Received intravenous diuretics within 24 hours of admission. Exclusion Criteria: * Pregnant at the time of admission.

Study sites (2)

CT