Cancer, Cardiac Disease, Pulmonary Disease, Neuro-Degenerative Disease, Renal Disease, Stroke, Sepsis, Hepatic Disease
Conditions
Brief summary
Rural patients with life-limiting illness are at very high risk of not receiving appropriate care due to a lack of health professionals, long distances to treatment centers, and limited palliative care (PC) clinical expertise. Secondly, although culture strongly influences people's response to diagnosis, illness and treatment preferences, culturally-based care models are not currently available for most seriously-ill rural patients and their family caregivers. Lack of sensitivity to cultural differences may compromise PC for minority patients. The purpose of this study is to compare a culturally-based Tele-consult program to usual hospital care to determine whether a culturally-based PC Tele-consult program leads to lower symptom burden in hospitalized African American and White older adults with a life-limiting illness.
Detailed description
The triple threat of rural geography, racial inequities, and older age hinders access to high quality PC for a significant proportion of Americans. Rural patients with life-limiting illness are at very high risk of not receiving appropriate care due to a lack of health professionals, long distances to treatment centers, and limited PC clinical expertise. Although culture strongly influences people's response to diagnosis, illness and treatment preferences, culturally-based care models are not currently available for most seriously-ill rural patients and their family caregivers. Lack of sensitivity to cultural differences may compromise PC for minority patients. The two major public health consequences of these problems are: 1. Access-Rural patients have sub-optimal or no access to PC. Despite significant nationwide growth, access to PC is grossly inadequate for the 60 million US citizens who live in rural or non-metropolitan areas. There is low PC use in rural and minority populations. As a result, rural patients experience significant suffering from uncontrolled symptoms that PC expertise could alleviate. 2. Acceptability-Even when palliative and hospice services are available, African Americans (AA), compared to Whites (W) are more likely to receive medically-ineffective, poor quality care due to a culturally-insensitive health care system and mistrust of health care providers. Making culturally competent PC available for diverse underserved and rural Americans is a national priority. This community-developed, culturally based Teleconsult Intervention specifically targets the gaps of PC access and acceptability. It was developed by and for rural, Deep South AA and W patients and providers, and uses state-of-the-art telehealth methods, to provide PC consultation to hospitalized seriously-ill patients and family. Using National Consensus Project guidelines, and the culturally-based, community-developed PC Tele-consult intervention, a remote PC expert conducts a comprehensive PC patient assessment, in collaboration with local providers. Following interdisciplinary PC team review, the remote clinician communicates recommendations. Two additional structured follow up contacts at Day 3 and 6 ensure care coordination and smooth transitions that enable patients to receive guideline concurrent PC in their communities. Aims of the study and Hypotheses: Primary Aim: Determine whether a culturally-based PC Tele-consult program leads to lower symptom burden in hospitalized AA and W older adults with a life-limiting illness. Hypothesis 1: Intervention patient participants receiving a culturally-based PC Tele-consult program will experience lower symptom burden on Day 7 post-consultation. Secondary Aim: Determine whether a culturally-based PC Tele-consult program results in higher patient and caregiver quality of life, care satisfaction, and lower caregiver burden at Day 7 post-consultation, and lower resource use (hospital readmission, emergency visits) 30-days post-discharge. Hypothesis 2: Intervention participants and their caregivers receiving a culturally-based PC Tele-consult program will experience higher patient and caregiver quality of life, care satisfaction, lower caregiver burden at Day 7 post consultation, and lower resource use (e.g. hospital admission, emergency visits) at 30 days after discharge. Exploratory Aim: Explore mediators and moderators of patient symptom and caregiver burden outcomes.
Interventions
OTHERActive Intervention
Half of the patients will receive tele-consult program. Tele-consult intervention includes: initial consult and 2 follow up contacts. Usual care includes assessment and treatment by the admitting physician, along with any subspecialists that are consulted.
OTHERUsual Care
Half of the patients will receive usual care. Usual care includes assessment and treatment by the admitting physician, along with any subspecialists that are consulted.
Sponsors
National Institute of Nursing Research (NINR)
University of Alabama at Birmingham
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
55 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* AA or W; * 55 years old; has a condition which fits into one of 3 illness paradigms -cancer, chronic progressive, frailty. * Clinician answers no to question: Would you be surprised if this person died in the next 12 months? * Patient has a caregiver who has been involved in their care. * Able to complete baseline interviews
Exclusion criteria
* Unable to complete baseline interviews; * Currently receiving hospice care; * No family member/caregiver.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Patient Symptom Burden (Edmonton Symptom Assessment Scale [ESAS]) | baseline and 7 days post-baseline and 30 days post-baseline | Change from baseline in patient-reported symptom burden measured using the Edmonton Symptom Assessment Scale (ESAS) at baseline; change from baseline measured using the ESAS at 7 days post-baseline. Each item is scored using: 0-10 (0= no pain; 10= worst possible pain), yielding a total score between 0 and 90. A higher value represents the worse possible outcome. Higher score indicates higher symptom burden. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | baseline and 7 days post-baseline and 30 days post baseline | Change from baseline measured using FAMCARE-2 at 7 days post-baseline. Each item was scored on a Likert scale of VS (very satisfied), S (satisfied), U (undecided), D (dissatisfied), VD (very dissatisfied), or NA (not applicable), which was then dichotomized into very satisfied/satisfied and undecided/dissatisfied/very dissatisfied. The mean percentages in these dichotomized categories was calculated along with the standard error of the mean. A repeated measures generalized linear mixed model was used to calculate the estimated marginal means (least squares means) and associated standard errors at each time point for the intervention and usual care groups. The higher mean percentage of the population that responded very satisfied/ satisfied equals a better outcome. |
| Patient Quality of Life (Patient-Reported Outcomes Measurement Information System Global Health-10 [PROMIS Global Health-10]) | baseline and 7 days post-baseline | Change from baseline in patient-reported quality of life using the Patient-Reported Outcomes Measurement Information System Global Health-10 (PROMIS Global Health-10) at baseline; change from baseline measured using the PROMIS Health-10 at 7 days post-baseline. Items 1-6 are scored using: 1-5 (1=poor; 5=excellent). Item 7 is scored using 1-5 (1= not at all; 5= completely). Item 8 is scored using 1-5 (1= always; 5=never). Item 9 is scored using 1-5 (1=very severe; 5=none). Item 10 is scored using 0-10 (0=no pain; 10=worst pain imaginable).Items were summed , then scaled to T-scores (which would have a mean of 50 and standard deviation of 10 in the general adult population) using published procedures from Health Measures, with higher scores representing better health. As the PROMIS Global Health is scaled relative to the referent general population, there are no minimum and maximum values published. |
| Caregiver Quality of Life (Patient-Reported Outcomes Measurement Information System Global Health-10 [PROMIS Global Health-10]) | Baseline and 7 days post-Baseline | Change from baseline in caregiver-reported quality of life using the Patient-Reported Outcomes Measurement Information System Global Health-10 (PROMIS Global Health-10) at baseline; change from baseline measured using the PROMIS Global Health-10 at 7 days post-baseline. Items 1-6 are scored using: 1-5 (1=poor; 5=excellent). Item 7 is scored using 1-5 (1= not at all; 5= completely). Item 8 is scored using 1-5 (1= always; 5=never). Item 9 is scored using 1-5 (1=very severe; 5=none). Item 10 is scored using 0-10 (0=no pain; 10=worst pain imaginable).Items were summed , then scaled to T-scores (which would have a mean of 50 and standard deviation of 10 in the general adult population) using published procedures from Health Measures, with higher scores representing better health. As the PROMIS Global Health is scaled relative to the referent general population, there are no minimum and maximum values published. |
| Caregiver Burden Scale (Montgomery Borgatta Caregiver Burden Scale [MBCB]) | Baseline and 7 days post-Baseline | Change from baseline in caregiver-reported burden using the Montgomery Borgatta Caregiver Burden Scale (MBCB) at baseline; change from baseline measured using the MBCB at 7 days post-baseline. This scale contains a total of 14 questions and 5 Likert scale responses (a lot less, a little less, the same, a little more, or a lot more). Caregiver burden will be quantified by three subscales; objective, subjective and demand burdens. Objective burden is measured by 6 questions (total score between 0-30), subjective burden is measured by 4 questions (total score between 4-20), and demand burden is measured by 4 questions (total score between 4-20). |
| Resource Use | 30 days post-Baseline | Patient resource use (e.g., number of hospital readmissions, and number of Emergency Department \[ED\] visits) within 30 days after enrollment. |
| The Mean Percentage of Caregivers Who Responded Completely/Quite a Bit to the Patient Satisfaction With Care (Feeling Heard and Understood) Survey. | Baseline and 7 days post-Baseline | Change from baseline in patient-reported satisfaction with care using the Feeling Heard and Understood questionnaire at baseline; change from baseline using the Feeling Heard and Understood questionnaire at 7 days post-baseline. Likert scale using: completely, quite a bit, moderately, slightly, not at all. Which was then dichotomized into completely/quite-a-bit and moderately/slightly/not at all. The mean percentage of participants in these dichotomized categories were calculated along with the standard error of the mean. The higher mean percentage of the population that responded completely/ quite a bit equals a better outcome. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Exploratory Aim 1b. Patient Symptom Burden (Edmonton Symptom Assessment Scale [ESAS]) | Day 7 | Patient symptom burden measured by Edmonton Symptom Assessment Scale \[ESAS\] mediated and/or moderated by patient/caregiver implementation of palliative care recommendations. Patient/caregiver implementation of palliative care recommendations are measured using patient/caregiver report at Day 7. Each item in the Edmonton Symptom Assessment Scale \[ESAS\] is scored using: 0-10 (0= no pain; 10= worst possible pain), yielding a total score between 0 and 90. |
| Exploratory Aim 1c. Caregiver Burden (Montgomery Borgatta Caregiver Burden Scale [MBCB]). | Day 7 | Caregiver burden measured by Montgomery Borgatta Caregiver Burden Scale \[MBCB\] mediated and/or moderated by hospitalist/clinician implementation of palliative care recommendations. Implementation of palliative care recommendations are measured using Electronic Health Record \[eHR\] documentation of recommendations by hospitalist/clinician at Day 7. This scale contains a total of 14 questions and 5 Likert scale responses (a lot less, a little less, the same, a little more, or a lot more) with higher scores indicating greater burden. Caregiver burden will be quantified by three subscales; objective, subjective and demand burdens. Objective burden is measured by 6 questions (total score between 0-30), subjective burden is measured by 4 questions (total score between 4-20), and demand burden is measured by 4 questions (total score between 4-20). |
| Exploratory Aim 1d. Caregiver Burden (Montgomery Borgatta Caregiver Burden Scale [MBCB]). | Day 30 | Caregiver burden measured by Montgomery Borgatta Caregiver Burden Scale \[MBCB\] mediated and/or moderated by caregiver/patient implementation of palliative care recommendations. Caregiver/patient implementation of palliative care recommendations are measured using caregiver/patient report at Day 7. This scale contains a total of 14 questions and 5 Likert scale responses (a lot less, a little less, the same, a little more, or a lot more). Caregiver burden will be quantified by three subscales; objective, subjective and demand burdens. Objective burden is measured by 6 questions (total score between 0-30), subjective burden is measured by 4 questions (total score between 4-20), and demand burden is measured by 4 questions (total score between 4-20). Higher scores indicates greater burden. |
| Exploratory Aim 1e. Caregiver Evaluation of Quality of End-of-Life Care [CEQUEL] | 2-3 Months after death of patient, if applicable | Caregiver evaluation of end-of-life care quality measured by Caregiver Evaluation of Quality of End-of-Life Care \[CEQUEL\] |
| Exploratory Aim 1f. Caregiver Bereavement (Caregiver Bereavement Items ([CBI]) | 2-3 Months after death of patient, if applicable | Caregiver bereavement measured by Caregiver Bereavement Items (\[CBI\] |
| Exploratory Aim 1a. Patient Symptom Burden (Edmonton Symptom Assessment Scale [ESAS]) | Day 7 | Patient symptom burden measured by Edmonton Symptom Assessment Scale \[ESAS\] mediated and/or moderated by hospitalist/clinician implementation of palliative care recommendations. Implementation of palliative care recommendations are measured using Electronic Health Record \[eHR\] documentation of recommendations by hospitalist/clinician at Day 7. Each item in the ESAS is scored using: 0-10 (0= no pain; 10= worst possible pain), yielding a total score between 0 and 90. |
Countries
United States
Participant flow
Pre-assignment details
Patient and Caregivers were considered enrolled. The patients were not enrolled without an active caregiver. They were only given one study Identification number.
Participants by arm
| Arm | Count |
|---|---|
| Active Intervention Usual Care + Tele-consult Intervention
Active Intervention: Half of the patients will receive tele-consult program. Tele-consult intervention includes: initial consult and 2 follow up contacts. Usual care includes assessment and treatment by the admitting physician, along with any subspecialists that are consulted. | 210 |
| Usual Care Usual care includes assessment and treatment by the admitting physician, along with any subspecialists that are consulted.
Usual Care: Half of the patients will receive usual care. Usual care includes assessment and treatment by the admitting physician, along with any subspecialists that are consulted. | 208 |
| Total | 418 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 |
|---|---|---|---|
| Overall Study | Death | 2 | 3 |
| Overall Study | Lost to Follow-up | 16 | 10 |
Baseline characteristics
| Characteristic | Active Intervention | Usual Care | Total |
|---|---|---|---|
| Age, Continuous Caregivers | 61.5 years STANDARD_DEVIATION 14.6 | 58.6 years STANDARD_DEVIATION 15.5 | 60.1 years STANDARD_DEVIATION 15.1 |
| Age, Continuous Patients | 72.9 years STANDARD_DEVIATION 8.7 | 73.7 years STANDARD_DEVIATION 7.7 | 73.3 years STANDARD_DEVIATION 8.2 |
| Ethnicity (NIH/OMB) Patient Hispanic or Latino | 0 Participants | 0 Participants | 0 Participants |
| Ethnicity (NIH/OMB) Patient Not Hispanic or Latino | 105 Participants | 104 Participants | 209 Participants |
| Ethnicity (NIH/OMB) Patient Unknown or Not Reported | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Caregivers American Indian or Alaska Native | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Caregivers Asian | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Caregivers Black or African American | 29.0 Participants | 27.0 Participants | 56 Participants |
| Race (NIH/OMB) Caregivers More than one race | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Caregivers Native Hawaiian or Other Pacific Islander | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Caregivers Unknown or Not Reported | 0 Participants | 4.0 Participants | 4 Participants |
| Race (NIH/OMB) Caregivers White | 76.0 Participants | 73.0 Participants | 149 Participants |
| Race (NIH/OMB) Patients American Indian or Alaska Native | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Patients Asian | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Patients Black or African American | 30.0 Participants | 28.0 Participants | 58 Participants |
| Race (NIH/OMB) Patients More than one race | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Patients Native Hawaiian or Other Pacific Islander | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Patients Unknown or Not Reported | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Patients White | 75.0 Participants | 76.0 Participants | 151 Participants |
| Region of Enrollment United States | 210 participants | 208 participants | 418 participants |
| Sex: Female, Male Caregivers Female | 83 Participants | 72 Participants | 155 Participants |
| Sex: Female, Male Caregivers Male | 22 Participants | 29 Participants | 51 Participants |
| Sex: Female, Male Patients Female | 53 Participants | 67 Participants | 120 Participants |
| Sex: Female, Male Patients Male | 52 Participants | 37 Participants | 89 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | 2 / 105 | 2 / 104 |
| other Total, other adverse events | 0 / 105 | 0 / 104 |
| serious Total, serious adverse events | 0 / 105 | 0 / 104 |
Outcome results
Primary
Patient Symptom Burden (Edmonton Symptom Assessment Scale [ESAS])
Change from baseline in patient-reported symptom burden measured using the Edmonton Symptom Assessment Scale (ESAS) at baseline; change from baseline measured using the ESAS at 7 days post-baseline. Each item is scored using: 0-10 (0= no pain; 10= worst possible pain), yielding a total score between 0 and 90. A higher value represents the worse possible outcome. Higher score indicates higher symptom burden.
Time frame: baseline and 7 days post-baseline and 30 days post-baseline
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Active Intervention | Patient Symptom Burden (Edmonton Symptom Assessment Scale [ESAS]) | baseline | 35.1 score on a scale | Standard Error 0.9 |
| Active Intervention | Patient Symptom Burden (Edmonton Symptom Assessment Scale [ESAS]) | Day 7 | 38.6 score on a scale | Standard Error 0.9 |
| Active Intervention | Patient Symptom Burden (Edmonton Symptom Assessment Scale [ESAS]) | Day 30 | 40.5 score on a scale | Standard Error 0.9 |
| Usual Care | Patient Symptom Burden (Edmonton Symptom Assessment Scale [ESAS]) | Day 30 | 39.4 score on a scale | Standard Error 0.9 |
| Usual Care | Patient Symptom Burden (Edmonton Symptom Assessment Scale [ESAS]) | baseline | 34.6 score on a scale | Standard Error 0.9 |
| Usual Care | Patient Symptom Burden (Edmonton Symptom Assessment Scale [ESAS]) | Day 7 | 38 score on a scale | Standard Error 0.9 |
Secondary
Caregiver Burden Scale (Montgomery Borgatta Caregiver Burden Scale [MBCB])
Change from baseline in caregiver-reported burden using the Montgomery Borgatta Caregiver Burden Scale (MBCB) at baseline; change from baseline measured using the MBCB at 7 days post-baseline. This scale contains a total of 14 questions and 5 Likert scale responses (a lot less, a little less, the same, a little more, or a lot more). Caregiver burden will be quantified by three subscales; objective, subjective and demand burdens. Objective burden is measured by 6 questions (total score between 0-30), subjective burden is measured by 4 questions (total score between 4-20), and demand burden is measured by 4 questions (total score between 4-20).
Time frame: Baseline and 7 days post-Baseline
Population: The number analyzed in one or more rows differ from the overall number analyzed because some of the participants failed to answer questions during data collection.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Active Intervention | Caregiver Burden Scale (Montgomery Borgatta Caregiver Burden Scale [MBCB]) | Day 7 Objective Burden | 19.1 score on a scale | Standard Error 0.3 |
| Active Intervention | Caregiver Burden Scale (Montgomery Borgatta Caregiver Burden Scale [MBCB]) | Day 7 Subjective Burden | 11.9 score on a scale | Standard Error 0.3 |
| Active Intervention | Caregiver Burden Scale (Montgomery Borgatta Caregiver Burden Scale [MBCB]) | Baseline Demand Burden | 12.1 score on a scale | Standard Error 0.3 |
| Active Intervention | Caregiver Burden Scale (Montgomery Borgatta Caregiver Burden Scale [MBCB]) | Baseline Objective Burden | 19.5 score on a scale | Standard Error 0.3 |
| Active Intervention | Caregiver Burden Scale (Montgomery Borgatta Caregiver Burden Scale [MBCB]) | Day 7 Demand Burden | 11 score on a scale | Standard Error 0.3 |
| Active Intervention | Caregiver Burden Scale (Montgomery Borgatta Caregiver Burden Scale [MBCB]) | Baseline Subjective Burden | 13.4 score on a scale | Standard Error 0.3 |
| Usual Care | Caregiver Burden Scale (Montgomery Borgatta Caregiver Burden Scale [MBCB]) | Day 7 Demand Burden | 10.8 score on a scale | Standard Error 0.3 |
| Usual Care | Caregiver Burden Scale (Montgomery Borgatta Caregiver Burden Scale [MBCB]) | Baseline Objective Burden | 19.9 score on a scale | Standard Error 0.3 |
| Usual Care | Caregiver Burden Scale (Montgomery Borgatta Caregiver Burden Scale [MBCB]) | Day 7 Objective Burden | 19.4 score on a scale | Standard Error 0.3 |
| Usual Care | Caregiver Burden Scale (Montgomery Borgatta Caregiver Burden Scale [MBCB]) | Baseline Subjective Burden | 13.1 score on a scale | Standard Error 0.3 |
| Usual Care | Caregiver Burden Scale (Montgomery Borgatta Caregiver Burden Scale [MBCB]) | Baseline Demand Burden | 11.8 score on a scale | Standard Error 0.3 |
| Usual Care | Caregiver Burden Scale (Montgomery Borgatta Caregiver Burden Scale [MBCB]) | Day 7 Subjective Burden | 11.6 score on a scale | Standard Error 0.3 |
Secondary
Caregiver Quality of Life (Patient-Reported Outcomes Measurement Information System Global Health-10 [PROMIS Global Health-10])
Change from baseline in caregiver-reported quality of life using the Patient-Reported Outcomes Measurement Information System Global Health-10 (PROMIS Global Health-10) at baseline; change from baseline measured using the PROMIS Global Health-10 at 7 days post-baseline. Items 1-6 are scored using: 1-5 (1=poor; 5=excellent). Item 7 is scored using 1-5 (1= not at all; 5= completely). Item 8 is scored using 1-5 (1= always; 5=never). Item 9 is scored using 1-5 (1=very severe; 5=none). Item 10 is scored using 0-10 (0=no pain; 10=worst pain imaginable).Items were summed , then scaled to T-scores (which would have a mean of 50 and standard deviation of 10 in the general adult population) using published procedures from Health Measures, with higher scores representing better health. As the PROMIS Global Health is scaled relative to the referent general population, there are no minimum and maximum values published.
Time frame: Baseline and 7 days post-Baseline
Population: The number of Caregivers changed at Day 7.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Active Intervention | Caregiver Quality of Life (Patient-Reported Outcomes Measurement Information System Global Health-10 [PROMIS Global Health-10]) | Baseline Physical Health | 48.5 score on a scale | Standard Error 0.9 |
| Active Intervention | Caregiver Quality of Life (Patient-Reported Outcomes Measurement Information System Global Health-10 [PROMIS Global Health-10]) | Day 7 Physical Health | 50.9 score on a scale | Standard Error 0.9 |
| Active Intervention | Caregiver Quality of Life (Patient-Reported Outcomes Measurement Information System Global Health-10 [PROMIS Global Health-10]) | Baseline Mental Health | 50 score on a scale | Standard Error 0.7 |
| Active Intervention | Caregiver Quality of Life (Patient-Reported Outcomes Measurement Information System Global Health-10 [PROMIS Global Health-10]) | Day 7 Mental Health | 49.6 score on a scale | Standard Error 0.7 |
| Usual Care | Caregiver Quality of Life (Patient-Reported Outcomes Measurement Information System Global Health-10 [PROMIS Global Health-10]) | Day 7 Mental Health | 48.3 score on a scale | Standard Error 0.7 |
| Usual Care | Caregiver Quality of Life (Patient-Reported Outcomes Measurement Information System Global Health-10 [PROMIS Global Health-10]) | Baseline Physical Health | 47.6 score on a scale | Standard Error 0.9 |
| Usual Care | Caregiver Quality of Life (Patient-Reported Outcomes Measurement Information System Global Health-10 [PROMIS Global Health-10]) | Baseline Mental Health | 47.7 score on a scale | Standard Error 0.7 |
| Usual Care | Caregiver Quality of Life (Patient-Reported Outcomes Measurement Information System Global Health-10 [PROMIS Global Health-10]) | Day 7 Physical Health | 49.4 score on a scale | Standard Error 0.9 |
Secondary
Patient Quality of Life (Patient-Reported Outcomes Measurement Information System Global Health-10 [PROMIS Global Health-10])
Change from baseline in patient-reported quality of life using the Patient-Reported Outcomes Measurement Information System Global Health-10 (PROMIS Global Health-10) at baseline; change from baseline measured using the PROMIS Health-10 at 7 days post-baseline. Items 1-6 are scored using: 1-5 (1=poor; 5=excellent). Item 7 is scored using 1-5 (1= not at all; 5= completely). Item 8 is scored using 1-5 (1= always; 5=never). Item 9 is scored using 1-5 (1=very severe; 5=none). Item 10 is scored using 0-10 (0=no pain; 10=worst pain imaginable).Items were summed , then scaled to T-scores (which would have a mean of 50 and standard deviation of 10 in the general adult population) using published procedures from Health Measures, with higher scores representing better health. As the PROMIS Global Health is scaled relative to the referent general population, there are no minimum and maximum values published.
Time frame: baseline and 7 days post-baseline
Population: The number of patients changed because of not completing the study.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Active Intervention | Patient Quality of Life (Patient-Reported Outcomes Measurement Information System Global Health-10 [PROMIS Global Health-10]) | Baseline Physical Health | 35.1 scaled to T-Scores | Standard Error 0.9 |
| Active Intervention | Patient Quality of Life (Patient-Reported Outcomes Measurement Information System Global Health-10 [PROMIS Global Health-10]) | Day 7 Physical Health | 38.6 scaled to T-Scores | Standard Error 0.9 |
| Active Intervention | Patient Quality of Life (Patient-Reported Outcomes Measurement Information System Global Health-10 [PROMIS Global Health-10]) | Baseline Mental Health | 45.5 scaled to T-Scores | Standard Error 0.8 |
| Active Intervention | Patient Quality of Life (Patient-Reported Outcomes Measurement Information System Global Health-10 [PROMIS Global Health-10]) | Day 7 Mental Health | 45.7 scaled to T-Scores | Standard Error 0.8 |
| Usual Care | Patient Quality of Life (Patient-Reported Outcomes Measurement Information System Global Health-10 [PROMIS Global Health-10]) | Day 7 Mental Health | 44 scaled to T-Scores | Standard Error 0.8 |
| Usual Care | Patient Quality of Life (Patient-Reported Outcomes Measurement Information System Global Health-10 [PROMIS Global Health-10]) | Baseline Physical Health | 34.6 scaled to T-Scores | Standard Error 0.9 |
| Usual Care | Patient Quality of Life (Patient-Reported Outcomes Measurement Information System Global Health-10 [PROMIS Global Health-10]) | Baseline Mental Health | 43.7 scaled to T-Scores | Standard Error 0.8 |
| Usual Care | Patient Quality of Life (Patient-Reported Outcomes Measurement Information System Global Health-10 [PROMIS Global Health-10]) | Day 7 Physical Health | 38 scaled to T-Scores | Standard Error 0.9 |
Secondary
Resource Use
Patient resource use (e.g., number of hospital readmissions, and number of Emergency Department \[ED\] visits) within 30 days after enrollment.
Time frame: 30 days post-Baseline
Population: Some participants reported that they were not sure which was considered missing data for analysis.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Active Intervention | Resource Use | Number of Hospital Re-admissions | 0.2 count the number of visits | Standard Error 0.06 |
| Active Intervention | Resource Use | Number of ER visits | 0.19 count the number of visits | Standard Error 0.06 |
| Usual Care | Resource Use | Number of Hospital Re-admissions | 0.14 count the number of visits | Standard Error 0.04 |
| Usual Care | Resource Use | Number of ER visits | 0.16 count the number of visits | Standard Error 0.05 |
Secondary
The Mean Percentage of Caregivers Who Responded Completely/Quite a Bit to the Patient Satisfaction With Care (Feeling Heard and Understood) Survey.
Change from baseline in patient-reported satisfaction with care using the Feeling Heard and Understood questionnaire at baseline; change from baseline using the Feeling Heard and Understood questionnaire at 7 days post-baseline. Likert scale using: completely, quite a bit, moderately, slightly, not at all. Which was then dichotomized into completely/quite-a-bit and moderately/slightly/not at all. The mean percentage of participants in these dichotomized categories were calculated along with the standard error of the mean. The higher mean percentage of the population that responded completely/ quite a bit equals a better outcome.
Time frame: Baseline and 7 days post-Baseline
Population: Nine of the participants dropped out of the study by Day 7.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Active Intervention | The Mean Percentage of Caregivers Who Responded Completely/Quite a Bit to the Patient Satisfaction With Care (Feeling Heard and Understood) Survey. | Baseline Completely/Quite a bit | 76.9 percentage of participants | Standard Error 4.1 |
| Active Intervention | The Mean Percentage of Caregivers Who Responded Completely/Quite a Bit to the Patient Satisfaction With Care (Feeling Heard and Understood) Survey. | Day 7 Completely/ Quite a Bit | 88.4 percentage of participants | Standard Error 3.3 |
| Active Intervention | The Mean Percentage of Caregivers Who Responded Completely/Quite a Bit to the Patient Satisfaction With Care (Feeling Heard and Understood) Survey. | Baseline Moderately/Slightly/Not at all | 23.1 percentage of participants | Standard Error 4.1 |
| Active Intervention | The Mean Percentage of Caregivers Who Responded Completely/Quite a Bit to the Patient Satisfaction With Care (Feeling Heard and Understood) Survey. | Day 7 Moderately/Slightly/Not at all | 11.6 percentage of participants | Standard Error 3.3 |
| Usual Care | The Mean Percentage of Caregivers Who Responded Completely/Quite a Bit to the Patient Satisfaction With Care (Feeling Heard and Understood) Survey. | Day 7 Moderately/Slightly/Not at all | 9.5 percentage of participants | Standard Error 3 |
| Usual Care | The Mean Percentage of Caregivers Who Responded Completely/Quite a Bit to the Patient Satisfaction With Care (Feeling Heard and Understood) Survey. | Baseline Completely/Quite a bit | 76.9 percentage of participants | Standard Error 4.1 |
| Usual Care | The Mean Percentage of Caregivers Who Responded Completely/Quite a Bit to the Patient Satisfaction With Care (Feeling Heard and Understood) Survey. | Baseline Moderately/Slightly/Not at all | 23.1 percentage of participants | Standard Error 4.1 |
| Usual Care | The Mean Percentage of Caregivers Who Responded Completely/Quite a Bit to the Patient Satisfaction With Care (Feeling Heard and Understood) Survey. | Day 7 Completely/ Quite a Bit | 90.5 percentage of participants | Standard Error 3 |
Secondary
The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey.
Change from baseline measured using FAMCARE-2 at 7 days post-baseline. Each item was scored on a Likert scale of VS (very satisfied), S (satisfied), U (undecided), D (dissatisfied), VD (very dissatisfied), or NA (not applicable), which was then dichotomized into very satisfied/satisfied and undecided/dissatisfied/very dissatisfied. The mean percentages in these dichotomized categories was calculated along with the standard error of the mean. A repeated measures generalized linear mixed model was used to calculate the estimated marginal means (least squares means) and associated standard errors at each time point for the intervention and usual care groups. The higher mean percentage of the population that responded very satisfied/ satisfied equals a better outcome.
Time frame: baseline and 7 days post-baseline and 30 days post baseline
Population: The participants number analyzed in one or more rows differ from the overall number analyzed due to participants choosing not to answer certain questions from baseline to day 30.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Active Intervention | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 7 Availability of Care Team/ Undecided/ Dissatisfied/ Very Dissatisfied | 14.6 percentage of participants |
| Active Intervention | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 7 Meetings with Care Team/Very Satisfied/Satisfied | 85.7 percentage of participants |
| Active Intervention | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 30 Availability of Care Team/ Very Satisfied/ Satisfied | 90.8 percentage of participants |
| Active Intervention | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Baseline Condition and Progress explained-Undecided/Dissatisfied/Very Dissatisfied | 29.2 percentage of participants |
| Active Intervention | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 30 Availability of Care Team/ Undecided/ Dissatisfied/ Very Dissatisfied | 9.2 percentage of participants |
| Active Intervention | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 7 Meeting with Care Team/ Undecided/Dissatisfied/ Very Dissatisfied | 14.3 percentage of participants |
| Active Intervention | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Baseline Emotional Support to Family/Very Satisfied/Satisfied | 76 percentage of participants |
| Active Intervention | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 7 Information on Side Effects Very Satisfied/Satisfied | 87.2 percentage of participants |
| Active Intervention | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Baseline Emotional Support to Family Undecided/ Dissatisfied/ Very Dissatisfied | 24 percentage of participants |
| Active Intervention | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 30-Meetings with Care Team/Satisfied/Very Satisfied | 87.2 percentage of participants |
| Active Intervention | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 7 Emotional Support of Family/Very Satisfied/ Satisfied | 81.2 percentage of participants |
| Active Intervention | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 30 Patient Comfort Very satisfied/Satisfied | 94.3 percentage of participants |
| Active Intervention | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 7 Emotional Support to Family/ Undecided/ Dissatisfied/ Very Dissatisfied | 18.8 percentage of participants |
| Active Intervention | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 30 Meetings with Care Team/Undecided/ Dissatisfied/Very Dissatisfied | 12.8 percentage of participants |
| Active Intervention | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 30 Emotional Support to Family/ Very Satisfied/ Satisfied | 90.9 percentage of participants |
| Active Intervention | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 7 Information on Side Effects/ Undecided/Dissatisfied/Very Dissatisfied | 12.8 percentage of participants |
| Active Intervention | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 30 Emotional Support to Family Undecided/Dissatisfied/ Very Dissatisfied | 9.1 percentage of participants |
| Active Intervention | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Baseline Speed of Treatment/Very Satisfied/Satisfied | 71 percentage of participants |
| Active Intervention | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Baseline Practical Assistance/Very Satisfied/ Satisfied | 86.2 percentage of participants |
| Active Intervention | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 7 Conditions and Progress explained-Very Satisfied/Satisfied | 80.6 percentage of participants |
| Active Intervention | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Baseline Practical Assistance/ Undecided/ Dissatisfied/ Very Dissatisfied | 13.8 percentage of participants |
| Active Intervention | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Baseline Speed of Treatment/ Undecided/ Dissatisfied/Very Dissatisfied | 29 percentage of participants |
| Active Intervention | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 7 Practical Assistance/Very Satisfied/ Satisdfied | 80 percentage of participants |
| Active Intervention | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 30 Information on Side Effects/Very Satisfied/Satisfied | 91.3 percentage of participants |
| Active Intervention | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 7 Practical Assistance/Undecided/Dissatisfied/Very Dissatisfied | 20 percentage of participants |
| Active Intervention | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 7 Speed of Treatment/ Very Satisfied/Satisfied | 78.8 percentage of participants |
| Active Intervention | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 30 Practical Assistance Very Satisfied/ Satisfied | 84.5 percentage of participants |
| Active Intervention | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Baseline Patient Comfort Undecided/dissatisfied/very dissatisfied | 23.8 percentage of participants |
| Active Intervention | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 30 Practical Assistance Undecided/ Dissatisfied/Very Dissatisfied | 15.5 percentage of participants |
| Active Intervention | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 7 Speed of Treatment/ Undecided/ Dissatisfied/ Very Dissatisfied | 21.2 percentage of participants |
| Active Intervention | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Baseline Doctors Attention to Symptoms/Very Satisfied/Satisfied | 80.2 percentage of participants |
| Active Intervention | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 30 Information on Side Effects/ Undecided/Dissatisfied/Very Dissatisfied | 8.7 percentage of participants |
| Active Intervention | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Baseline Doctors Attention to Symptoms/ Undecided/Dissatisfied/ Very Dissatisfied | 19.8 percentage of participants |
| Active Intervention | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 30 Speed of Treatment/ Very Satisfied/Satisfied | 91.6 percentage of participants |
| Active Intervention | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 7 Doctors Attention to Symptoms/ Very Satisfied/Satisfied | 84.3 percentage of participants |
| Active Intervention | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 7 Conditions and Progress explained- Undecided/Dissatisfied/Very Dissatisfied | 19.4 percentage of participants |
| Active Intervention | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 7 Doctors Attention to Symptoms/ Undecided/Dissatisfied/Very Dissatisfied | 15.7 percentage of participants |
| Active Intervention | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 30 Speed of Treatment/ Undecided/ Dissatisfied/ Very Dissatisfied | 8.4 percentage of participants |
| Active Intervention | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 30 Doctors Attention to Symptoms/Very Satisfied/Satisfied | 92.9 percentage of participants |
| Active Intervention | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Baseline-Respect for Dignity/ Very Satisfied/Satisfied | 88.1 percentage of participants |
| Active Intervention | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 30 Doctors Attention to Symptoms/Undecided/Dissatisfied/Very Dissatisfied | 7.1 percentage of participants |
| Active Intervention | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Baseline Attention to Symptom description/ Very satisfied/Satisfied | 80.6 percentage of participants |
| Active Intervention | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Baseline Family Included/Very Satisfied/Satisfied | 81.2 percentage of participants |
| Active Intervention | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 30 Patient Comfort Undecided/Dissatisfied/Very Dissatisfied | 5.7 percentage of participants |
| Active Intervention | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Baseline Family Included/ Undecided/Dissatisfied/Very Dissatisfied | 18.8 percentage of participants |
| Active Intervention | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Baseline Attentions to Symptom description/ Undecided/ Dissatisfied/Very Dissatisfied | 19.4 percentage of participants |
| Active Intervention | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 7 Family Included/ Very Satisfied/Satisfied | 85.4 percentage of participants |
| Active Intervention | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Baseline-Respect for Dignity/ Undecided/Dissatisfied/Very Dissatisfied | 11.9 percentage of participants |
| Active Intervention | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 7 Family Included/ Undecided/Dissatisfied/Very Dissatisfied | 14.6 percentage of participants |
| Active Intervention | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 7 Attention to Symptom description/ Very Satisfied/ Satisfied | 82.4 percentage of participants |
| Active Intervention | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 30 Family Included/ Very Satisfied/Satisfied | 89.2 percentage of participants |
| Active Intervention | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 30-Conditions and Progress Explained- Very Satisfied/Satisfied | 90.6 percentage of participants |
| Active Intervention | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 30 Family Included/ Undecided/ Dissatisfied/ Very Dissatisfied | 10.8 percentage of participants |
| Active Intervention | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 7 Attention to Symptom Description/ Undecided/ Dissatisfied/ Very Dissatisfied | 17.6 percentage of participants |
| Active Intervention | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Baseline Info about managing symptoms/ Very Satisfied/ Satisfied | 68.6 percentage of participants |
| Active Intervention | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 7-Respect for Dignity/ Very Satisfied/Satisfied | 84.3 percentage of participants |
| Active Intervention | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Baseline Info about managing symptoms/ Undecided/ Dissatisfied/Very Dissatisfied | 31.4 percentage of participants |
| Active Intervention | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 30 Attention to Symptom Description/ Very Satisfied/ Satisfied | 92.8 percentage of participants |
| Active Intervention | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 7 Info about managing symptoms/Very Satisfied/Satisfied | 83.8 percentage of participants |
| Active Intervention | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 7 Patient Comfort-Undecided/Dissatisfied/very dissatisfied | 14.3 percentage of participants |
| Active Intervention | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 7 Info about managing symptoms/ Undecided/Dissatisfied/Very Dissatisfied | 16.2 percentage of participants |
| Active Intervention | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 30 Attention to Symptom Description/ Undecided/ Dissatisfied/ Very Dissatisfied | 7.2 percentage of participants |
| Active Intervention | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 30 Info about managing symptoms/ Very Satisfied/Satisfied | 84.9 percentage of participants |
| Active Intervention | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 7-Respect for Dignity/Undecided/Dissatisfied/Very Dissatisfied | 15.7 percentage of participants |
| Active Intervention | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 30 Info about managing symptoms/ Undecided/ Dissatisfied/Very Dissatisfied | 15.1 percentage of participants |
| Active Intervention | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Baseline Physical Needs Met/ Very Satisfied/ Satisfied | 84.8 percentage of participants |
| Active Intervention | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Baseline Effectiveness of Care Team/ Very Satisfied/Satisfied | 81.4 percentage of participants |
| Active Intervention | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 30 Conditions and Progress Explained-Undecided/Dissatisfied/Very Dissatisfied | 9.4 percentage of participants |
| Active Intervention | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Baseline Effectiveness of Care Team/ Undecided/ Dissatisfied/ Very Dissatisfied | 18.6 percentage of participants |
| Active Intervention | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Baseline Physical Needs Met/ Undecided/ Dissatisfied/ Very Dissatisfied | 15.2 percentage of participants |
| Active Intervention | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 7 Effectiveness of Care Team/Very Satisfied/Satisfied | 83.6 percentage of participants |
| Active Intervention | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 30 Respect for Dignity/Very Satisfied/Satisfied | 91.9 percentage of participants |
| Active Intervention | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 7 Effectiveness of Care Team/ Undecided/ Dissatisfied/Very Dissatisfied | 16.4 percentage of participants |
| Active Intervention | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 7 Physical Needs Met/ Very Satisfied/ Satisfied | 85.1 percentage of participants |
| Active Intervention | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 30 Effectiveness of Care Team/Very Satisfied/Satisfied | 91.7 percentage of participants |
| Active Intervention | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Baseline-Conditions and progress explained-Very Satisfied/Satisfied | 70.8 percentage of participants |
| Active Intervention | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 30 Effectiveness of Care Team/Undecided/Dissatisfied/Very Dissatisfied | 8.3 percentage of participants |
| Active Intervention | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 7 Physical Needs Met/ Undecided/ Dissatisfied/ Very Dissatisfied | 14.9 percentage of participants |
| Active Intervention | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Baseline Response to Changes/Very Satisfied/Satisfied | 77 percentage of participants |
| Active Intervention | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 30 Respect for Dignity/ Undecided/Dissatisfied/Very Dissatisfied | 8.1 percentage of participants |
| Active Intervention | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Baseline Response to Changes/Undecided/Dissatisfied/Very Dissatisfied | 23 percentage of participants |
| Active Intervention | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 30 Physical Needs Met/ Very Satisfied/ Satisfied | 92.8 percentage of participants |
| Active Intervention | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 7 Response to Changes/Very Satisfied/ Satisfied | 83.9 percentage of participants |
| Active Intervention | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Baseline-Information on Side Effects Very Satisfied/Satisfied | 77 percentage of participants |
| Active Intervention | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 7 Response to Changes/ Undecided/ Dissatisfied/Very Dissatisfied | 16.1 percentage of participants |
| Active Intervention | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 30 Physical Needs Met/ Undecided/ Dissatisfied/ Very Dissatisfied | 7.2 percentage of participants |
| Active Intervention | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 30 Response to Changes/Very Satisfied/ Satisfied | 92.8 percentage of participants |
| Active Intervention | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Baseline Meetings with Care Team/ Very Satisfied/ Satisfied | 64.4 percentage of participants |
| Active Intervention | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 30 Response to Changes/ Undecided/Dissatisfied/ Very Dissatisfied | 7.2 percentage of participants |
| Active Intervention | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Baseline Availability of Care Team/ Very Satisfied/ Satisfied | 75.5 percentage of participants |
| Active Intervention | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Baseline Emotional Support to Patient/Very Satisfied/Satisfied | 79.8 percentage of participants |
| Active Intervention | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 7 Patient Comfort-Very satisfied/ Satisfied | 85.7 percentage of participants |
| Active Intervention | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Baseline Emotional Support to Patient/Undecided/Dissatisfied/Very Dissatisfied | 20.2 percentage of participants |
| Active Intervention | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Baseline Availability of Care Team Undecided/Dissatisfied/ Very Dissatisfied | 24.5 percentage of participants |
| Active Intervention | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 7 Emotional Support to Patient/Very Satisfied/Satisfied | 89.7 percentage of participants |
| Active Intervention | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Baseline Meetings with Care Team/ Undecided/Dissatisfied/Very Dissatisfied | 35.6 percentage of participants |
| Active Intervention | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 7 Emotional Support to Patient/Undecided/Dissatisfied/Very Dissatisfied | 10.3 percentage of participants |
| Active Intervention | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 7 Availability of Care Team/Very Satisfied/ Satisfied | 85.4 percentage of participants |
| Active Intervention | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 30 Emotional Support to Patient/Very Satisfied/Satisfied | 89.2 percentage of participants |
| Active Intervention | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Baseline-Information on Side Effects/ Undecided/Dissatisfied/Very Dissatisfied | 23 percentage of participants |
| Active Intervention | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 30 Emotional Support to Patient/Undecided Dissatisfied/Very Dissatisfied | 10.8 percentage of participants |
| Active Intervention | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Baseline Patient Comfort-Very satisfied/ Satisfied | 76.2 percentage of participants |
| Usual Care | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 30 Emotional Support to Patient/Undecided Dissatisfied/Very Dissatisfied | 9.1 percentage of participants |
| Usual Care | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Baseline Patient Comfort-Very satisfied/ Satisfied | 78.6 percentage of participants |
| Usual Care | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Baseline Patient Comfort Undecided/dissatisfied/very dissatisfied | 21.4 percentage of participants |
| Usual Care | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 7 Patient Comfort-Very satisfied/ Satisfied | 84.8 percentage of participants |
| Usual Care | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 7 Patient Comfort-Undecided/Dissatisfied/very dissatisfied | 15.2 percentage of participants |
| Usual Care | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 30 Patient Comfort Very satisfied/Satisfied | 90 percentage of participants |
| Usual Care | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 30 Patient Comfort Undecided/Dissatisfied/Very Dissatisfied | 10 percentage of participants |
| Usual Care | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Baseline-Conditions and progress explained-Very Satisfied/Satisfied | 71.9 percentage of participants |
| Usual Care | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Baseline Condition and Progress explained-Undecided/Dissatisfied/Very Dissatisfied | 28.1 percentage of participants |
| Usual Care | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 7 Conditions and Progress explained-Very Satisfied/Satisfied | 85.4 percentage of participants |
| Usual Care | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 7 Conditions and Progress explained- Undecided/Dissatisfied/Very Dissatisfied | 14.6 percentage of participants |
| Usual Care | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 30-Conditions and Progress Explained- Very Satisfied/Satisfied | 92.7 percentage of participants |
| Usual Care | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 30 Conditions and Progress Explained-Undecided/Dissatisfied/Very Dissatisfied | 7.3 percentage of participants |
| Usual Care | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Baseline-Information on Side Effects Very Satisfied/Satisfied | 72.8 percentage of participants |
| Usual Care | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Baseline-Information on Side Effects/ Undecided/Dissatisfied/Very Dissatisfied | 27.2 percentage of participants |
| Usual Care | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 7 Information on Side Effects Very Satisfied/Satisfied | 78.5 percentage of participants |
| Usual Care | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 7 Information on Side Effects/ Undecided/Dissatisfied/Very Dissatisfied | 21.5 percentage of participants |
| Usual Care | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 30 Information on Side Effects/Very Satisfied/Satisfied | 86.4 percentage of participants |
| Usual Care | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 30 Information on Side Effects/ Undecided/Dissatisfied/Very Dissatisfied | 13.6 percentage of participants |
| Usual Care | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Baseline-Respect for Dignity/ Very Satisfied/Satisfied | 87.4 percentage of participants |
| Usual Care | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Baseline-Respect for Dignity/ Undecided/Dissatisfied/Very Dissatisfied | 12.6 percentage of participants |
| Usual Care | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 7-Respect for Dignity/ Very Satisfied/Satisfied | 88.8 percentage of participants |
| Usual Care | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 7-Respect for Dignity/Undecided/Dissatisfied/Very Dissatisfied | 11.2 percentage of participants |
| Usual Care | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 30 Respect for Dignity/Very Satisfied/Satisfied | 93.3 percentage of participants |
| Usual Care | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 30 Respect for Dignity/ Undecided/Dissatisfied/Very Dissatisfied | 6.7 percentage of participants |
| Usual Care | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Baseline Meetings with Care Team/ Very Satisfied/ Satisfied | 68.2 percentage of participants |
| Usual Care | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Baseline Meetings with Care Team/ Undecided/Dissatisfied/Very Dissatisfied | 31.8 percentage of participants |
| Usual Care | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 7 Meetings with Care Team/Very Satisfied/Satisfied | 83 percentage of participants |
| Usual Care | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 7 Meeting with Care Team/ Undecided/Dissatisfied/ Very Dissatisfied | 17 percentage of participants |
| Usual Care | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 30-Meetings with Care Team/Satisfied/Very Satisfied | 89.7 percentage of participants |
| Usual Care | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 30 Meetings with Care Team/Undecided/ Dissatisfied/Very Dissatisfied | 10.3 percentage of participants |
| Usual Care | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Baseline Speed of Treatment/Very Satisfied/Satisfied | 62.4 percentage of participants |
| Usual Care | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Baseline Speed of Treatment/ Undecided/ Dissatisfied/Very Dissatisfied | 37.6 percentage of participants |
| Usual Care | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 7 Speed of Treatment/ Very Satisfied/Satisfied | 81.7 percentage of participants |
| Usual Care | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 7 Speed of Treatment/ Undecided/ Dissatisfied/ Very Dissatisfied | 18.3 percentage of participants |
| Usual Care | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 30 Speed of Treatment/ Very Satisfied/Satisfied | 87.1 percentage of participants |
| Usual Care | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 30 Speed of Treatment/ Undecided/ Dissatisfied/ Very Dissatisfied | 12.9 percentage of participants |
| Usual Care | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Baseline Attention to Symptom description/ Very satisfied/Satisfied | 74.8 percentage of participants |
| Usual Care | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Baseline Attentions to Symptom description/ Undecided/ Dissatisfied/Very Dissatisfied | 25.2 percentage of participants |
| Usual Care | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 7 Attention to Symptom description/ Very Satisfied/ Satisfied | 84.1 percentage of participants |
| Usual Care | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 7 Attention to Symptom Description/ Undecided/ Dissatisfied/ Very Dissatisfied | 15.9 percentage of participants |
| Usual Care | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 30 Attention to Symptom Description/ Very Satisfied/ Satisfied | 94.1 percentage of participants |
| Usual Care | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 30 Attention to Symptom Description/ Undecided/ Dissatisfied/ Very Dissatisfied | 5.9 percentage of participants |
| Usual Care | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Baseline Physical Needs Met/ Very Satisfied/ Satisfied | 83.1 percentage of participants |
| Usual Care | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Baseline Physical Needs Met/ Undecided/ Dissatisfied/ Very Dissatisfied | 16.9 percentage of participants |
| Usual Care | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 7 Physical Needs Met/ Very Satisfied/ Satisfied | 85.3 percentage of participants |
| Usual Care | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 7 Physical Needs Met/ Undecided/ Dissatisfied/ Very Dissatisfied | 14.7 percentage of participants |
| Usual Care | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 30 Physical Needs Met/ Very Satisfied/ Satisfied | 93.4 percentage of participants |
| Usual Care | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 30 Physical Needs Met/ Undecided/ Dissatisfied/ Very Dissatisfied | 6.6 percentage of participants |
| Usual Care | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Baseline Availability of Care Team/ Very Satisfied/ Satisfied | 73.9 percentage of participants |
| Usual Care | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Baseline Availability of Care Team Undecided/Dissatisfied/ Very Dissatisfied | 26.1 percentage of participants |
| Usual Care | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 7 Availability of Care Team/Very Satisfied/ Satisfied | 87.7 percentage of participants |
| Usual Care | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 7 Availability of Care Team/ Undecided/ Dissatisfied/ Very Dissatisfied | 12.3 percentage of participants |
| Usual Care | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 30 Availability of Care Team/ Very Satisfied/ Satisfied | 94.5 percentage of participants |
| Usual Care | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 30 Availability of Care Team/ Undecided/ Dissatisfied/ Very Dissatisfied | 5.5 percentage of participants |
| Usual Care | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Baseline Emotional Support to Family/Very Satisfied/Satisfied | 79.4 percentage of participants |
| Usual Care | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Baseline Emotional Support to Family Undecided/ Dissatisfied/ Very Dissatisfied | 20.6 percentage of participants |
| Usual Care | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 7 Emotional Support of Family/Very Satisfied/ Satisfied | 85 percentage of participants |
| Usual Care | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 7 Emotional Support to Family/ Undecided/ Dissatisfied/ Very Dissatisfied | 15 percentage of participants |
| Usual Care | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 30 Emotional Support to Family/ Very Satisfied/ Satisfied | 91.3 percentage of participants |
| Usual Care | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 30 Emotional Support to Family Undecided/Dissatisfied/ Very Dissatisfied | 8.7 percentage of participants |
| Usual Care | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Baseline Practical Assistance/Very Satisfied/ Satisfied | 78.9 percentage of participants |
| Usual Care | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Baseline Practical Assistance/ Undecided/ Dissatisfied/ Very Dissatisfied | 21.1 percentage of participants |
| Usual Care | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 7 Practical Assistance/Very Satisfied/ Satisdfied | 85.1 percentage of participants |
| Usual Care | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 7 Practical Assistance/Undecided/Dissatisfied/Very Dissatisfied | 14.9 percentage of participants |
| Usual Care | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 30 Practical Assistance Very Satisfied/ Satisfied | 85.3 percentage of participants |
| Usual Care | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 30 Practical Assistance Undecided/ Dissatisfied/Very Dissatisfied | 14.7 percentage of participants |
| Usual Care | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Baseline Doctors Attention to Symptoms/Very Satisfied/Satisfied | 80.6 percentage of participants |
| Usual Care | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Baseline Doctors Attention to Symptoms/ Undecided/Dissatisfied/ Very Dissatisfied | 19.4 percentage of participants |
| Usual Care | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 7 Doctors Attention to Symptoms/ Very Satisfied/Satisfied | 85.1 percentage of participants |
| Usual Care | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 7 Doctors Attention to Symptoms/ Undecided/Dissatisfied/Very Dissatisfied | 14.9 percentage of participants |
| Usual Care | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 30 Doctors Attention to Symptoms/Very Satisfied/Satisfied | 88.5 percentage of participants |
| Usual Care | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 30 Doctors Attention to Symptoms/Undecided/Dissatisfied/Very Dissatisfied | 11.5 percentage of participants |
| Usual Care | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Baseline Family Included/Very Satisfied/Satisfied | 75.6 percentage of participants |
| Usual Care | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Baseline Family Included/ Undecided/Dissatisfied/Very Dissatisfied | 24.4 percentage of participants |
| Usual Care | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 7 Family Included/ Very Satisfied/Satisfied | 86.5 percentage of participants |
| Usual Care | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 7 Family Included/ Undecided/Dissatisfied/Very Dissatisfied | 13.5 percentage of participants |
| Usual Care | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 30 Family Included/ Very Satisfied/Satisfied | 92 percentage of participants |
| Usual Care | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 30 Family Included/ Undecided/ Dissatisfied/ Very Dissatisfied | 8 percentage of participants |
| Usual Care | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Baseline Info about managing symptoms/ Very Satisfied/ Satisfied | 69.6 percentage of participants |
| Usual Care | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Baseline Info about managing symptoms/ Undecided/ Dissatisfied/Very Dissatisfied | 30.4 percentage of participants |
| Usual Care | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 7 Info about managing symptoms/Very Satisfied/Satisfied | 81.2 percentage of participants |
| Usual Care | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 7 Info about managing symptoms/ Undecided/Dissatisfied/Very Dissatisfied | 18.8 percentage of participants |
| Usual Care | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 30 Info about managing symptoms/ Very Satisfied/Satisfied | 92 percentage of participants |
| Usual Care | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 30 Info about managing symptoms/ Undecided/ Dissatisfied/Very Dissatisfied | 8 percentage of participants |
| Usual Care | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Baseline Effectiveness of Care Team/ Very Satisfied/Satisfied | 78.9 percentage of participants |
| Usual Care | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Baseline Effectiveness of Care Team/ Undecided/ Dissatisfied/ Very Dissatisfied | 21.1 percentage of participants |
| Usual Care | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 7 Effectiveness of Care Team/Very Satisfied/Satisfied | 90.7 percentage of participants |
| Usual Care | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 7 Effectiveness of Care Team/ Undecided/ Dissatisfied/Very Dissatisfied | 9.3 percentage of participants |
| Usual Care | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 30 Effectiveness of Care Team/Very Satisfied/Satisfied | 92.4 percentage of participants |
| Usual Care | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 30 Effectiveness of Care Team/Undecided/Dissatisfied/Very Dissatisfied | 7.6 percentage of participants |
| Usual Care | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Baseline Response to Changes/Very Satisfied/Satisfied | 77.7 percentage of participants |
| Usual Care | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Baseline Response to Changes/Undecided/Dissatisfied/Very Dissatisfied | 22.3 percentage of participants |
| Usual Care | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 7 Response to Changes/Very Satisfied/ Satisfied | 89.5 percentage of participants |
| Usual Care | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 7 Response to Changes/ Undecided/ Dissatisfied/Very Dissatisfied | 10.5 percentage of participants |
| Usual Care | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 30 Response to Changes/Very Satisfied/ Satisfied | 92 percentage of participants |
| Usual Care | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 30 Response to Changes/ Undecided/Dissatisfied/ Very Dissatisfied | 8 percentage of participants |
| Usual Care | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Baseline Emotional Support to Patient/Very Satisfied/Satisfied | 80 percentage of participants |
| Usual Care | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Baseline Emotional Support to Patient/Undecided/Dissatisfied/Very Dissatisfied | 20 percentage of participants |
| Usual Care | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 7 Emotional Support to Patient/Very Satisfied/Satisfied | 87.5 percentage of participants |
| Usual Care | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 7 Emotional Support to Patient/Undecided/Dissatisfied/Very Dissatisfied | 12.5 percentage of participants |
| Usual Care | The Mean Percentage of Caregivers Who Responded Very Satisfied/Satisfied to the Family Satisfaction With Care (FAMCARE-2) Survey. | Day 30 Emotional Support to Patient/Very Satisfied/Satisfied | 90.9 percentage of participants |
Other Pre-specified
Exploratory Aim 1a. Patient Symptom Burden (Edmonton Symptom Assessment Scale [ESAS])
Patient symptom burden measured by Edmonton Symptom Assessment Scale \[ESAS\] mediated and/or moderated by hospitalist/clinician implementation of palliative care recommendations. Implementation of palliative care recommendations are measured using Electronic Health Record \[eHR\] documentation of recommendations by hospitalist/clinician at Day 7. Each item in the ESAS is scored using: 0-10 (0= no pain; 10= worst possible pain), yielding a total score between 0 and 90.
Time frame: Day 7
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Active Intervention | Exploratory Aim 1a. Patient Symptom Burden (Edmonton Symptom Assessment Scale [ESAS]) | 28.7 score on a scale | Standard Error 1.5 |
| Usual Care | Exploratory Aim 1a. Patient Symptom Burden (Edmonton Symptom Assessment Scale [ESAS]) | 24.9 score on a scale | Standard Error 1.5 |
Other Pre-specified
Exploratory Aim 1b. Patient Symptom Burden (Edmonton Symptom Assessment Scale [ESAS])
Patient symptom burden measured by Edmonton Symptom Assessment Scale \[ESAS\] mediated and/or moderated by patient/caregiver implementation of palliative care recommendations. Patient/caregiver implementation of palliative care recommendations are measured using patient/caregiver report at Day 7. Each item in the Edmonton Symptom Assessment Scale \[ESAS\] is scored using: 0-10 (0= no pain; 10= worst possible pain), yielding a total score between 0 and 90.
Time frame: Day 7
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Active Intervention | Exploratory Aim 1b. Patient Symptom Burden (Edmonton Symptom Assessment Scale [ESAS]) | 24.9 score on a scale | Standard Error 1.5 |
| Usual Care | Exploratory Aim 1b. Patient Symptom Burden (Edmonton Symptom Assessment Scale [ESAS]) | 28.7 score on a scale | Standard Error 1.5 |
Other Pre-specified
Exploratory Aim 1c. Caregiver Burden (Montgomery Borgatta Caregiver Burden Scale [MBCB]).
Caregiver burden measured by Montgomery Borgatta Caregiver Burden Scale \[MBCB\] mediated and/or moderated by hospitalist/clinician implementation of palliative care recommendations. Implementation of palliative care recommendations are measured using Electronic Health Record \[eHR\] documentation of recommendations by hospitalist/clinician at Day 7. This scale contains a total of 14 questions and 5 Likert scale responses (a lot less, a little less, the same, a little more, or a lot more) with higher scores indicating greater burden. Caregiver burden will be quantified by three subscales; objective, subjective and demand burdens. Objective burden is measured by 6 questions (total score between 0-30), subjective burden is measured by 4 questions (total score between 4-20), and demand burden is measured by 4 questions (total score between 4-20).
Time frame: Day 7
Population: Some participants did not answer which resulted in missing data
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Active Intervention | Exploratory Aim 1c. Caregiver Burden (Montgomery Borgatta Caregiver Burden Scale [MBCB]). | Objective Subscale | 19.1 score on a scale | Standard Error 0.3 |
| Active Intervention | Exploratory Aim 1c. Caregiver Burden (Montgomery Borgatta Caregiver Burden Scale [MBCB]). | Subjective Subscale | 11.9 score on a scale | Standard Error 0.3 |
| Active Intervention | Exploratory Aim 1c. Caregiver Burden (Montgomery Borgatta Caregiver Burden Scale [MBCB]). | Demand Burden | 11 score on a scale | Standard Error 0.3 |
| Usual Care | Exploratory Aim 1c. Caregiver Burden (Montgomery Borgatta Caregiver Burden Scale [MBCB]). | Demand Burden | 10.8 score on a scale | Standard Error 0.3 |
| Usual Care | Exploratory Aim 1c. Caregiver Burden (Montgomery Borgatta Caregiver Burden Scale [MBCB]). | Objective Subscale | 19.4 score on a scale | Standard Error 0.3 |
| Usual Care | Exploratory Aim 1c. Caregiver Burden (Montgomery Borgatta Caregiver Burden Scale [MBCB]). | Subjective Subscale | 11.6 score on a scale | Standard Error 0.3 |
Other Pre-specified
Exploratory Aim 1d. Caregiver Burden (Montgomery Borgatta Caregiver Burden Scale [MBCB]).
Caregiver burden measured by Montgomery Borgatta Caregiver Burden Scale \[MBCB\] mediated and/or moderated by caregiver/patient implementation of palliative care recommendations. Caregiver/patient implementation of palliative care recommendations are measured using caregiver/patient report at Day 7. This scale contains a total of 14 questions and 5 Likert scale responses (a lot less, a little less, the same, a little more, or a lot more). Caregiver burden will be quantified by three subscales; objective, subjective and demand burdens. Objective burden is measured by 6 questions (total score between 0-30), subjective burden is measured by 4 questions (total score between 4-20), and demand burden is measured by 4 questions (total score between 4-20). Higher scores indicates greater burden.
Time frame: Day 30
Population: Some participants did not answer which resulted in missing data
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Active Intervention | Exploratory Aim 1d. Caregiver Burden (Montgomery Borgatta Caregiver Burden Scale [MBCB]). | Objective burden | 19.4 score on a scale | Standard Error 0.3 |
| Active Intervention | Exploratory Aim 1d. Caregiver Burden (Montgomery Borgatta Caregiver Burden Scale [MBCB]). | Subjective Burden | 11.8 score on a scale | Standard Error 0.3 |
| Active Intervention | Exploratory Aim 1d. Caregiver Burden (Montgomery Borgatta Caregiver Burden Scale [MBCB]). | Demand Burden | 11.3 score on a scale | Standard Error 0.3 |
| Usual Care | Exploratory Aim 1d. Caregiver Burden (Montgomery Borgatta Caregiver Burden Scale [MBCB]). | Objective burden | 19.1 score on a scale | Standard Error 0.3 |
| Usual Care | Exploratory Aim 1d. Caregiver Burden (Montgomery Borgatta Caregiver Burden Scale [MBCB]). | Subjective Burden | 12.2 score on a scale | Standard Error 0.3 |
| Usual Care | Exploratory Aim 1d. Caregiver Burden (Montgomery Borgatta Caregiver Burden Scale [MBCB]). | Demand Burden | 11.3 score on a scale | Standard Error 0.3 |
Other Pre-specified
Exploratory Aim 1e. Caregiver Evaluation of Quality of End-of-Life Care [CEQUEL]
Caregiver evaluation of end-of-life care quality measured by Caregiver Evaluation of Quality of End-of-Life Care \[CEQUEL\]
Time frame: 2-3 Months after death of patient, if applicable
Population: This data was not collected.
Other Pre-specified
Exploratory Aim 1f. Caregiver Bereavement (Caregiver Bereavement Items ([CBI])
Caregiver bereavement measured by Caregiver Bereavement Items (\[CBI\]
Time frame: 2-3 Months after death of patient, if applicable
Population: This was not collected.