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Text
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URL Address
<a href="http://doi.org/10.1089/pop.2013.0017" target="_blank" rel="noreferrer noopener">http://doi.org/10.1089/pop.2013.0017</a>
Pages
106–111
Issue
2
Volume
17
Dublin Core
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Title
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Results of the promoting effective advance care planning for elders (PEACE) randomized pilot study.
Publisher
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Population Health Management
Date
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2014
2014-04
Subject
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*Quality of Life; 80 and over; Activities of Daily Living; Advance Care Planning; Advance Care Planning/*organization & administration; Aged; Case Management – Methods; Chi Square Test; Community-Institutional Relations; Comparative Studies; Decision Making; Descriptive Statistics; Disease Management; Family; Female; Frail Elderly; Geriatric Assessment/methods; Health Promotion; Health Resource Utilization; Health Services for the Aged/organization & administration; Home Care Services/*organization & administration; Human; Humans; Interdisciplinary Communication; Long Term Care; Long-Term Care/*organization & administration; Male; Medicaid – Ohio; Multidisciplinary Care Team; Ohio; Outcomes (Health Care); Palliative Care; Palliative Care/organization & administration; Patient; Physicians; Pilot Projects; Pilot Studies – Ohio; Program Evaluation; Psychological Tests; Quality of Life; Random Assignment; Reference Values; Repeated Measures; Scales; Spiritual Care; T-Tests; Treatment Outcome
Creator
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Radwany Steven M; Hazelett Susan E; Allen Kyle R; Kropp Denise J; Ertle Denise; Albanese Teresa H; Fosnight Susan M; Moore Pamela S
Description
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The specific aim of the PEACE pilot study was to determine the feasibility of a fully powered study to test the effectiveness of an in-home geriatrics/palliative care interdisciplinary care management intervention for improving measures of utilization, quality of care, and quality of life in enrollees of Ohio's community-based long-term care Medicaid waiver program, PASSPORT. This was a randomized pilot study (n=40 intervention [IG], n=40 usual care) involving new enrollees into PASSPORT who were \textgreater60 years old. This was an in-home interdisciplinary chronic illness care management intervention by PASSPORT care managers collaborating with a hospital-based geriatrics/palliative care specialist team and the consumer's primary care physician. This pilot was not powered to test hypotheses; instead, it was hypothesis generating. Primary outcomes measured symptom control, mood, decision making, spirituality, and quality of life. Little difference was seen in primary outcomes; however, utilization favored the IG. At 12 months, the IG had fewer hospital visits (50% vs. 55%, P=0.65) and fewer nursing facility admissions (22.5% vs. 32.5%, P=0.32). Using hospital-based specialists interfacing with a community agency to provide a team-based approach to care of consumers with chronic illnesses was found to be feasible. Lack of change in symptom control or quality of life outcome measures may be related to the tools used, as these were validated in populations closer to the end of life. Data from this pilot study will be used to calculate the sample size needed for a fully powered trial.
Identifier
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<a href="http://doi.org/10.1089/pop.2013.0017" target="_blank" rel="noreferrer noopener">10.1089/pop.2013.0017</a>
Rights
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Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
*Quality of Life
2014
80 and over
Activities of Daily Living
advance care planning
Advance Care Planning/*organization & administration
Aged
Albanese Teresa H
Allen Kyle R
Case Management – Methods
Chi Square Test
College of Medicine
Community-Institutional Relations
Comparative Studies
Decision Making
Department of Family & Community Medicine
Department of Pharmaceutical Sciences
Department of Pharmacy Practice
Descriptive Statistics
Disease Management
Ertle Denise
Family
Female
Fosnight Susan M
Frail Elderly
Geriatric Assessment/methods
Hazelett Susan E
Health Promotion
Health Resource Utilization
Health Services for the Aged/organization & administration
Home Care Services/*organization & administration
Human
Humans
Interdisciplinary Communication
Kropp Denise J
Long Term Care
Long-Term Care/*organization & administration
Male
Medicaid – Ohio
Moore Pamela S
Multidisciplinary Care Team
NEOMED College of Medicine
NEOMED College of Pharmacy
Ohio
Outcomes (Health Care)
Palliative Care
Palliative Care/organization & administration
Patient
Physicians
Pilot Projects
Pilot Studies – Ohio
Population health management
Program Evaluation
Psychological Tests
Quality of Life
Radwany Steven M
Random Assignment
Reference Values
Repeated Measures
Scales
Spiritual Care
T-Tests
Treatment Outcome