[Cutaneous mastocytosis in adults with hepatic mastocytosis and blood monocytosis].
Y Bureau, G Rodat, H Barrière...
https://pubmed.ncbi.nlm.nih.gov/5881970/Actively Recruiting
Led by University of South Florida · Updated on 2026-04-29
792
Participants Needed
2
Research Sites
34 weeks
Total Duration
This research investigates a palliative care education program designed for dementia care providers working in assisted living communities. It focuses on improving the quality of care for residents with dementia by training licensed nurses, administrators, and dementia care coordinators. The trial involves 30 assisted living sites and includes residents, staff, and family members, with various follow-ups to assess the impact of the training on dementia care outcomes. The study features a four-week educational intervention offering 1.5-hour sessions once a week, totaling six hours. Hospice nurses or social workers trained as facilitators provide the program to staff in the treatment group. A wait-listed control group will receive the training after study completion. The interventionists undergo a preparatory four-hour workshop before delivering the sessions to ensure consistency across sites. Participants are involved through baseline and follow-up assessments at 3 and 6 months for residents, baseline and 6-month follow-ups for family members, and multiple timepoints for staff. Data collection includes documentation of advance care planning discussions and hospice use. The study also gathers facility information from administrators to evaluate the programs effect on dementia care quality over five years.
CONDITIONS
Palliative Care Education in Assisted Living for Dementia Care Providers (PCEAL-DCP)
D
Debra Dobbs, PhD
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University of South Florida
Lead Sponsor
National Institute on Aging (NIA)
Collaborating Sponsor
This table compares participation in this trial with other options available for this condition. The information is drawn from published research and the trial’s study details and is provided for educational purposes only.
| Factors | Palliative care training (trial) | Usual care (control) |
|---|---|---|
| What it is | A four‑week behavioral training program (once weekly, 90‑minute sessions, totaling 6 hours) for licensed nurses, administrators, and dementia care coordinators in memory care units to support palliative care practices for residents with dementia | Routine care without any additional palliative care education for staff |
| Role in the trial | Staff receive structured palliative care education intervention | Staff continue usual practices without added training |
| Primary purpose | To educate staff in palliative care delivery for dementia residents and improve documentation of advance care planning and hospice use | To serve as comparison reflecting routine care practices for documentation outcomes |
| How it is delivered | Delivered as group sessions held weekly over four weeks, each lasting 90 minutes | No additional training sessions are provided |
| Evidence status | Pilot cluster randomized trial shows feasibility, high fidelity, large effect size (>0.80) for increased documentation of advance care planning discussions | Standard practice baseline with lower rates of advance care planning documentation |
| Important risks | No specific risks identified for educational intervention | No risks associated |
| Important limitations | Findings are from a pilot feasibility cluster RCT with 10 facilities and 118 residents, not yet fully powered; hospice admission and pain documentation showed small or no effects | Biased toward baseline practice; limited power to assess effects beyond ACP documentation |
| Patient impact | Improved documentation of advance care planning may enhance alignment of care with resident preferences | Lower documentation rates may limit clarity on resident end‑of‑life preferences |
Disclaimer: This comparison is created with the help of artificial intelligence(AI) and may contain errors or missing information. It is not medical advice and does not mean one option is better or safer than another. Clinical trials are still being studied, and joining a trial is your choice. Please consult your healthcare professional before making any decisions.
You may qualify if you...
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Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
Duration - 4 weeks
Participants in assisted living communities receive palliative care education through a four-week training program delivered by hospice nurses or social workers.
One pre- and one post-test visit within one month, plus follow-up visits at 3 and 6 months after training
Duration - 6 months
Participants have follow-up assessments to evaluate advance care planning discussions and hospice use at 3 and 6 months after the intervention.
Visits at 3 and 6 months after intervention
Study Type
INTERVENTIONAL
Masking
SINGLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
SUPPORTIVE_CARE
Number of Arms
2
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Y Bureau, G Rodat, H Barrière...
https://pubmed.ncbi.nlm.nih.gov/5881970/Debra Dobbs, Jessica Yauk, Carlyn E Vogel...
https://pubmed.ncbi.nlm.nih.gov/36842068/University of South Florida
Lead Sponsor
National Institute on Aging (NIA)
Collaborating Sponsor