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Multicomponent Palliative Care Interventions in Advanced Chronic Diseases: A Systematic Review
Veerawat Phongtankuel1, Lauren Meador1, Ronald D Adelman1
11 Department of Medicine, Joan and Sanford I Weill Medical College of Cornell University, New York, NY, USA.
The American Journal of Hospice & Palliative Care
|March 10, 2017
Summary
Multicomponent palliative care interventions are growing, but their delivery and impact need more study. Current interventions often involve nurses and physicians, focusing on symptom management and psychological support, yet lack clear outcome associations.
Area of Science:
- Palliative Care Research
- Healthcare Interventions
- Chronic Illness Management
Background:
- Multicomponent palliative care interventions are increasingly used for patients with serious chronic or terminal illnesses.
- The specific components and healthcare professionals involved in these interventions are not well-defined.
Purpose of the Study:
- To describe the delivery of multicomponent palliative care interventions.
- To characterize the disciplines involved in delivering palliative care.
- To identify implemented palliative care components and analyze their association with positive outcomes.
Main Methods:
- Systematic review of English-language articles on multicomponent palliative care interventions.
- Analysis of intervention delivery by discipline, implemented components, and reported positive outcomes (e.g., pain, quality of life).
Main Results:
- 64 unique multicomponent palliative care interventions were identified in 71 articles.
- Nurses (88%) and physicians (67%) were the most frequent providers, with symptom management (88%) and psychological support (81%) as common components.
- No association was found between the number of disciplines or components and positive patient outcomes.
Conclusions:
- Despite growth in palliative care interventions, further research is needed.
- Key areas for improvement include better inclusion of diverse patient groups and core palliative care components.
- Developing replicable and disseminable methods to evaluate intervention effectiveness is crucial.
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