Related Experiment Video
Updated: Nov 18, 2025
06:28
E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
8.6K
Comparison of Two Methods for Implementing Comfort Care Order Sets in the Inpatient Setting: a Cluster Randomized
F Amos Bailey1,2,3, Beverly R Williams4,5, Patricia S Goode4,5
1Birmingham/Atlanta Geriatric Research, Education, and Clinical Center (GRECC), Birmingham VA Medical Center, Birmingham, AL, USA. Amos.bailey@cuanschutz.edu.
Journal of General Internal Medicine
|February 6, 2021
Summary
Comparing two palliative care education methods, this study found no significant differences in improving end-of-life care quality. Both teleconference and in-person training effectively equipped palliative care teams.
Area of Science:
- Palliative Care
- Medical Education
- Quality Improvement
Background:
- There is a critical need to enhance end-of-life care quality for inpatients.
- Palliative Care Consultation Teams (PCCTs) play a vital role in delivering specialized end-of-life care.
- Optimizing the implementation of palliative care interventions is essential for improving patient outcomes.
Purpose of the Study:
- To compare the effectiveness of two distinct implementation strategies for a Comfort Care Education Intervention.
- To evaluate the impact of teleconference versus in-person training on PCCTs' ability to deliver palliative care education.
- To assess the influence of implementation method on key quality indicators of end-of-life care.
Main Methods:
- A cluster randomized implementation trial was conducted across Veterans Affairs Medical Centers (VAMCs).
- Palliative Care Consultation Teams (PCCTs) were assigned to either teleconference or in-person 'train-the-champion' workshops.
- Outcomes included various process-of-care endpoints related to end-of-life care, analyzed using generalized estimating equations.
Main Results:
- No significant differences were observed between the teleconference and in-person training groups for any primary or secondary process-of-care endpoints.
- Pre- and post-implementation analyses also revealed no significant changes in key quality indicators.
- Potential limitations include high baseline values for certain endpoints, possibly restricting observed improvements.
Conclusions:
- The clinical effectiveness of the palliative care educational intervention was not dependent on the implementation method used.
- Both teleconference and in-person training modalities appear to be viable options for disseminating palliative care education.
- Further research may be needed to explore strategies for enhancing the impact of interventions in settings with high baseline quality.
Related Concept Videos
01:20Bioequivalence Experimental Study Designs: Completely Randomized and Randomized Block Designs
88
Body:Bioequivalence experimental study designs are crucial methodologies used in evaluating and comparing the bioavailability of different drug products. These designs are categorized into various types: completely randomized, randomized block, repeated measures, cross and carry-over, and Latin square designs.Completely randomized designs involve randomly allocating treatments to all subjects participating in the experiment. This allocation is achieved by assigning unique random numbers to...
88
01:15Bioequivalence Experimental Study Designs: Repeated Measures, Cross-Over, Carry-Over, and Latin Square Designs
72
Body:Bioequivalence experimental study designs play a pivotal role in testing the effectiveness of various treatments. Key among these are the repeated measures, cross-over, carry-over, and Latin square designs. In the repeated measures design, each subject receives all treatments, allowing for temporal comparisons. This type of design is useful in reducing variability but requires careful planning to avoid bias.The cross-over design, an economical method, involves sequential administration of...
72
01:13Randomized Experiments
8.6K
The randomization process involves assigning study participants randomly to experimental or control groups based on their probability of being equally assigned. Randomization is meant to eliminate selection bias and balance known and unknown confounding factors so that the control group is similar to the treatment group as much as possible. A computer program and a random number generator can be used to assign participants to groups in a way that minimizes bias.
Simple randomization
Simple...
Simple randomization
Simple...
8.6K
01:20Comparing the Survival Analysis of Two or More Groups
403
Survival analysis is a cornerstone of medical research, used to evaluate the time until an event of interest occurs, such as death, disease recurrence, or recovery. Unlike standard statistical methods, survival analysis is particularly adept at handling censored data—instances where the event has not occurred for some participants by the end of the study or remains unobserved. To address these unique challenges, specialized techniques like the Kaplan-Meier estimator, log-rank test, and...
403
01:16Crossover Experiments
4.3K
Crossover experiments, also called the repeated-measurements design, is a study design in which all experimental units are exposed to all treatments in different periods. Crossover experiments are generally used in psychology, the pharmaceutical industry, agriculture, and medicine.
Crossover designs are performed even with smaller sample sizes since the samples can act as their controls. These are better than simple randomized trials since patients are exposed to all the treatments.
Crossover designs are performed even with smaller sample sizes since the samples can act as their controls. These are better than simple randomized trials since patients are exposed to all the treatments.
4.3K
01:28Dosage Regimens: Designs and Approaches
122
Designing a dosage regimen, which refers to the manner of drug administration, is a complex process involving the selection of drug dose, route, and frequency. This process is underpinned by pharmacokinetic parameters derived from tests and population averages. These parameters are then tailored to patient-specific variables such as diagnosis, demographics, and allergy status. Once therapy commences, therapeutic response monitoring is critical and achieved through clinical and physical...
122