Your browser doesn't support javascript.
Palliative Care Always: Hepatology-Virtual Primary Palliative Care Training for Hepatologists.
DeNofrio, Jan C; Verma, Manisha; Kosinski, Andrzej S; Navarro, Victor; Taddei, Tamar H; Volk, Michael L; Bakitas, Marie; Ramchandran, Kavitha.
  • DeNofrio JC; Department of Medicine, Division of Oncology, Stanford School of Medicine, Stanford, CA, USA.
  • Verma M; Department of Digestive Diseases and Transplantation, Einstein Healthcare Network, Philadelphia, PA, USA.
  • Kosinski AS; Department of Biostatistics & Bioinformatics and Duke Clinical Research Institute, Duke University School of Medicine, Durham, NC, USA.
  • Navarro V; Department of Digestive Diseases and Transplantation, Einstein Healthcare Network, Philadelphia, PA, USA.
  • Taddei TH; Department of Medicine, Section of Digestive Diseases, Yale School of Medicine, New Haven, CT, USA.
  • Volk ML; VA Connecticut Healthcare System, West Haven, CT, USA.
  • Bakitas M; Department of Gastroenterology and Hepatology, Loma Linda University, Loma Linda, CA, USA.
  • Ramchandran K; School of Nursing and Center for Palliative and Supportive Care, University of Alabama at Birmingham, Birmingham, AL, USA.
Hepatol Commun ; 6(4): 920-930, 2022 04.
Article in English | MEDLINE | ID: covidwho-1756574
ABSTRACT
Palliative care (PC) benefits patients with serious illness including end-stage liver disease (ESLD). As part of a cluster randomized trial, hepatologists were trained to deliver primary palliative care to patients with ESLD using an online course, Palliative Care Always Hepatology (PCAHep). Here we present a multimethod formative evaluation (feasibility, knowledge acquisition, self-efficacy, and practice patterns) of PCAHep. Feasibility was measured by completion of coursework and achieving a course grade of >80%. Knowledge acquisition was measured through assessments before and throughout the course. Pre/post-course surveys were conducted to determine self-efficacy and practice patterns. The hepatologists (n = 39) enrolled in a 12-week online course and spent 1-3 hours on the course weekly. The course was determined to be feasible as 97% successfully completed the course and 100% passed. The course was acceptable to participants; 91.7 % reported a positive course experience and satisfaction with knowledge gained (91.6%). The pre/post knowledge assessment showed an improvement of 6.0% (pre 85.9% to post 91.9%, 95% CI [2.8, 9.2], P = 0.001). Self-efficacy increased significantly (P < 0.001) in psychological symptom management, hospice, and psychosocial support. A year after training, over 80% of the hepatologists reported integrating a variety of PC skills into routine patient care.

Conclusion:

PCAHep is feasible, acceptable, and improves learner knowledge and confidence in palliative care skills. This is a viable method to teach primary PC skills to specialists caring for patients with ESLD.
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Main subject: End Stage Liver Disease / Hospice and Palliative Care Nursing / Gastroenterologists / Gastroenterology Type of study: Controlled clinical trial / Qualitative research / Randomized controlled trials Limits: Humans Language: English Journal: Hepatol Commun Year: 2022 Document Type: Article Affiliation country: Hep4.1849

Full text: Available Collection: International databases Database: MEDLINE Main subject: End Stage Liver Disease / Hospice and Palliative Care Nursing / Gastroenterologists / Gastroenterology Type of study: Controlled clinical trial / Qualitative research / Randomized controlled trials Limits: Humans Language: English Journal: Hepatol Commun Year: 2022 Document Type: Article Affiliation country: Hep4.1849