Intervention to Improve Care at Life's End
BEACON
1 other identifier
interventional
78
1 country
1
Brief Summary
The BEACON trial (Best Practices for End-of-Life Care for Our Nations' Veterans) was a six-site implementation study to evaluate a multi-component, education-based intervention to improve the quality of end-of-life care provided in VA Medical Centers.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Aug 2005
Longer than P75 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
August 1, 2005
CompletedFirst Submitted
Initial submission to the registry
October 4, 2005
CompletedFirst Posted
Study publicly available on registry
October 6, 2005
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 1, 2011
CompletedStudy Completion
Last participant's last visit for all outcomes
September 1, 2013
CompletedResults Posted
Study results publicly available
April 27, 2015
CompletedApril 27, 2015
April 1, 2015
5.6 years
October 4, 2005
January 13, 2015
April 23, 2015
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Presence of Order for Opioid Pain Medication
Presence of order for opioid pain medication at time of death based on abstraction of electronic medical record
Pre and Post Intervention
Secondary Outcomes (15)
Do Not Resuscitate Order
Pre and Post Intervention
Number of Patients Who Died in ICU
Pre and Post Intervention
Individuals With a Nasogastric Tube
Pre and Post Intervention
Individuals With an Intravenous Line
Pre and Post Intervention
Number of Individuals Who Died in Restraints
Pre and Post Intervention
- +10 more secondary outcomes
Study Arms (1)
Arm 1
EXPERIMENTALComfort care education intervention, consisting of intensive, on-site staff training together with an electronic order set for palliative care and educational materials
Interventions
Comfort care education intervention, consisting of intensive, on-site staff training together with an electronic order set for palliative care and educational materials
Eligibility Criteria
You may qualify if:
- Aim 1: Not applicable. Patients were deceased.
- Aim 2: After-death interviews with next of kin: must be willing and able to participate in after-death interview at local VA Medical Center.
You may not qualify if:
- N/A
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Birmingham VA Medical Center
Birmingham, Alabama, 35233, United States
Related Publications (7)
Williams BR, Woodby LL, Bailey FA, Burgio KL. Identifying and responding to ethical and methodological issues in after-death interviews with next-of-kin. Death Stud. 2008;32(3):197-236. doi: 10.1080/07481180701881297.
PMID: 18705168BACKGROUNDWoodby LL, Williams BR, Wittich AR, Burgio KL. Expanding the notion of researcher distress: the cumulative effects of coding. Qual Health Res. 2011 Jun;21(6):830-8. doi: 10.1177/1049732311402095. Epub 2011 Mar 10.
PMID: 21393618BACKGROUNDBailey FA, Williams BR, Goode PS, Woodby LL, Redden DT, Johnson TM 2nd, Taylor JW, Burgio KL. Opioid pain medication orders and administration in the last days of life. J Pain Symptom Manage. 2012 Nov;44(5):681-91. doi: 10.1016/j.jpainsymman.2011.11.006. Epub 2012 Jul 4.
PMID: 22765968RESULTBailey FA, Allen RS, Williams BR, Goode PS, Granstaff S, Redden DT, Burgio KL. Do-not-resuscitate orders in the last days of life. J Palliat Med. 2012 Jul;15(7):751-9. doi: 10.1089/jpm.2011.0321. Epub 2012 Apr 26.
PMID: 22536938RESULTBickel KE, Kennedy R, Levy C, Burgio KL, Bailey FA. The Relationship of Post-traumatic Stress Disorder to End-of-life Care Received by Dying Veterans: a Secondary Data Analysis. J Gen Intern Med. 2020 Feb;35(2):505-513. doi: 10.1007/s11606-019-05538-x. Epub 2019 Dec 2.
PMID: 31792872DERIVEDRiggs JS, Woodby LL, Burgio KL, Bailey FA, Williams BR. "Don't get weak in your compassion": bereaved next of kin's suggestions for improving end-of-life care in Veterans Affairs Medical Centers. J Am Geriatr Soc. 2014 Apr;62(4):642-8. doi: 10.1111/jgs.12764. Epub 2014 Mar 21.
PMID: 24655157DERIVEDBailey FA, Williams BR, Woodby LL, Goode PS, Redden DT, Houston TK, Granstaff US, Johnson TM 2nd, Pennypacker LC, Haddock KS, Painter JM, Spencer JM, Hartney T, Burgio KL. Intervention to improve care at life's end in inpatient settings: the BEACON trial. J Gen Intern Med. 2014 Jun;29(6):836-43. doi: 10.1007/s11606-013-2724-6.
PMID: 24449032DERIVED
Related Links
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Results Point of Contact
- Title
- Kathryn L. Burgio, PhD
- Organization
- Birmingham VA Medical Center
Study Officials
- PRINCIPAL INVESTIGATOR
Kathryn L Burgio, PhD MA BA
Birmingham, Alabama VA Medical Center
Publication Agreements
- PI is Sponsor Employee
- Yes
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- HEALTH SERVICES RESEARCH
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- FED
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
October 4, 2005
First Posted
October 6, 2005
Study Start
August 1, 2005
Primary Completion
March 1, 2011
Study Completion
September 1, 2013
Last Updated
April 27, 2015
Results First Posted
April 27, 2015
Record last verified: 2015-04