The ACTIVE Intervention to Improve Hospice Care
1 other identifier
interventional
446
1 country
2
Brief Summary
The ACTIVE Intervention to Improve Hospice Caregiver Pain Management The major goal of this project is to implement and test this promising intervention in three hospice programs. The mixed methods evaluation of this randomized controlled trial (RCT) will provide evidence-based data for a tested intervention manual that hospice staff members can use to integrate the intervention into their practices.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable pain
Started Sep 2010
Longer than P75 for not_applicable pain
2 active sites
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
September 1, 2010
CompletedFirst Submitted
Initial submission to the registry
September 23, 2010
CompletedFirst Posted
Study publicly available on registry
September 29, 2010
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 1, 2014
CompletedStudy Completion
Last participant's last visit for all outcomes
July 1, 2015
CompletedResults Posted
Study results publicly available
June 20, 2017
CompletedFebruary 4, 2021
April 1, 2017
3.6 years
September 23, 2010
September 2, 2015
January 15, 2021
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Caregiver Perceptions of Pain Medicine Questionaire
This 16 question instrument measures the perceptions hospice caregivers have toward the administration of pain medications. Scores on items vary from 1-5 with the lower scores indicating more problematic perceptions of pain management. A Total score is computed between 16-80 Only the last available measure will be used to reflect the measure closest to time of death.
Every 14 days until the death of the patient for an average of 45 days-Only measure used in analysis is the last completed measure
Secondary Outcomes (2)
Caregiver Quality of Life-Revised Subscale Emotional
Every 14 days until the death of the patient for an average of 45 days-Only measure used in analysis is the last completed measure
Anxiety
Every 14 days until the death of the patient for an average of 45 days-Only measure used in analysis is the last completed measure
Study Arms (2)
Usual Care
NO INTERVENTIONUsual hospice care- there is no intervention in this arm
ACTIVE
EXPERIMENTALBehavioral intervention using web conferencing
Interventions
Assessing Caregivers for Team Intervention via Video Encounters: this intervention uses video technology to bridge geographic distance to empower hospice caregivers to participate in plan of care meetings for their patient
Eligibility Criteria
You may qualify if:
- Informal caregiver of an enrolled hospice patient
- Age 18 or over and legally able to provide informed consent
- Involved in decisions related to pain medications
- Access to at least one of the below:
- A standard land line telephone
- A high-speed Internet connection with operational computer
- Without functional hearing loss or with a hearing aid that allows the participant to conduct phone or Internet conversations as assessed by the research staff (by questioning and observation
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (2)
Hospice Compassus
Columbia, Missouri, 65203, United States
Hands of Hope Hospice
Saint Joseph, Missouri, 65203, United States
Related Publications (10)
Kruse RL, Parker Oliver D, Wittenberg-Lyles E, Demiris G. Conducting the ACTIVE randomized trial in hospice care: keys to success. Clin Trials. 2013 Feb;10(1):160-9. doi: 10.1177/1740774512461858. Epub 2012 Oct 25.
PMID: 23104974BACKGROUNDParker Oliver D, Demiris G, Washington K, Kruse RL, Petroski G. Hospice Family Caregiver Involvement in Care Plan Meetings: A Mixed-Methods Randomized Controlled Trial. Am J Hosp Palliat Care. 2017 Nov;34(9):849-859. doi: 10.1177/1049909116661816. Epub 2016 Jul 27.
PMID: 27465403RESULTWashington KT, Demiris G, Pike KC, Kruse RL, Oliver DP. Anxiety among informal hospice caregivers: an exploratory study. Palliat Support Care. 2015 Jun;13(3):567-73. doi: 10.1017/S1478951513001193. Epub 2014 Feb 13.
PMID: 24524662DERIVEDParker Oliver D, Albright DL, Washington K, Wittenberg-Lyles E, Gage A, Mooney M, Demiris G. Hospice caregiver depression: the evidence surrounding the greatest pain of all. J Soc Work End Life Palliat Care. 2013;9(4):256-71. doi: 10.1080/15524256.2013.846891.
PMID: 24295096DERIVEDAlbright DL, Kruse RL, Oliver DP, Washington K, Cagle J, Demiris G. Testing the factorial validity of scores from the caregiver pain medicine questionnaire. J Pain Symptom Manage. 2014 Jul;48(1):99-109. doi: 10.1016/j.jpainsymman.2013.08.014. Epub 2013 Nov 15.
PMID: 24246789DERIVEDWittenberg-Lyles E, Goldsmith J, Oliver DP, Demiris G, Kruse RL, Van Stee S. Using medical words with family caregivers. J Palliat Med. 2013 Sep;16(9):1135-9. doi: 10.1089/jpm.2013.0041. Epub 2013 Aug 12.
PMID: 23937064DERIVEDDemiris G, Parker Oliver D, Capurro D, Wittenberg-Lyles E. Implementation science: implications for intervention research in hospice and palliative care. Gerontologist. 2014 Apr;54(2):163-71. doi: 10.1093/geront/gnt022. Epub 2013 Apr 4.
PMID: 23558847DERIVEDWittenberg-Lyles E, Goldsmith J, Oliver DP, Demiris G, Kruse RL, Van Stee S. Exploring oral literacy in communication with hospice caregivers. J Pain Symptom Manage. 2013 Nov;46(5):731-6. doi: 10.1016/j.jpainsymman.2012.11.006. Epub 2013 Mar 21.
PMID: 23522518DERIVEDBaldwin PK, Wittenberg-Lyles E, Kruse RL, Demiris G, Parker Oliver D. Pain management and the African American hospice caregiver: a case report. Am J Hosp Palliat Care. 2013 Dec;30(8):795-8. doi: 10.1177/1049909112469274. Epub 2012 Dec 10. No abstract available.
PMID: 23233538DERIVEDWashington KT, Wittenberg-Lyles E, Parker Oliver D, Demiris G, Shaunfield S, Crumb E. Application of the VALUE communication principles in ACTIVE hospice team meetings. J Palliat Med. 2013 Jan;16(1):60-6. doi: 10.1089/jpm.2012.0229. Epub 2012 Oct 4.
PMID: 23036014DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Results Point of Contact
- Title
- Debra Parker Oliver
- Organization
- University of Missouri
Study Officials
- PRINCIPAL INVESTIGATOR
Debra Parker Oliver, PhD
University of Missouri-Columbia
Publication Agreements
- PI is Sponsor Employee
- No
- Restrictive Agreement
- No
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- SUPPORTIVE CARE
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Principle Investigator
Study Record Dates
First Submitted
September 23, 2010
First Posted
September 29, 2010
Study Start
September 1, 2010
Primary Completion
April 1, 2014
Study Completion
July 1, 2015
Last Updated
February 4, 2021
Results First Posted
June 20, 2017
Record last verified: 2017-04
Data Sharing
- IPD Sharing
- Will not share