Clinical trial · Interventional
Apoyo Con Carino: Patient Navigation for Palliative Care for Non-Cancer Illness
Apoyo Con Carino: (Support With Caring) Improving Palliative Care Outcomes for Latinos With Advanced Medical Illness
- Source
- ClinicalTrials.gov
- Retrieved
- Sep 8, 2026
- Layer
- normalized (units and labels harmonized; values unchanged)
- Run
- ING-CLINICALTRIALS-20260908-000001
Summary
Brief summary (as posted)
Palliative care is a priority area of focus for the National Institute of Nursing Research. Despite the evidence-based benefits of palliative care, access remains limited, especially in poor urban and rural settings. Cultural and linguistic barriers may also increase disparities in palliative care for Latinos. Due to a nationwide shortage of palliative care providers and the unique cultural preferences and values of patients, our innovative study has the potential to improve palliative care outcomes and reduce health disparities in both urban and rural underserved communities.
Conditions
Conditions (1)
Free-text conditions as registered, with the CancerIndex entity they were reconciled to and the match type.
| Condition (as posted) | Mapped entity | Match | Confidence |
|---|---|---|---|
| Palliative Care | — | UNRESOLVED | — |
Interventions
Interventions (1)
| Intervention | Type | Mapped drug | Match |
|---|---|---|---|
| Patient Navigator Intervention Group | Behavioral | — | UNRESOLVED |
Design
Arms and outcomes
Arms (2)
- type
- NO_INTERVENTION
- label
- Control
- description
- Patients and caregivers randomized to this arm will receive a packet of educational materials in English or Spanish. These materials are written at 5-6th grade reading level. The materials focus on advance care planning, pain and symptom management, and hospice care.
- type
- EXPERIMENTAL
- label
- Patient Navigator Intervention Group
- description
- Patient and caregivers randomized to this arm will receive the same packet of educational materials. They will also receive at least 5 visits from a bicultural bilingual patient navigator. The navigator will utilize a annualized visit guide manual to lead discussions on advance care planning, pain and symptom management, and hospice care.
- interventionNames
- Behavioral: Patient Navigator Intervention Group
Primary outcomes (2)
- measure
- FACIT-Quality of Life Assessment
Eligibility
Eligibility (as posted)
- Sex
- All
- Minimum age
- 18 Years
- Maximum age
- 90 Years
Show eligibility criteria text
Inclusion Criteria: * Self-identify as Latino * Age 18-90 years * Not referred or enrolled in hospice care * Meeting medium to high risk for death at 1 year using the CARING criteria (although excluding patients with cancer diagnosis) OR * If health care provider answers "no" to the question: "Would you be surprised if this patient died in the next year?" Exclusion Criteria: * Cancer diagnosis * Referred or receiving hospice care * Pregnant * Incarcerated * Lacking decisional capacity
References
Publications (2)
- DERIVEDFischer SM, Min SJ, Kline DM, Lester K, Gozansky W, Schifeling C, Himberger J, Lopez J, Fink RM. Patient Navigator Intervention to Improve Palliative Care Outcomes for Hispanic Patients With Serious Noncancer Illness: A Randomized Clinical Trial. JAMA Intern Med. 2024 Apr 1;184(4):384-393. doi: 10.1001/jamainternmed.2023.8145. PMID 38345793
- DERIVEDFink RM, Valenti KG, Kline DM, Fischer SM. Reality of Family Caregiving for Hispanics With Alzheimer's Disease and Related Dementias: A Qualitative Analysis. J Palliat Med. 2023 Dec;26(12):1618-1626. doi: 10.1089/jpm.2023.0008. Epub 2023 Jun 13. PMID 37311202