Stacy Fischer|Lilia Cervantes|Regina M. Fink|Jean S. Kutner
Apoyo con Cariño: A Pilot Randomized Controlled Trial of a Patient Navigator Intervention to Improve Palliative Care Outcomes for Latinos With Serious Illness
University of Colorado Denver|University of Colorado Denver|Denver Health Medical Center|Health and Hospital Corporation|Colorado College|University of Colorado Hospital|University of Colorado Denver|University of Colorado Denver
latinos experience significant health disparities end life compared nonlatinosto determine feasibility patient navigator intervention improve palliative care outcomes latino adults serious illnessthis pilot randomized controlled trial included 64 latino adults lifelimiting illness randomized intervention control group participants received packet linguistically matched materials palliative care addition intervention participants received five home visits bilingual bicultural patient navigator visits focused addressing barriers palliative care education activation culturally tailored messaging outcomes included feasibility advance care planning rates documentation pain management discussions medical record hospice utilizationof 32 patients randomized intervention arm 81 least one home visit range 15 patient navigator overall advance care planning higher intervention group 47 n 15 vs 25 n 8 p 006 79 intervention participants discussion pain management documented medical record vs 54 control patients p 005 hospice enrollment two groups n 18 decedents similar n 7 intervention vs n 6 control length stay intervention group 364 516 vs 197 336 days control patients p 039a culturally tailored patient navigator intervention feasible suggests improved palliative care outcomes latinos facing advanced medical illness justifying fully powered randomized controlled trial