Addressing Pain Through Navigator-Led Palliative Care Optimized for Heart Failure (ADAPT-HF)
Using the MOST framework, factorial pilot design, and an iterative, community-based process, the purpose of this study is to pilot test to further develop and refine a palliative care (PC) intervention addressing pain of Black adults (age > 18) with advanced HF. Thirty-six persons with advanced heart failure (HF) will be randomized to receive one of 16 conditions (different combinations of navigator coach-delivered PC pain intervention components).
- EligibilityCriteria: Inclusion Criteria:  Age ≥ 18 African American Diagnosis of advanced heart failure (New York Heart Association Class III-IV or American College of Cardiology/American Heart Association Stage C-D) English speaking Willing to participate Primary residence in CAPC East South Central or West South Central regions* (Alabama, Mississippi, Tennessee, Kentucky, Arkansas, Louisiana, Oklahoma, Texas) Self-endorses pain in the last month Willing to participate in intervention and data collection  Exclusion Criteria:  Age <18 Not African American Ineligible HF classification Self-reported, untreated severe mental illness Dementia Active Suicidal Ideation Active substance abuse Uncorrected hearing loss Unable to respond in English - HealthyVolunteers: No - Gender: All - MinimumAge: 18 Years - StdAgeList: Adult, Older Adult