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Palliative Care Always: Hepatology-Virtual Primary Palliative Care Training for Hepatologists.

Publication ,  Journal Article
DeNofrio, JC; Verma, M; Kosinski, AS; Navarro, V; Taddei, TH; Volk, ML; Bakitas, M; Ramchandran, K
Published in: Hepatol Commun
April 2022

Palliative care (PC) benefits patients with serious illness including end-stage liver disease (ESLD). As part of a cluster randomized trial, hepatologists were trained to deliver primary palliative care to patients with ESLD using an online course, Palliative Care Always: Hepatology (PCA:Hep). Here we present a multimethod formative evaluation (feasibility, knowledge acquisition, self-efficacy, and practice patterns) of PCA:Hep. Feasibility was measured by completion of coursework and achieving a course grade of >80%. Knowledge acquisition was measured through assessments before and throughout the course. Pre/post-course surveys were conducted to determine self-efficacy and practice patterns. The hepatologists (n = 39) enrolled in a 12-week online course and spent 1-3 hours on the course weekly. The course was determined to be feasible as 97% successfully completed the course and 100% passed. The course was acceptable to participants; 91.7 % reported a positive course experience and satisfaction with knowledge gained (91.6%). The pre/post knowledge assessment showed an improvement of 6.0% (pre 85.9% to post 91.9%, 95% CI [2.8, 9.2], P = 0.001). Self-efficacy increased significantly (P < 0.001) in psychological symptom management, hospice, and psychosocial support. A year after training, over 80% of the hepatologists reported integrating a variety of PC skills into routine patient care. Conclusion: PCA:Hep is feasible, acceptable, and improves learner knowledge and confidence in palliative care skills. This is a viable method to teach primary PC skills to specialists caring for patients with ESLD.

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Published In

Hepatol Commun

DOI

EISSN

2471-254X

Publication Date

April 2022

Volume

6

Issue

4

Start / End Page

920 / 930

Location

United States

Related Subject Headings

  • Palliative Care
  • Humans
  • Hospice and Palliative Care Nursing
  • Gastroenterology
  • Gastroenterologists
  • End Stage Liver Disease
  • 3202 Clinical sciences
 

Citation

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Chicago
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DeNofrio, J. C., Verma, M., Kosinski, A. S., Navarro, V., Taddei, T. H., Volk, M. L., … Ramchandran, K. (2022). Palliative Care Always: Hepatology-Virtual Primary Palliative Care Training for Hepatologists. Hepatol Commun, 6(4), 920–930. https://doi.org/10.1002/hep4.1849
DeNofrio, Jan C., Manisha Verma, Andrzej S. Kosinski, Victor Navarro, Tamar H. Taddei, Michael L. Volk, Marie Bakitas, and Kavitha Ramchandran. “Palliative Care Always: Hepatology-Virtual Primary Palliative Care Training for Hepatologists.Hepatol Commun 6, no. 4 (April 2022): 920–30. https://doi.org/10.1002/hep4.1849.
DeNofrio JC, Verma M, Kosinski AS, Navarro V, Taddei TH, Volk ML, et al. Palliative Care Always: Hepatology-Virtual Primary Palliative Care Training for Hepatologists. Hepatol Commun. 2022 Apr;6(4):920–30.
DeNofrio, Jan C., et al. “Palliative Care Always: Hepatology-Virtual Primary Palliative Care Training for Hepatologists.Hepatol Commun, vol. 6, no. 4, Apr. 2022, pp. 920–30. Pubmed, doi:10.1002/hep4.1849.
DeNofrio JC, Verma M, Kosinski AS, Navarro V, Taddei TH, Volk ML, Bakitas M, Ramchandran K. Palliative Care Always: Hepatology-Virtual Primary Palliative Care Training for Hepatologists. Hepatol Commun. 2022 Apr;6(4):920–930.

Published In

Hepatol Commun

DOI

EISSN

2471-254X

Publication Date

April 2022

Volume

6

Issue

4

Start / End Page

920 / 930

Location

United States

Related Subject Headings

  • Palliative Care
  • Humans
  • Hospice and Palliative Care Nursing
  • Gastroenterology
  • Gastroenterologists
  • End Stage Liver Disease
  • 3202 Clinical sciences