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Use of Theoretical Frameworks in the Development and Testing of Palliative Care Interventions.

Publication ,  Journal Article
Ingle, MP; Check, D; Slack, DH; Cross, SH; Ernecoff, NC; Matlock, DD; Kavalieratos, D
Published in: J Pain Symptom Manage
March 2022

CONTEXT: Palliative care (PC) research has grown over the last 20 years. Yet, the causal components and pathways of PC interventions remain unclear. OBJECTIVES: To document the prevalence and application of theoretical frameworks in developing and testing PC interventions. METHODS: We conducted a secondary analysis of previously published systematic reviews of PC randomized clinical trials. Trials were evaluated for explicit mention of a theoretical framework, process or delivery model, or clinical practice guideline that supported the development of the intervention. We used a structured data extraction form to document study population, outcomes, and whether and how authors used a theoretical framework, process/delivery model, or clinical practice guideline. We applied an adapted coding scheme to evaluate use of theoretical frameworks. RESULTS: We reviewed 85 PC trials conducted between 1984 and 2021. Thirty-eight percent (n = 32) of trials explicitly mentioned a theoretical framework, process or delivery model, or clinical practice guideline as a foundation for the intervention design. Only nine trials included a theoretical framework, while the remaining 23 cited a process/delivery model or clinical practice guideline. CONCLUSION: Most PC trials do not cite a theoretical foundation for their intervention design. Future work should focus on developing and validating new theoretical frameworks and modifying existing theories and models to better explain the mechanisms of the variety of PC interventions.

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Published In

J Pain Symptom Manage

DOI

EISSN

1873-6513

Publication Date

March 2022

Volume

63

Issue

3

Start / End Page

e271 / e280

Location

United States

Related Subject Headings

  • Systematic Reviews as Topic
  • Randomized Controlled Trials as Topic
  • Process Assessment, Health Care
  • Practice Guidelines as Topic
  • Palliative Care
  • Models, Theoretical
  • Humans
  • Hospice and Palliative Care Nursing
  • Anesthesiology
  • 42 Health sciences
 

Citation

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Ingle, M. P., Check, D., Slack, D. H., Cross, S. H., Ernecoff, N. C., Matlock, D. D., & Kavalieratos, D. (2022). Use of Theoretical Frameworks in the Development and Testing of Palliative Care Interventions. J Pain Symptom Manage, 63(3), e271–e280. https://doi.org/10.1016/j.jpainsymman.2021.10.011
Ingle, Mary Pilar, Devon Check, Daniel Hogan Slack, Sarah H. Cross, Natalie C. Ernecoff, Daniel D. Matlock, and Dio Kavalieratos. “Use of Theoretical Frameworks in the Development and Testing of Palliative Care Interventions.J Pain Symptom Manage 63, no. 3 (March 2022): e271–80. https://doi.org/10.1016/j.jpainsymman.2021.10.011.
Ingle MP, Check D, Slack DH, Cross SH, Ernecoff NC, Matlock DD, et al. Use of Theoretical Frameworks in the Development and Testing of Palliative Care Interventions. J Pain Symptom Manage. 2022 Mar;63(3):e271–80.
Ingle, Mary Pilar, et al. “Use of Theoretical Frameworks in the Development and Testing of Palliative Care Interventions.J Pain Symptom Manage, vol. 63, no. 3, Mar. 2022, pp. e271–80. Pubmed, doi:10.1016/j.jpainsymman.2021.10.011.
Ingle MP, Check D, Slack DH, Cross SH, Ernecoff NC, Matlock DD, Kavalieratos D. Use of Theoretical Frameworks in the Development and Testing of Palliative Care Interventions. J Pain Symptom Manage. 2022 Mar;63(3):e271–e280.
Journal cover image

Published In

J Pain Symptom Manage

DOI

EISSN

1873-6513

Publication Date

March 2022

Volume

63

Issue

3

Start / End Page

e271 / e280

Location

United States

Related Subject Headings

  • Systematic Reviews as Topic
  • Randomized Controlled Trials as Topic
  • Process Assessment, Health Care
  • Practice Guidelines as Topic
  • Palliative Care
  • Models, Theoretical
  • Humans
  • Hospice and Palliative Care Nursing
  • Anesthesiology
  • 42 Health sciences