Palliative Care Always: Hepatology—Virtual Primary Palliative Care Training for Hepatologists Article Swipe
Jan C. DeNofrio
,
Manisha Verma
,
Andrzej S. Kosinski
,
Victor J. Navarro
,
Tamar H. Taddei
,
Michael L. Volk
,
Marie Bakitas
,
Kavitha Ramchandran
·
YOU?
·
· 2021
· Open Access
·
· DOI: https://doi.org/10.1002/hep4.1849
YOU?
·
· 2021
· Open Access
·
· DOI: https://doi.org/10.1002/hep4.1849
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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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1002/hep4.1849
- OA Status
- gold
- Cited By
- 16
- References
- 36
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W3209685387
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W3209685387Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1002/hep4.1849Digital Object Identifier
- Title
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Palliative Care Always: Hepatology—Virtual Primary Palliative Care Training for HepatologistsWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
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2021Year of publication
- Publication date
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2021-10-31Full publication date if available
- Authors
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Jan C. DeNofrio, Manisha Verma, Andrzej S. Kosinski, Victor J. Navarro, Tamar H. Taddei, Michael L. Volk, Marie Bakitas, Kavitha RamchandranList of authors in order
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https://doi.org/10.1002/hep4.1849Publisher landing page
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YesWhether a free full text is available
- OA status
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goldOpen access status per OpenAlex
- OA URL
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https://doi.org/10.1002/hep4.1849Direct OA link when available
- Concepts
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Medicine, Palliative care, Psychosocial, Hepatology, Internal medicine, Formative assessment, Randomized controlled trial, Primary care, Family medicine, Nursing, Psychology, Psychiatry, PedagogyTop concepts (fields/topics) attached by OpenAlex
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16Total citation count in OpenAlex
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2025: 4, 2024: 3, 2023: 4, 2022: 5Per-year citation counts (last 5 years)
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36Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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