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Cited by 188

The DOI matches its Crossref record; 4 of the 4 references it cites were found in a registry or an index.

The project ENABLE II randomized controlled trial to improve palliative care for rural patients with advanced cancer: Baseline findings, methodological challenges, and solutions

Open access
Bakitas, Marie, Lyons, Kathleen Doyle, Hegel, Mark T., Balan, Stefan, Barnett, Kathleen N., Brokaw, Frances C., Byock, Ira R., Hull, Jay G., Li, Zhongze, Mckinstry, Elizabeth, Seville, Janette L., Ahles, Tim A.·2009·Palliative and Supportive Care

Abstract

Objective: There is a paucity of randomized controlled trials (RCTs) to evaluate models of palliative care. Although interventions vary, all have faced a variety of methodological challenges including adequate recruitment, missing data, and contamination of the control group. We describe the ENABLE II intervention, methods, and sample baseline characteristics to increase intervention and methodological transparency, and to describe our solutions to selected methodological issues. Methods: Half of the participants recruited from our rural U.S. comprehensive cancer center and affiliated clinics were randomly assigned to a phone-based, nurse-led educational, care coordination palliative care intervention model. Intervention services were provided to half of the participants weekly for the first month and then monthly until death, including bereavement follow-up call to the caregiver. The other half of the participants were assigned to care as usual. Symptoms, quality of life, mood, and functional status were assessed every 3 months until death. Results: Baseline data of 279 participants were similar to normative samples. Solutions to methodological challenges of recruitment, missing data, and “usual care” control group contamination are described. Significance of results: It is feasible to overcome many of the methodological challenges to conducting a rigorous palliative care RCT.

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Metadata

Authors
Bakitas, M., Lyons, K. D., Hegel, M. T., Balan, S., Barnett, K. N., Brokaw, F. C., Byock, I. R., Hull, J. G., Li, Z., Mckinstry, E., Seville, J. L., & Ahles, T. A.
Venue
Palliative and Supportive Care
Published
2009-02-13
Volume
7
Issue
1
Pages
75-86
ISSN
  • 1478-9515 (ISSN-L)
  • 1478-9523
OpenAlex
W2170483105
Cited by
188
References
4
FWCI
5.56
Type
journal article
Language
en
Open access
green

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CoChat. (2026). Citation check: The project ENABLE II randomized controlled trial to improve palliative care for rural patients with advanced cancer: Baseline findings, methodological challenges, and solutions. https://app.cochat.ai/papers/10.1017/s1478951509000108
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Bakitas, M., Lyons, K. D., Hegel, M. T., Balan, S., Barnett, K. N., Brokaw, F. C., Byock, I. R., Hull, J. G., Li, Z., Mckinstry, E., Seville, J. L., & Ahles, T. A. (2009). The project ENABLE II randomized controlled trial to improve palliative care for rural patients with advanced cancer: Baseline findings, methodological challenges, and solutions. Palliative and Supportive Care. https://doi.org/10.1017/s1478951509000108

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.