This application is for salary support for Dr. Curtis under the K24 mechanism. This support will relieve him from clinical and administrative duties and allow him to redirect his research program to patient-oriented studies and the mentoring of new clinical investigators. This K24 award will have the support of the Division of Pulmonary and Critical Care Medicine at the University of Washington and the fellowship-training program of this Division. The projects are designed to measure and improve the quality of communication with patients and families about end-of-life care for patients with COPD and critical illness with respiratory failure.
The specific aims are: Project 1: Measuring and improving the quality of communication about end-of-life care in severe COPD. 1) Develop and validate a measure of the quality of patient-physician communication about end-of-life care for persons with severe COPD. 2) Determine whether increased quality of communication is associated with increased quality of end-of-life care. 3) Assess the role of culture and ethnicity in communication about end-of-life care. 4) Develop and evaluate culturally-sensitive interventions to improve the quality of patient-physician communication about end-of-life care for patients with severe COPD. Project 2: Measuring and improving the quality of communication in the ICU family conference. 1)Describe the content and process of clinician-family communication about end-of-life care occurring as part of ICU family conferences using qualitative analysis based on grounded theory. 2) Evaluate the quality of clinician-family communication about end-of-life care occurring as part of ICU family conferences using a combination of qualitative and survey methods. 3) Examine the reliability and validity of a questionnaire assessing the quality of clinician-family communication about end-of-life care occurring as part of ICU family conferences. 4) Assess key components of cultural competence in cross-cultural ICU family conferences. 5) Develop and evaluate culturally-sensitive interventions to improve the quality of clinician-family communication.

Agency
National Institute of Health (NIH)
Institute
National Heart, Lung, and Blood Institute (NHLBI)
Type
Midcareer Investigator Award in Patient-Oriented Research (K24)
Project #
5K24HL068593-04
Application #
6917016
Study Section
Special Emphasis Panel (ZHL1-CSR-F (M2))
Program Officer
Rothgeb, Ann E
Project Start
2002-08-15
Project End
2007-06-30
Budget Start
2005-07-01
Budget End
2006-06-30
Support Year
4
Fiscal Year
2005
Total Cost
$90,845
Indirect Cost
Name
University of Washington
Department
Internal Medicine/Medicine
Type
Schools of Medicine
DUNS #
605799469
City
Seattle
State
WA
Country
United States
Zip Code
98195
Starks, Helene; Doorenbos, Ardith; Lindhorst, Taryn et al. (2016) The Family Communication Study: A randomized trial of prospective pediatric palliative care consultation, study methodology and perceptions of participation burden. Contemp Clin Trials 49:15-20
Khandelwal, Nita; Kross, Erin K; Engelberg, Ruth A et al. (2015) Estimating the effect of palliative care interventions and advance care planning on ICU utilization: a systematic review. Crit Care Med 43:1102-11
Creutzfeldt, Claire J; Holloway, Robert G; Curtis, J Randall (2015) Palliative Care: A Core Competency for Stroke Neurologists. Stroke 46:2714-9
Ehlenbach, William J; Larson, Eric B; Curtis, J Randall et al. (2015) Physical Function and Disability After Acute Care and Critical Illness Hospitalizations in a Prospective Cohort of Older Adults. J Am Geriatr Soc 63:2061-9
Stapleton, Renee D; Ehlenbach, William J; Deyo, Richard A et al. (2014) Long-term outcomes after in-hospital CPR in older adults with chronic illness. Chest 146:1214-1225
Zaros, Mark C; Curtis, J Randall; Silveira, Maria J et al. (2013) Opportunity lost: end-of-life discussions in cancer patients who die in the hospital. J Hosp Med 8:334-40
Gries, Cynthia J; Dew, Mary Amanda; Curtis, J Randall et al. (2013) Nature and correlates of post-traumatic stress symptomatology in lung transplant recipients. J Heart Lung Transplant 32:525-32
Dale, Christopher R; Hayden, Shailaja J; Treggiari, Miriam M et al. (2012) Association between hospital volume and network membership and an analgesia, sedation and delirium order set quality score: a cohort study. Crit Care 16:R106
Au, David H; Udris, Edmunds M; Engelberg, Ruth A et al. (2012) A randomized trial to improve communication about end-of-life care among patients with COPD. Chest 141:726-735
Curtis, J Randall; Engelberg, Ruth A (2011) What is the ""right"" intensity of care at the end of life and how do we get there? Ann Intern Med 154:283-4

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