Impact of a virtual nurse-led Early paLlIative Care IntervenTion (ELICIT) randomized controlled trial.

Periyakoil, Vyjeyanthi S; Neri, Eric; Mallari, Kristine Isabel M; Huang, Hsiao Min; Padilla, Elizabeth Deleon; Covinsky, Kenneth; von Gunten, Charles F; Kraemer, Helena · NPJ Digit Med · 2026

rct · Level II

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Abstract

In this 12-month, virtual, RCT, we compared usual care to a nurse-led primary palliative care intervention on chronically ill, community-dwelling older adults across the United States with varying levels of cognitive impairment. Significantly higher rates of advance care planning (89.1% vs 3.0%) and reporting of supportive care needs (86.1% vs 29.3%) in the intervention vs usual care arm highlights the improvement in the care of older adults with cognitive impairment. Trial Registration: https://clinicaltrials.gov/study/NCT03881579.