{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T16:10:58Z","timestamp":1788970258083,"version":"build-2803163510"},"reference-count":53,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T00:00:00Z","timestamp":1788912000000},"content-version":"unspecified","delay-in-days":251,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["R00 AG065624"],"award-info":[{"award-number":["R00 AG065624"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Pall Supp Care"],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S1478951526103538_sec1a\">\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>End-of-life care for persons living with dementia in home hospice relies heavily on coordination between family care partners (FCPs) and clinicians (e.g., hospice social workers and nurses). FCPs and clinicians have reported support and knowledge gaps in end-of-life dementia care. Interventions are needed to improve FCPs\u2019 support and clinicians\u2019 educational gaps.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1478951526103538_sec2b\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A pilot randomized controlled trial was designed to examine implementation outcomes for a dementia-focused end-of-life intervention for FCPs (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a037) and clinicians (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a015). Data on survey completion and acceptability were collected at baseline, during 4 follow-up visits, and at the conclusion of the study.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1478951526103538_sec3c\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Twenty-eight (75%) caregivers completed the post-study survey, and 10 (27%) reported using the structured worksheet. Thirteen (87%) clinicians completed the post-training survey, 8 (53%) completed the post-study survey, and 8 (100%) used the worksheet. Clinicians (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a08) were satisfied or highly satisfied with the instructional videos, and half (50%) used the information frequently with patients. Both groups reported the worksheet helpful, easy to use, and satisfactory, though clinicians rated helpfulness slightly higher (mean\u00a0=\u00a03.88 vs. 3.70 for FCPs). Clinicians liked the worksheet\u2019s structured guidance and the enhanced collaboration.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1478951526103538_sec4d\">\n                    <jats:title>Significance of results<\/jats:title>\n                    <jats:p>This study provides preliminary evidence for implementation outcomes of a dementia-focused end-of-life intervention in home hospice. Findings suggest the intervention can be implemented in a hospice setting, with moderate worksheet uptake and perceived value among FCPs and clinicians.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s1478951526103538","type":"journal-article","created":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T15:23:35Z","timestamp":1788967415000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":0,"title":["Implementation outcomes of a dementia-focused intervention for family care partners and clinicians in home hospice care"],"prefix":"10.1017","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4862-2146","authenticated-orcid":false,"given":"Danielle H.","family":"Llaneza","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/05vt9qd57","id-type":"ROR","asserted-by":"publisher"}],"name":"Rutgers Robert Wood Johnson Medical School"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kira G.","family":"Sheldon","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/05vt9qd57","id-type":"ROR","asserted-by":"publisher"}],"name":"Rutgers University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Margaret","family":"McDonald","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/03kp8gv86","id-type":"ROR","asserted-by":"publisher"}],"name":"Center for Home Care Policy & Research"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth A.","family":"Luth","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/05vt9qd57","id-type":"ROR","asserted-by":"publisher"}],"name":"Rutgers Robert Wood Johnson Medical School"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2026,9,9]]},"reference":[{"key":"S1478951526103538_ref27","first-page":"1","article-title":"Implementing evidence\u2010based treatment protocols: Flexibility within fidelity","volume":"25","author":"Kendall","year":"2018","journal-title":"Clinical Psychology: Science and Practice"},{"key":"S1478951526103538_ref51","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2024.04.039"},{"key":"S1478951526103538_ref22","doi-asserted-by":"publisher","DOI":"10.1177\/10499091221123006"},{"key":"S1478951526103538_ref53","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2010.04.026"},{"key":"S1478951526103538_ref37","volume-title":"Problem-solving Therapy: A Treatment Manual","author":"Nezu","year":"2013"},{"key":"S1478951526103538_ref38","doi-asserted-by":"publisher","DOI":"10.1080\/15524256.2014.906371"},{"key":"S1478951526103538_ref25","unstructured":"International Business Machines Corporation (2025) https:\/\/www.sec.gov\/Archives\/edgar\/data\/51143\/000005114326000027\/ibmars2025.pdf (accessed 26 January 2026)."},{"key":"S1478951526103538_ref21","doi-asserted-by":"publisher","DOI":"10.1037\/0894-4105.18.2.284"},{"key":"S1478951526103538_ref9","doi-asserted-by":"publisher","DOI":"10.31887\/DCNS.2009.11.2\/hbrodaty"},{"key":"S1478951526103538_ref33","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.18254"},{"key":"S1478951526103538_ref10","unstructured":"Centers for Medicare & Medicaid Service (2025) Hospice Monitoring Report . 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