{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T18:14:00Z","timestamp":1783620840995,"version":"3.55.0"},"reference-count":24,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2025,11,17]],"date-time":"2025-11-17T00:00:00Z","timestamp":1763337600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"crossref","award":["R21AG067038"],"award-info":[{"award-number":["R21AG067038"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Palliative Medicine"],"published-print":{"date-parts":[[2026,4,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Older adults receiving home health care (HHC) frequently experience serious illness, yet palliative care (PC) is rarely integrated into HHC practice.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To develop and evaluate an interdisciplinary program to support a PalliatIVe hOme healTh (PIVOT) model to build HHC clinicians\u2019 knowledge and confidence in addressing PC needs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>PIVOT included home health clinicians who completed 4 hours of online discipline-specific learning and an in-person session with case-based didactics, facilitated discussion, and reflective exercises. Pre- and post-training surveys assessed knowledge, confidence, and comfort across PC domains.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Participants reported improvements in confidence assessing and managing symptoms, knowledge of advance directives, and comfort updating directives. The largest increase was in understanding what specialty PC provides. All participants rated the training as \u201cvery helpful\u201d and indicated intention to apply skills in practice.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>This interdisciplinary pilot training demonstrated feasibility and early signals of improved PC knowledge and readiness among HHC clinicians to implement core PC practices.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10966218251397739","type":"journal-article","created":{"date-parts":[[2025,11,21]],"date-time":"2025-11-21T09:08:20Z","timestamp":1763716100000},"page":"516-519","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Interdisciplinary Training to Enhance Home Health Clinician Knowledge of Palliative Care: Findings from the PIVOT Pilot Study"],"prefix":"10.1177","volume":"29","author":[{"given":"Chandni","family":"Patel","sequence":"first","affiliation":[{"name":"Department of Medicine, Division of Geriatric Medicine, University of Colorado School of Medicine, Aurora, Colorado, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher M.","family":"Wilson","sequence":"additional","affiliation":[{"name":"Human Movement Science Department, Oakland University School of Health Sciences, Rochester, Michigan, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hillary D.","family":"Lum","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Geriatric Medicine, University of Colorado School of Medicine, Aurora, Colorado, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy","family":"Huebschmann","sequence":"additional","affiliation":[{"name":"Adult and Child Center for Outcomes Research and Delivery Science, University of Colorado School of Medicine and Children\u2019s Hospital Colorado, Aurora, Colorado, USA."},{"name":"Department of Medicine, Division of General Internal Medicine, University of Colorado School of Medicine, Aurora, Colorado, USA."},{"name":"Department of Medicine, Ludeman Family Center for Women\u2019s Health Research, Aurora, Colorado, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caroline","family":"Tietbohl","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Geriatric Medicine, University of Colorado School of Medicine, Aurora, Colorado, USA."},{"name":"Adult and Child Center for Outcomes Research and Delivery Science, University of Colorado School of Medicine and Children\u2019s Hospital Colorado, Aurora, Colorado, USA."},{"name":"Department of Family Medicine, University of Colorado School of Medicine, Aurora, Colorado, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tanya","family":"Budnikova","sequence":"additional","affiliation":[{"name":"Berkley Home Health, Aurora, Colorado, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gary","family":"Ruvins","sequence":"additional","affiliation":[{"name":"Berkley Home Health, Aurora, Colorado, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christine D.","family":"Jones","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Geriatric Medicine, University of Colorado School of Medicine, Aurora, Colorado, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,11,17]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare11152131"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.5888\/pcd22.240539"},{"key":"e_1_3_3_4_2","volume-title":"Home Care Chartbook 2023","author":"LLC, KHC","year":"2023","unstructured":"LLC, KHC. Home Care Chartbook 2023. Research Institute for Home Care; 2023."},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1111\/1475-6773.12504"},{"key":"e_1_3_3_6_2","article-title":"Older adults receiving home care are missing out on palliative care: Study","author":"Kristen","year":"2024","unstructured":"Kristen. Older adults receiving home care are missing out on palliative care: Study. McKnight\u2019s Long-Term Care News, 2024.","journal-title":"McKnight\u2019s Long-Term Care News"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1177\/1049909118777235"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1177\/10499091231184621"},{"key":"e_1_3_3_9_2","unstructured":"World Health Organization. Policy brief on integrating rehabilitation into palliative care services. WHO Regional Office for Europe: Copenhagen; 2023 [WHO\/EURO:2023-5825-45590-68173]. 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