{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T15:59:04Z","timestamp":1787068744025,"version":"build-2736575974"},"reference-count":24,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2025,12,9]],"date-time":"2025-12-09T00:00:00Z","timestamp":1765238400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Telemedicine and e-Health"],"published-print":{"date-parts":[[2026,4,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Dementia is a leading cause of death and disability among older adults, with increasing caregiver and health care burdens. Palliative care (PC) can improve quality of life (QOL) and reduce nonbeneficial care, yet persons living with dementia (PLWD) remain underserved.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To evaluate the feasibility and preliminary impact of a Telehealth-Facilitated Integrated Palliative Care (TIPC) model for PLWD and their caregivers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A pilot randomized controlled trial was conducted with 51 PLWD and caregivers (22 intervention, 19 control). The intervention included up to two telehealth visits guided by the Serious Illness Conversation Guide. Outcomes included health care utilization, QOL, and caregiver burden at baseline and up to 12 months.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The intervention group had significantly fewer emergency department visits and hospitalizations but no differences in QOL or caregiver burden.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The TIPC model is feasible and may reduce health care utilization among PLWD; larger studies are warranted.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15305627251404408","type":"journal-article","created":{"date-parts":[[2025,12,26]],"date-time":"2025-12-26T03:59:52Z","timestamp":1766721592000},"page":"415-420","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Effectiveness and Impact of Telehealth-Integrated Palliative Care for Persons Living with Dementia and Their Caregivers"],"prefix":"10.1177","volume":"32","author":[{"given":"Brooke","family":"Worster","sequence":"first","affiliation":[{"name":"Medical Oncology, Sidney Kimmel Cancer Center, Thomas Jefferson University, Philadelphia, Pennsylvania, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lizabeth","family":"Kaminoff","sequence":"additional","affiliation":[{"name":"Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amina","family":"Mason","sequence":"additional","affiliation":[{"name":"Medical Oncology, Sidney Kimmel Cancer Center, Thomas Jefferson University, Philadelphia, Pennsylvania, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Pontiggia","sequence":"additional","affiliation":[{"name":"College of Health Professions, Thomas Jefferson University, Philadelphia, Pennsylvania, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kayla","family":"Madden","sequence":"additional","affiliation":[{"name":"Medical Oncology, Sidney Kimmel Cancer Center, Thomas Jefferson University, Philadelphia, Pennsylvania, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mackenzie","family":"Kemp","sequence":"additional","affiliation":[{"name":"Center for Connected Care, Thomas Jefferson University, Philadelphia, Pennsylvania, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amanda","family":"Guth","sequence":"additional","affiliation":[{"name":"Center for Connected Care, Thomas Jefferson University, Philadelphia, Pennsylvania, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nina","family":"Diamond","sequence":"additional","affiliation":[{"name":"Center for Connected Care, Thomas Jefferson University, Philadelphia, Pennsylvania, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Allison","family":"Herens","sequence":"additional","affiliation":[{"name":"Medical Oncology, Sidney Kimmel Cancer Center, Thomas Jefferson University, Philadelphia, Pennsylvania, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristin","family":"Rising","sequence":"additional","affiliation":[{"name":"Center for Connected Care, Thomas Jefferson University, Philadelphia, Pennsylvania, USA."},{"name":"Department of Emergency Medicine, Thomas Jefferson University, Philadelphia, Pennsylvania, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeannette","family":"Kates","sequence":"additional","affiliation":[{"name":"School of Nursing, University of Pennsylvania, Philadelphia, Pennsylvania, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,12,9]]},"reference":[{"key":"e_1_3_4_2_2","first-page":"1598","article-title":"2023 Alzheimer\u2019s disease facts and figures","volume":"19","author":"Alzheimers Dement","year":"2023","unstructured":"Alzheimers Dement. 2023 Alzheimer\u2019s disease facts and figures. J Alzheimers Assoc, 2023; 19:1598\u20131695.","journal-title":"J Alzheimers Assoc"},{"key":"e_1_3_4_3_2","unstructured":"Alzheimer\u2019s Association. 2024 Alzheimer\u2019s disease facts and figures. Chicago IL: Alzheimer\u2019s Association; 2024. Available from: https:\/\/www.alz.org\/alzheimers-dementia\/facts-figures"},{"key":"e_1_3_4_4_2","unstructured":"World Health Organization. Dementia [Internet]. Geneva: World Health Organization; 2025. Available from: https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/dementia [Last accessed: October 24 2025]."},{"key":"e_1_3_4_5_2","unstructured":"Center to Advance Palliative Care. Palliative care definition | What is palliative care [Internet]. New York NY: Center to Advance Palliative Care; 2025 Available from: https:\/\/www.capc.org\/about\/palliative-care\/ [Last accessed: October 24 2025]."},{"key":"e_1_3_4_6_2","doi-asserted-by":"publisher","DOI":"10.1177\/02692163211019897"},{"key":"e_1_3_4_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2020.103655"},{"key":"e_1_3_4_8_2","doi-asserted-by":"publisher","DOI":"10.1177\/10499091241252685"},{"key":"e_1_3_4_9_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.289.18.2387"},{"key":"e_1_3_4_10_2","doi-asserted-by":"publisher","DOI":"10.1177\/1049909120985419"},{"key":"e_1_3_4_11_2","doi-asserted-by":"publisher","DOI":"10.21037\/apm.2017.06.13"},{"key":"e_1_3_4_12_2","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.12330"},{"key":"e_1_3_4_13_2","first-page":"327","article-title":"2021 Alzheimer\u2019s disease facts and figures","volume":"17","author":"Alzheimers Dement","year":"2021","unstructured":"Alzheimers Dement. 2021 Alzheimer\u2019s disease facts and figures. 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