{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T03:56:27Z","timestamp":1787025387766,"version":"build-2736575974"},"reference-count":14,"publisher":"Scientific Scholar","content-domain":{"domain":["jpalliativecare.com"],"crossmark-restriction":true},"short-container-title":["IJPC"],"abstract":"\n Objectives:<\/jats:title>\n The purpose of this study was to evaluate the feasibility of a home-based palliative care program delivered by community health workers (CHW) in rural areas outside of Kolkata, India. The specific aims were to assess CHWs\u2019 ability to implement the intervention protocol and maintain records of care, to characterize patient problems and CHW activities to assist patients, and to assess change in patient pain scores over the course of the intervention.<\/jats:p>\n <\/jats:sec>\n \n Materials and Methods:<\/jats:title>\n Four CHWs were hired to facilitate delivery of home-based palliative care services. CHWs were trained using the Worldwide Hospice and Palliative Care Alliance\u2019s Palliative Care Toolkit. CHWs provided care for patients for 3-months, making regular home visits to monitor health, making and implementing care plans, and referring patients back to the cancer center team for serious problems.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n Eleven patients enrolled in the intervention, with ten of these patients participating in the intervention and one patient passing away before starting the intervention. All ten participants reported physical pain, for which CHWs commonly recommended additional or higher dose medication and\/or instructed patients how to take medication properly. For two patients, pain levels decreased between baseline and end of study, while pain scores did not decrease for the remaining patients. Other symptoms for which CHWs provided care included gastro-intestinal, bleeding, and respiratory problems.<\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n The study findings suggest that utilization of CHWs to provide palliative care in low-resource settings may be a feasible approach for expanding access to palliative care. CHWs were able to carry out the study visit protocol and assess and document patient problems and their activities to assist. They were also able to alleviate many common problems patients experienced with simple suggestions or referrals. However, most patients did not see a decrease in pain levels and more emphasis was needed on the emotional aspects of palliative care, and so CHWs may require additional training on provision of pain management and emotional support services.<\/jats:p>\n <\/jats:sec>","DOI":"10.25259\/ijpc_62_21","type":"journal-article","created":{"date-parts":[[2022,1,6]],"date-time":"2022-01-06T01:19:08Z","timestamp":1641431948000},"page":"21-27","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Feasibility of a Palliative Care Intervention Utilizing Community Health Workers to Facilitate Delivery of Home-based Palliative Care in India"],"prefix":"10.25259","volume":"28","author":[{"given":"Kathleen B.","family":"Cartmell","sequence":"first","affiliation":[{"name":"Department of Public Health Sciences, Clemson University, Clemson, South Carolina, United States,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah Ann E.","family":"Kenneson","sequence":"additional","affiliation":[{"name":"Department of Public Health Sciences, Clemson University, Clemson, South Carolina, United States,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rakesh","family":"Roy","sequence":"additional","affiliation":[{"name":"Department of Palliative and Supportive Care, Saroj Gupta Cancer Center and Research Institute, Kolkata, West Bengal, India,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gautam","family":"Bhattacharjee","sequence":"additional","affiliation":[{"name":"Department of Palliative and Supportive Care, Saroj Gupta Cancer Center and Research Institute, Kolkata, West Bengal, India,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nibedita","family":"Panda","sequence":"additional","affiliation":[{"name":"Department of Palliative and Supportive Care, Saroj Gupta Cancer Center and Research Institute, Kolkata, West Bengal, India,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gaurav","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Palliative Care and Psycho-Oncology, Tata Medical Center, Kolkata, West Bengal, India,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suparna","family":"Qanungo","sequence":"additional","affiliation":[{"name":"College of Nursing, Medical University of South Carolina, Clemson, South Carolina, United States,"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10894","published-online":{"date-parts":[[2022,1,6]]},"reference":[{"key":"10.25259\/IJPC_62_21\/ref-1","author":"Connor","year":"2014","unstructured":"Available from: https:\/\/www.thewhpca.org\/resources\/whpca-publications-and-reports\/item\/who-global-atlas-on-palliative-care-at-the-end-of-life [Last accessed on 2021 Nov 05]"},{"key":"10.25259\/IJPC_62_21\/ref-2","article-title":"World Palliative Care Alliance. Palliative Care Toolkit Improving Care from the Roots up in Resource-Limited Settings","author":"Lavy","year":"2014"},{"key":"10.25259\/IJPC_62_21\/ref-3","doi-asserted-by":"publisher","first-page":"715","DOI":"10.1089\/109662103322515220","article-title":"Effectiveness of a home-based palliative care program for end-of-life","volume":"6","author":"Brumley","year":"2003","journal-title":"J Palliat Med"},{"key":"10.25259\/IJPC_62_21\/ref-4","doi-asserted-by":"publisher","first-page":"993","DOI":"10.1111\/j.1532-5415.2007.01234.x","article-title":"Increased satisfaction with care and lower costs: Results of a randomized trial of in-home palliative care","volume":"55","author":"Brumley","year":"2007","journal-title":"J Am Geriatr Soc"},{"key":"10.25259\/IJPC_62_21\/ref-5","article-title":"United Nations: United Nations Human Development Reports","year":"2013"},{"key":"10.25259\/IJPC_62_21\/ref-6","doi-asserted-by":"publisher","first-page":"149","DOI":"10.4103\/0973-1075.105683","article-title":"Palliative care in India: Current progress and future needs","volume":"18","author":"Khosla","year":"2012","journal-title":"Indian J Palliat Care"},{"key":"10.25259\/IJPC_62_21\/ref-7","doi-asserted-by":"publisher","first-page":"277","DOI":"10.4103\/ijmpo.ijmpo_15_16","article-title":"Sociodemographic factors and late-stage diagnosis of breast cancer in india: A hospital-based study","volume":"38","author":"Sathwara","year":"2017","journal-title":"Indian J Med Paediatr Oncol"},{"key":"10.25259\/IJPC_62_21\/ref-8","doi-asserted-by":"publisher","first-page":"572","DOI":"10.1177\/1049909120969127","article-title":"Barriers, facilitators and recommended strategies for implementing a home-based palliative care intervention in Kolkata, India","volume":"38","author":"Qanungo","year":"2021","journal-title":"Am J Hosp Palliat Care"},{"key":"10.25259\/IJPC_62_21\/ref-9","doi-asserted-by":"publisher","first-page":"182","DOI":"10.4103\/IJPC.IJPC_166_18","article-title":"A qualitative evaluation of a home-based palliative care program utilizing community health workers in India","volume":"25","author":"Potts","year":"2019","journal-title":"Indian J Palliat Care"},{"key":"10.25259\/IJPC_62_21\/ref-10","doi-asserted-by":"publisher","first-page":"287","DOI":"10.1002\/pst.185","article-title":"Sample size of 12 per group rule of thumb for a pilot study","volume":"4","author":"Julious","year":"2005","journal-title":"Pharm Stat"},{"key":"10.25259\/IJPC_62_21\/ref-11","doi-asserted-by":"publisher","first-page":"57","DOI":"10.4103\/2278-330X.110487","article-title":"Does the cancer patient want to know? 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