Marie A. Bakitas, DNSc, APRN, FAAN
Project ENABLE - Educate, Nurture, Advise, Before Life EndsFunded by the American Cancer Society, the objective of Dr. Bakitas's grant is to study whether a phone-based palliative care intervention can help reduce access disparities for veterans, minorities and patients from rural areas who have advanced cancer. Project ENABLE is a phone-based palliative care intervention for patients. Initial work has been done in an academic medical center setting.
: Building on the findings from ENABLE II study, where participants had four weekly educational sessions and monthly follow-up sessions with a specially trained advanced practice nurse who coached patients and their caregivers through a series of structured telephone sessions on topics such as problem solving, communication, symptom management and self-care, as well as medical decision-making.
The current project will examine the possibility that the ENABLE II intervention can be as effective for patients and their caregivers from rural areas who are outside the reach of an academic medical center.
Four communities representing rural geography and/or ethnic and racial diversity: Birmingham, Ala. (Birmingham VA Medical Center); Grand Rapids, Mich.; Spartanburg, SC.; and Bangor, Maine will be targeted for this current project. Project teams at each site will work together over the next four years to tailor ENABLE to their individual communities. The project’s long-term goal is to make the ENABLE project accessible to patients and family members in other non-academic community cancer centers across the country.
Bakitas M, MacMartin M, Trzepkowski K, et al. Palliative Care Consultations for Heart Failure Patients: How Many, When, and Why? Journal of Cardiac Failure. 2013, under review.
Williams, AL and Bakitas, M. (2012) Cancer Family Caregivers: A New Direction for Interventions. J Palliat Med. 15(7): 775-783.
Bakitas M, Lyons K, Hegel M, et al. Effects of a palliative care intervention on clinical outcomes in patients with advanced cancer: The Project ENABLE II Randomized Controlled Trial. JAMA.2009;302(7):741-749.