Abstract
Context
Early, concurrent palliative care interventions in chronic obstructive pulmonary disease
(COPD) are limited. Project EPIC (Early Palliative Care In COPD) is a multiphase mixed methods study working to fill
this gap.
Objectives
To conduct a formative and summative evaluation of EPIC, a telephonic nurse coach-led
early palliative care intervention for COPD adapted from the ENABLE© intervention
in cancer.
Methods
Phase I Formative Evaluation: Patients with moderate-to-very-severe COPD, family caregivers, and pulmonary and
palliative care clinicians rated the acceptability and feasibility of EPIC (≥4 out
of five on a Likert-scale survey). Phase II Summative Evaluation: Patients and family caregivers in Phase I participated in a pilot of the three month
EPIC prototype to evaluate intervention and data collection feasibility (≥70% completion)
and to seek qualitative feedback.
Results
Phase I Formative Evaluation: Patients (n=10), family caregivers (n=10), pulmonary clinicians (n=6), and palliative care clinicians (n=6) found EPIC acceptable and feasible to support adaptation, while priority early
palliative care needs in COPD from our prior research mapped well to the EPIC prototype.
Phase II Summative Evaluation: Patients (n=5; ages 49–72, 40% moderate COPD, 40% Black) and their family caregivers (n=5; ages 51–73, 40% Black) completed 100% of EPIC prototype components, including weekly
telephone sessions, a one month follow-up call, Advance Directive, palliative care
clinic attendance, and 95% of monthly phone data collection sessions. Feedback from
participants about EPIC was all positive.
Conclusion
EPIC was acceptable and feasible in patients with COPD and their family caregivers.
Larger feasibility and effectiveness trials are warranted.
Key Words
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Article info
Publication history
Published online: December 06, 2022
Accepted:
November 29,
2022
Publication stage
In Press Journal Pre-ProofIdentification
Copyright
© 2022 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved.
