{"id":"https://openalex.org/W7204995363","doi":"https://doi.org/10.1177/10966218261485724","title":"A Pilot Feasibility Study of PAL-CHW-PDAC, a Digitally Enhanced Community Health Worker-Led Intervention to Facilitate Stepped Palliative Care in Patients with Pancreatic Cancer","display_name":"A Pilot Feasibility Study of PAL-CHW-PDAC, a Digitally Enhanced Community Health Worker-Led Intervention to Facilitate Stepped Palliative Care in Patients with Pancreatic Cancer","publication_year":2026,"publication_date":"2026-09-01","ids":{"openalex":"https://openalex.org/W7204995363","doi":"https://doi.org/10.1177/10966218261485724","pmid":"https://pubmed.ncbi.nlm.nih.gov/42681826"},"language":"en","primary_location":{"id":"doi:10.1177/10966218261485724","doi":"https://doi.org/10.1177/10966218261485724","is_oa":false,"landing_page_url":"https://doi.org/10.1177/10966218261485724","pdf_url":null,"source":{"id":"https://openalex.org/S155536936","display_name":"Journal of Palliative Medicine","issn_l":"1096-6218","issn":["1096-6218","1557-7740"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320443","host_organization_name":"Mary Ann Liebert, Inc.","host_organization_lineage":["https://openalex.org/P4310320443","https://openalex.org/P4310320017"],"host_organization_lineage_names":["Mary Ann Liebert, Inc.","SAGE Publishing"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Palliative Medicine","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://www.medrxiv.org/content/medrxiv/early/2025/10/09/2025.10.06.25337465.full.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5010133863","display_name":"Nikhil Ravi Thiruvengadam","orcid":"https://orcid.org/0000-0002-0944-9934","observed_orcids":["https://orcid.org/0000-0002-0944-9934"]},"institutions":[{"id":"https://openalex.org/I1293502524","display_name":"Loma Linda University Medical Center","ror":"https://ror.org/03et1qs84","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1293502524"]},{"id":"https://openalex.org/I26347476","display_name":"Loma Linda University","ror":"https://ror.org/04bj28v14","country_code":"US","type":"education","lineage":["https://openalex.org/I26347476"]},{"id":"https://openalex.org/I4210095401","display_name":"Loma Linda University Health Care","ror":"https://ror.org/00saxze38","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210095401"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Nikhil R. Thiruvengadam","raw_affiliation_strings":["Division of Gastroenterology and Hepatology, Loma Linda University Health, Loma Linda, CA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Gastroenterology and Hepatology, Loma Linda University Health, Loma Linda, CA","institution_ids":["https://openalex.org/I1293502524","https://openalex.org/I26347476","https://openalex.org/I4210095401"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5035368028","display_name":"Maud Joachim-C\u00e9lestin","orcid":"https://orcid.org/0000-0001-5424-4666","observed_orcids":["https://orcid.org/0000-0001-5424-4666"]},"institutions":[{"id":"https://openalex.org/I26347476","display_name":"Loma Linda University","ror":"https://ror.org/04bj28v14","country_code":"US","type":"education","lineage":["https://openalex.org/I26347476"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Maud Celestin","raw_affiliation_strings":["Loma Linda University School of Behavioral Health, Loma Linda, CA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Loma Linda University School of Behavioral Health, Loma Linda, CA","institution_ids":["https://openalex.org/I26347476"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5111213504","display_name":"Lizbeth Rivas","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I26347476","display_name":"Loma Linda University","ror":"https://ror.org/04bj28v14","country_code":"US","type":"education","lineage":["https://openalex.org/I26347476"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Lizbeth Rivas","raw_affiliation_strings":["Loma Linda University School of Behavioral Health, Loma Linda, CA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Loma Linda University School of Behavioral Health, Loma Linda, CA","institution_ids":["https://openalex.org/I26347476"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5093895962","display_name":"Nishita Matangi","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I26347476","display_name":"Loma Linda University","ror":"https://ror.org/04bj28v14","country_code":"US","type":"education","lineage":["https://openalex.org/I26347476"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Nishita Matangi","raw_affiliation_strings":["Loma Linda University School of Behavioral Health, Loma Linda, CA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Loma Linda University School of Behavioral Health, Loma Linda, CA","institution_ids":["https://openalex.org/I26347476"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5041404119","display_name":"Arman Bahmani","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I26347476","display_name":"Loma Linda University","ror":"https://ror.org/04bj28v14","country_code":"US","type":"education","lineage":["https://openalex.org/I26347476"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Arman Bahmani","raw_affiliation_strings":["Department of Medicine, Loma Linda University School of Medicine, Loma Linda, CA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Medicine, Loma Linda University School of Medicine, Loma Linda, CA","institution_ids":["https://openalex.org/I26347476"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5149006594","display_name":"Matthew Oroso","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I26347476","display_name":"Loma Linda University","ror":"https://ror.org/04bj28v14","country_code":"US","type":"education","lineage":["https://openalex.org/I26347476"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Matthew Oroso","raw_affiliation_strings":["Department of Medicine, Loma Linda University School of Medicine, Loma Linda, CA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Medicine, Loma Linda University School of Medicine, Loma Linda, CA","institution_ids":["https://openalex.org/I26347476"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5022590300","display_name":"Joel M. Brothers","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1293502524","display_name":"Loma Linda University Medical Center","ror":"https://ror.org/03et1qs84","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1293502524"]},{"id":"https://openalex.org/I26347476","display_name":"Loma Linda University","ror":"https://ror.org/04bj28v14","country_code":"US","type":"education","lineage":["https://openalex.org/I26347476"]},{"id":"https://openalex.org/I4210095401","display_name":"Loma Linda University Health Care","ror":"https://ror.org/00saxze38","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210095401"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Joel Brothers","raw_affiliation_strings":["Division of Hematology and Oncology, Loma Linda University Health, Loma Linda, CA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Hematology and Oncology, Loma Linda University Health, Loma Linda, CA","institution_ids":["https://openalex.org/I1293502524","https://openalex.org/I26347476","https://openalex.org/I4210095401"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5078532380","display_name":"Kendrick Che","orcid":"https://orcid.org/0000-0002-3299-0227","observed_orcids":["https://orcid.org/0000-0002-3299-0227"]},"institutions":[{"id":"https://openalex.org/I1293502524","display_name":"Loma Linda University Medical Center","ror":"https://ror.org/03et1qs84","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1293502524"]},{"id":"https://openalex.org/I26347476","display_name":"Loma Linda University","ror":"https://ror.org/04bj28v14","country_code":"US","type":"education","lineage":["https://openalex.org/I26347476"]},{"id":"https://openalex.org/I4210095401","display_name":"Loma Linda University Health Care","ror":"https://ror.org/00saxze38","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210095401"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Kendrick Che","raw_affiliation_strings":["Division of Gastroenterology and Hepatology, Loma Linda University Health, Loma Linda, CA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Gastroenterology and Hepatology, Loma Linda University Health, Loma Linda, CA","institution_ids":["https://openalex.org/I1293502524","https://openalex.org/I26347476","https://openalex.org/I4210095401"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5123552786","display_name":"Andrew Chang","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1293502524","display_name":"Loma Linda University Medical Center","ror":"https://ror.org/03et1qs84","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1293502524"]},{"id":"https://openalex.org/I26347476","display_name":"Loma Linda University","ror":"https://ror.org/04bj28v14","country_code":"US","type":"education","lineage":["https://openalex.org/I26347476"]},{"id":"https://openalex.org/I4210095401","display_name":"Loma Linda University Health Care","ror":"https://ror.org/00saxze38","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210095401"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Andrew Chang","raw_affiliation_strings":["Division of Gastroenterology and Hepatology, Loma Linda University Health, Loma Linda, CA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Gastroenterology and Hepatology, Loma Linda University Health, Loma Linda, CA","institution_ids":["https://openalex.org/I1293502524","https://openalex.org/I26347476","https://openalex.org/I4210095401"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5046703752","display_name":"Emmanuel Eguia","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1293502524","display_name":"Loma Linda University Medical Center","ror":"https://ror.org/03et1qs84","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1293502524"]},{"id":"https://openalex.org/I26347476","display_name":"Loma Linda University","ror":"https://ror.org/04bj28v14","country_code":"US","type":"education","lineage":["https://openalex.org/I26347476"]},{"id":"https://openalex.org/I4210095401","display_name":"Loma Linda University Health Care","ror":"https://ror.org/00saxze38","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210095401"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Emmanuel Eguia","raw_affiliation_strings":["Division of Surgical Oncology, Loma Linda University Health, Loma Linda, CA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Surgical Oncology, Loma Linda University Health, Loma Linda, CA","institution_ids":["https://openalex.org/I1293502524","https://openalex.org/I26347476","https://openalex.org/I4210095401"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5031128522","display_name":"Paul Leonor","orcid":"https://orcid.org/0009-0005-4116-2692","observed_orcids":["https://orcid.org/0009-0005-4116-2692"]},"institutions":[{"id":"https://openalex.org/I1293502524","display_name":"Loma Linda University Medical Center","ror":"https://ror.org/03et1qs84","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1293502524"]},{"id":"https://openalex.org/I26347476","display_name":"Loma Linda University","ror":"https://ror.org/04bj28v14","country_code":"US","type":"education","lineage":["https://openalex.org/I26347476"]},{"id":"https://openalex.org/I4210095401","display_name":"Loma Linda University Health Care","ror":"https://ror.org/00saxze38","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210095401"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Paul Leonor","raw_affiliation_strings":["Division of Gastroenterology and Hepatology, Loma Linda University Health, Loma Linda, CA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Gastroenterology and Hepatology, Loma Linda University Health, Loma Linda, CA","institution_ids":["https://openalex.org/I1293502524","https://openalex.org/I26347476","https://openalex.org/I4210095401"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5137190896","display_name":"Gina Mohr","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I26347476","display_name":"Loma Linda University","ror":"https://ror.org/04bj28v14","country_code":"US","type":"education","lineage":["https://openalex.org/I26347476"]},{"id":"https://openalex.org/I4210095401","display_name":"Loma Linda University Health Care","ror":"https://ror.org/00saxze38","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210095401"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Gina Mohr","raw_affiliation_strings":["Division of Hospice and Palliative Medicine, Loma Linda University Health, Loma Linda, CA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Hospice and Palliative Medicine, Loma Linda University Health, Loma Linda, CA","institution_ids":["https://openalex.org/I26347476","https://openalex.org/I4210095401"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5056521594","display_name":"Raja R. Narayan","orcid":"https://orcid.org/0000-0001-7938-4702","observed_orcids":["https://orcid.org/0000-0001-7938-4702"]},"institutions":[{"id":"https://openalex.org/I1293502524","display_name":"Loma Linda University Medical Center","ror":"https://ror.org/03et1qs84","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1293502524"]},{"id":"https://openalex.org/I26347476","display_name":"Loma Linda University","ror":"https://ror.org/04bj28v14","country_code":"US","type":"education","lineage":["https://openalex.org/I26347476"]},{"id":"https://openalex.org/I4210095401","display_name":"Loma Linda University Health Care","ror":"https://ror.org/00saxze38","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210095401"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Raja Narayan","raw_affiliation_strings":["Division of Surgical Oncology, Loma Linda University Health, Loma Linda, CA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Surgical Oncology, Loma Linda University Health, Loma Linda, CA","institution_ids":["https://openalex.org/I1293502524","https://openalex.org/I26347476","https://openalex.org/I4210095401"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5049661493","display_name":"Sagar J. Pathak","orcid":"https://orcid.org/0000-0002-0490-5902","observed_orcids":["https://orcid.org/0000-0002-0490-5902"]},"institutions":[{"id":"https://openalex.org/I1293502524","display_name":"Loma Linda University Medical Center","ror":"https://ror.org/03et1qs84","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1293502524"]},{"id":"https://openalex.org/I26347476","display_name":"Loma Linda University","ror":"https://ror.org/04bj28v14","country_code":"US","type":"education","lineage":["https://openalex.org/I26347476"]},{"id":"https://openalex.org/I4210095401","display_name":"Loma Linda University Health Care","ror":"https://ror.org/00saxze38","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210095401"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Sagar Pathak","raw_affiliation_strings":["Division of Gastroenterology and Hepatology, Loma Linda University Health, Loma Linda, CA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Gastroenterology and Hepatology, Loma Linda University Health, Loma Linda, CA","institution_ids":["https://openalex.org/I1293502524","https://openalex.org/I26347476","https://openalex.org/I4210095401"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5056914979","display_name":"Susanne Montgomery","orcid":"https://orcid.org/0000-0003-1269-9034","observed_orcids":["https://orcid.org/0000-0003-1269-9034"]},"institutions":[{"id":"https://openalex.org/I26347476","display_name":"Loma Linda University","ror":"https://ror.org/04bj28v14","country_code":"US","type":"education","lineage":["https://openalex.org/I26347476"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Susanne Montgomery","raw_affiliation_strings":["Loma Linda University School of Behavioral Health, Loma Linda, CA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Loma Linda University School of Behavioral Health, Loma Linda, CA","institution_ids":["https://openalex.org/I26347476"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5111984273","display_name":"Betty Ferrell","orcid":"https://orcid.org/0000-0003-0061-5235","observed_orcids":["https://orcid.org/0000-0003-0061-5235"]},"institutions":[{"id":"https://openalex.org/I1301076528","display_name":"City Of Hope National Medical Center","ror":"https://ror.org/00w6g5w60","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1301076528"]},{"id":"https://openalex.org/I4210110459","display_name":"City of Hope","ror":"https://ror.org/01z1vct10","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1301076528","https://openalex.org/I4210110459"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Betty Ferrell","raw_affiliation_strings":["Division of Nursing Research, Department of Population Sciences, City of Hope Medical Center, Duarte, CA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Nursing Research, Department of Population Sciences, City of Hope Medical Center, Duarte, CA","institution_ids":["https://openalex.org/I1301076528","https://openalex.org/I4210110459"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":5,"corresponding_author_ids":["https://openalex.org/A5010133863"],"corresponding_institution_ids":["https://openalex.org/I1293502524","https://openalex.org/I26347476","https://openalex.org/I4210095401"],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.62875541,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"29","issue":"12","first_page":"1754","last_page":"1760"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10177","display_name":"Palliative Care and End-of-Life Issues","score":0.9419000148773193,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10177","display_name":"Palliative Care and End-of-Life Issues","score":0.9419000148773193,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13340","display_name":"Palliative and Oncologic Care","score":0.052000001072883606,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11199","display_name":"Pain Management and Opioid Use","score":0.0010000000474974513,"subfield":{"id":"https://openalex.org/subfields/2703","display_name":"Anesthesiology and Pain Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/pancreatic-ductal-adenocarcinoma","display_name":"pancreatic ductal adenocarcinoma","score":0.9950000047683716},{"id":"https://openalex.org/keywords/early-palliative-care","display_name":"early palliative care","score":0.875},{"id":"https://openalex.org/keywords/community-health-workers","display_name":"community health workers","score":0.824999988079071},{"id":"https://openalex.org/keywords/advance-care-planning","display_name":"advance care planning","score":0.9079999923706055},{"id":"https://openalex.org/keywords/quality-of-life","display_name":"quality of life","score":0.8519999980926514},{"id":"https://openalex.org/keywords/symptom-burden","display_name":"symptom burden","score":0.9990000128746033},{"id":"https://openalex.org/keywords/digital-health-interventions","display_name":"digital health interventions","score":0.703000009059906},{"id":"https://openalex.org/keywords/feasibility-and-acceptability","display_name":"feasibility and acceptability","score":0.7350000143051147}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9599999785423279},{"id":"https://openalex.org/C2780665704","wikidata":"https://www.wikidata.org/wiki/Q959298","display_name":"Intervention (counseling)","level":2,"score":0.7129999995231628},{"id":"https://openalex.org/C2994186709","wikidata":"https://www.wikidata.org/wiki/Q29483","display_name":"Palliative care","level":2,"score":0.7038000226020813},{"id":"https://openalex.org/C2779951463","wikidata":"https://www.wikidata.org/wiki/Q7268788","display_name":"Quality of life (healthcare)","level":2,"score":0.6565999984741211},{"id":"https://openalex.org/C2780210213","wikidata":"https://www.wikidata.org/wiki/Q212961","display_name":"Pancreatic cancer","level":3,"score":0.6230000257492065},{"id":"https://openalex.org/C188816634","wikidata":"https://www.wikidata.org/wiki/Q2113324","display_name":"Prospective cohort study","level":2,"score":0.5054000020027161},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.46869999170303345},{"id":"https://openalex.org/C535046627","wikidata":"https://www.wikidata.org/wiki/Q30612","display_name":"Clinical trial","level":2,"score":0.4154999852180481},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.3898000121116638},{"id":"https://openalex.org/C121608353","wikidata":"https://www.wikidata.org/wiki/Q12078","display_name":"Cancer","level":2,"score":0.3610999882221222},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.35600000619888306},{"id":"https://openalex.org/C2992026798","wikidata":"https://www.wikidata.org/wiki/Q212961","display_name":"Pancreatic ductal adenocarcinoma","level":4,"score":0.33629998564720154},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.32820001244544983},{"id":"https://openalex.org/C2777995714","wikidata":"https://www.wikidata.org/wiki/Q18209059","display_name":"Advance care planning","level":3,"score":0.3212999999523163},{"id":"https://openalex.org/C168563851","wikidata":"https://www.wikidata.org/wiki/Q1436668","display_name":"Randomized controlled trial","level":2,"score":0.2971000075340271},{"id":"https://openalex.org/C2777896191","wikidata":"https://www.wikidata.org/wiki/Q22907655","display_name":"Patient experience","level":3,"score":0.28369998931884766},{"id":"https://openalex.org/C2994577977","wikidata":"https://www.wikidata.org/wiki/Q1203526","display_name":"Pilot trial","level":3,"score":0.2791999876499176},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.265500009059906},{"id":"https://openalex.org/C2775951005","wikidata":"https://www.wikidata.org/wiki/Q3473024","display_name":"Community health","level":3,"score":0.259799987077713}],"mesh":[{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000369","descriptor_name":"Aged, 80 and over","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003150","descriptor_name":"Community Health Workers","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D005240","descriptor_name":"Feasibility Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010166","descriptor_name":"Palliative Care","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D010190","descriptor_name":"Pancreatic Neoplasms","qualifier_ui":"Q000451","qualifier_name":"nursing","is_major_topic":true},{"descriptor_ui":"D010190","descriptor_name":"Pancreatic Neoplasms","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":true},{"descriptor_ui":"D010865","descriptor_name":"Pilot Projects","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011446","descriptor_name":"Prospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011788","descriptor_name":"Quality of Life","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":false},{"descriptor_ui":"D021441","descriptor_name":"Carcinoma, Pancreatic Ductal","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":true}],"locations_count":3,"locations":[{"id":"doi:10.1177/10966218261485724","doi":"https://doi.org/10.1177/10966218261485724","is_oa":false,"landing_page_url":"https://doi.org/10.1177/10966218261485724","pdf_url":null,"source":{"id":"https://openalex.org/S155536936","display_name":"Journal of Palliative Medicine","issn_l":"1096-6218","issn":["1096-6218","1557-7740"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320443","host_organization_name":"Mary Ann Liebert, Inc.","host_organization_lineage":["https://openalex.org/P4310320443","https://openalex.org/P4310320017"],"host_organization_lineage_names":["Mary Ann Liebert, Inc.","SAGE Publishing"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Palliative Medicine","raw_type":"journal-article"},{"id":"doi:10.1101/2025.10.06.25337465","doi":"https://doi.org/10.1101/2025.10.06.25337465","is_oa":true,"landing_page_url":"https://doi.org/10.1101/2025.10.06.25337465","pdf_url":"https://www.medrxiv.org/content/medrxiv/early/2025/10/09/2025.10.06.25337465.full.pdf","source":{"id":"https://openalex.org/S3005729997","display_name":"medRxiv","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":["https://openalex.org/P4310315909"],"host_organization_lineage_names":["Cold Spring Harbor Laboratory Press"],"type":"repository"},"license":null,"license_id":null,"version":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":"medRxiv","raw_type":"posted-content"},{"id":"pmid:42681826","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42681826","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of palliative medicine","raw_type":"Journal Article"}],"best_oa_location":{"id":"doi:10.1101/2025.10.06.25337465","doi":"https://doi.org/10.1101/2025.10.06.25337465","is_oa":true,"landing_page_url":"https://doi.org/10.1101/2025.10.06.25337465","pdf_url":"https://www.medrxiv.org/content/medrxiv/early/2025/10/09/2025.10.06.25337465.full.pdf","source":{"id":"https://openalex.org/S3005729997","display_name":"medRxiv","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":["https://openalex.org/P4310315909"],"host_organization_lineage_names":["Cold Spring Harbor Laboratory Press"],"type":"repository"},"license":null,"license_id":null,"version":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":"medRxiv","raw_type":"posted-content"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":1.0}],"study_designs":[{"display_name":"Clinical Trial","id":"https://openalex.org/study-designs/clinical-trial"}],"awards":[{"id":"https://openalex.org/G241497297","display_name":null,"funder_award_id":"PA230343","funder_id":"https://openalex.org/F4320338273","funder_display_name":"Congressionally Directed Medical Research Programs"}],"funders":[{"id":"https://openalex.org/F4320338273","display_name":"Congressionally Directed Medical Research Programs","ror":"https://ror.org/03g2zjp07"}],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7204995363.pdf","grobid_xml":"https://content.openalex.org/works/W7204995363.grobid-xml"},"referenced_works_count":50,"referenced_works":["https://openalex.org/W186362352","https://openalex.org/W1540126543","https://openalex.org/W1968812902","https://openalex.org/W1977618988","https://openalex.org/W1979290264","https://openalex.org/W2017888376","https://openalex.org/W2028764578","https://openalex.org/W2047297864","https://openalex.org/W2062292984","https://openalex.org/W2063819503","https://openalex.org/W2082933130","https://openalex.org/W2091343120","https://openalex.org/W2115050143","https://openalex.org/W2567546148","https://openalex.org/W2589791201","https://openalex.org/W2736270008","https://openalex.org/W2750615195","https://openalex.org/W2786713634","https://openalex.org/W2800821513","https://openalex.org/W2883213577","https://openalex.org/W2973540691","https://openalex.org/W2976085198","https://openalex.org/W3011502446","https://openalex.org/W3082865028","https://openalex.org/W3092528792","https://openalex.org/W3160151958","https://openalex.org/W3181143795","https://openalex.org/W4229077123","https://openalex.org/W4281790169","https://openalex.org/W4283313052","https://openalex.org/W4294690514","https://openalex.org/W4310137387","https://openalex.org/W4362658168","https://openalex.org/W4366156699","https://openalex.org/W4383615298","https://openalex.org/W4386156890","https://openalex.org/W4388007168","https://openalex.org/W4390285525","https://openalex.org/W4399274822","https://openalex.org/W4399420606","https://openalex.org/W4400413912","https://openalex.org/W4401542080","https://openalex.org/W4402455522","https://openalex.org/W4405623041","https://openalex.org/W4405679678","https://openalex.org/W4405949062","https://openalex.org/W4407986257","https://openalex.org/W7128717090","https://openalex.org/W7153318684","https://openalex.org/W7162308805"],"related_works":["https://openalex.org/W4415002305","https://openalex.org/W7162579993","https://openalex.org/W7162139860","https://openalex.org/W4246805974","https://openalex.org/W3125046560","https://openalex.org/W4399401240","https://openalex.org/W4396981884","https://openalex.org/W7134075163","https://openalex.org/W3040990957","https://openalex.org/W2305572417"],"abstract_inverted_index":{"ABSTRACT":[0],"Background":[1],"Pancreatic":[2],"Ductal":[3],"Adenocarcinoma":[4],"(PDAC)":[5],"is":[6],"associated":[7],"with":[8,84],"substantial":[9],"morbidity":[10],"and":[11,29,64,91,99,117,193,203,224,229],"poor":[12],"quality":[13,26,111],"of":[14,27,39,67,103,112,151,163,184,214,248],"life":[15,28],"(QOL).":[16],"Early":[17],"palliative":[18],"care":[19],"(EPC)":[20],"has":[21],"been":[22],"shown":[23],"to":[24,53,209,226,238,243],"improve":[25],"reduce":[30],"symptom":[31,109,204,231],"burden":[32,205],"in":[33,187,191],"PDAC,":[34,136],"but":[35],"only":[36],"a":[37,50],"minority":[38],"PDAC":[40,78,143,227,249],"patients":[41,79,147,157,164,177,215,228],"receive":[42],"it.":[43,159],"Using":[44],"three":[45],"conceptual":[46],"models,":[47],"we":[48],"developed":[49],"CHW-led":[51],"intervention":[52,169,221],"help":[54],"facilitate":[55],"stepped":[56],"PC.":[57],"Objectives":[58],"To":[59],"evaluate":[60],"the":[61,96,101,152,168,180,185,188,240,245],"feasibility,":[62],"acceptability,":[63,161],"preliminary":[65],"effectiveness":[66],"PAL-CHW-PDAC.":[68],"Design":[69],"A":[70],"single-center":[71],"prospective":[72],"single-arm":[73],"pilot":[74],"study":[75],"Setting/Subjects":[76],"Newly-diagnosed":[77],"(n=48)":[80],"were":[81,93,108,130],"included":[82],"along":[83],"their":[85],"family":[86],"caregivers":[87],"(FCGs)":[88],"Measurements":[89],"Acceptability":[90,102],"Feasibility":[92],"defined":[94],"using":[95,100],"RE-AIM":[97],"framework":[98],"Intervention":[104],"Measure.":[105],"Secondary":[106],"outcomes":[107],"burden,":[110],"life,":[113],"attitudes":[114],"towards":[115],"PC,":[116],"ACP":[118],"completion.":[119],"Results":[120],"The":[121,219],"median":[122],"age":[123],"was":[124,170,222],"69.":[125],"Of":[126],"those,":[127],"29":[128],"(60%)":[129],"Hispanic,":[131],"25":[132],"(52%)":[133],"had":[134,140],"metastatic":[135],"while":[137,154,212],"23":[138],"(48%)":[139],"borderline":[141],"resectable/resectable":[142],"at":[144],"diagnosis.":[145],"Four":[146],"died":[148],"before":[149],"completion":[150],"intervention,":[153],"all":[155],"remaining":[156],"completed":[158,216],"Regarding":[160],"94%":[162],"strongly":[165],"agreed":[166],"that":[167],"acceptable.":[171],"Themed":[172],"common":[173],"responses":[174],"highlighted":[175],"by":[176],"centered":[178],"around":[179],"critically":[181],"important":[182],"role":[183],"CHW":[186],"process,":[189],"including":[190],"appointment":[192],"referral":[194],"scheduling,":[195],"especially":[196],"as":[197],"symptoms":[198],"worsened.":[199],"Patient\u2019s":[200],"physical":[201],"HRQoL":[202],"improved":[206,230],"from":[207],"baseline":[208],"12":[210],"weeks,":[211],"83%":[213],"ACP.":[217],"Conclusions":[218],"PAL-CHW-PDAC":[220],"feasible":[223],"acceptable":[225],"burden.":[232],"Prospective":[233],"clinical":[234],"trials":[235],"are":[236],"needed":[237],"assess":[239],"intervention\u2019s":[241],"ability":[242],"address":[244],"QOL":[246],"needs":[247],"patients.":[250]},"counts_by_year":[],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2026-09-02T00:00:00"}
