A digital serious illness conversation coach

Ended Project Grant Awarded Last action

Award ID
R43AG084434
Recipient
Awarding agency
Obligated
$274,878

Award facts

Assistance listing
93.866 Aging Research
Completion date
Originally
Place of performance
Massachusetts, USA

Award details come from USAspending.gov.

Description

Abstract
IT has been shown that conversations on end-of-life care focused on a patient's goals of care can reduce psychological distress and anxiety and lead to improved quality of life, and potentially prolonged life, for patients living with serious illness. The serious illness conversation guide (sicg) is a validated and widely used framework for training the critical communication skills needed to effectively conduct these conversations; however, there currently exists no mechanism to easily support and continue to build these skills in a scalable way. Evidence suggests that conversational agents, i.e., chatbots, can be used for training and reinforcing communication skills. In this phase i sbir project, we propose to optimize and assess the feasibility and acceptability of a chatbot designed to augment sicg training for healthcare professionals (hcps) on initiating and conducting sensitive conversations with patients diagnosed with serious illness. We will develop and test a chatbot directly with hcps who are navigating serious illness conversations and/or may be expected to in the future. We will demonstrate feasibility and acceptability of an enhanced chatbot prototype through the following two specific aims: in aim 1, we will create and adapt chatbot content and build an enhanced, fully functional prototype of the chatbot with expert inputs. The chatbot will feature 3 different patient scenarios ranging in case complexity. In aim 2, we will conduct a pilot usability study of the prototype with 50 target end users-a diverse sample of hcps varying in role, specialty, and career phase who have received at least one training session in the sicg. Following enrollment, hcps will independently test the chatbot-led training and complete surveys at 3 timepoints-baseline, endline, and 1-month after enrollment-to assess the following outcome measures: pre-/post-training confidence in having serious illness conversations, usability, and user satisfaction. Semi-structured endline interviews will be conducted with a purposive sample of 15-20 hcps to collect additional qualitative feedback on user experience and recommendations for improvement. Results of this phase i sbir project will inform a larger scale implementation study in potential phase II work to evaluate the effectiveness and cost-effectiveness of the proposed intervention to reinforce and augment critical communication skills essential to the care of seriously ILL patients.

Transactions

Action Obligated Date
Amendment $0
Original award $274,878

Quick answers

Who received award R43AG084434?

R43AG084434 was awarded to Dimagi Inc. by National Institute on Aging (National Institutes of Health) on September 30, 2023.

How much is award R43AG084434 worth?

$274,878 has been obligated on R43AG084434.

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