Effect of the Serious Illness Care Program in Outpatient Oncology: A Cluster Randomized Clinical Trial.

Importance: High-quality conversations between clinicians and seriously ill patients about values and goals are associated with improved outcomes but occur infrequently.

Objective: To examine feasibility, acceptability, and effect of a communication quality-improvement intervention (Serious Illness Care Program) on patient outcomes.

Design, Setting, And Participants: A cluster randomized clinical trial of the Serious Illness Care Program in an outpatient oncology setting was conducted.

Development of the Serious Illness Care Program: a randomised controlled trial of a palliative care communication intervention.

Introduction: Ensuring that patients receive care that is consistent with their goals and values is a critical component of high-quality care. This article describes the protocol for a cluster randomised controlled trial of a multicomponent, structured communication intervention.

Methods And Analysis: Patients with advanced, incurable cancer and life expectancy of <12 months will participate together with their surrogate.