# Improving Palliative Care Access Through Technology (ImPAcTT): A Multi-Component Pilot Study

> **NIH NIH K76** · UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH · 2021 · $241,833

## Abstract

PROJECT SUMMARY
This K76 application will support Dr. Stephens’ continued progression to become a transformative
interdisciplinary leader in aging and palliative care research who examines and promotes changes at the
junctures of healthcare systems to improve access to palliative care services and supports for hard to reach
nursing home (NH) populations. The Beeson Scholars program has been critical to her successes to date, but
most importantly to her ability to secure this highly competitive endowed professor position at the University of
Utah. She has assembled an excellent multidisciplinary team of mentors and scientific advisors which now
includes faculty mentors/advisors from the University of Utah. Her team has the following areas of expertise:
clinical geriatrics and palliative care (Drs. Ritchie, Lee, Supiano); implementation science (Dr. Ritchie, Lee);
integrated care delivery models for frail elders (Drs. Ritchie, Ellington, Branagan); measuring and improving
health care quality in NHs (Drs. Lee, Harrington, Ouslander); developing/evaluating patient-centered
technologies, such as telehealth, for improving care for medically complex older adults (Drs. Ritchie,
Branagan); statistical expertise on clinical trial design and analysis of complex datasets (Dr. Sheng); long term
care health policy (Dr. Harrington); translational qualitative research methods (Dr. Shim); developing, testing
and evaluating multi-component interventions in the NH setting (Dr. Ouslander).
Suboptimal communication and lack of access to appropriate and timely palliative care expertise and support
in the NH setting often leads to burdensome transitions, particularly at the end of life. Dr. Stephens’ research
will focus on developing, optimizing and pilot-testing a multi-component Improving Access Through Technology
(ImPAcTT) intervention that leverages existing telehealth technologies to provide staff education; family
outreach, engagement and support; care coordination; and resident symptom management and facilitation of
goals-of-care discussion. ImPAcTT employs a secure communications platform that permits multi-person live
video, audio, and text message consultations; real-time document sharing and documentation for advanced
care planning discussions; and remote virtual assessment capabilities. In Aim 1, she will conduct semi-
structured interviews with NH staff, residents and families to explore potential barriers and facilitators to using
telehealth for increasing upstream access to PC expertise, support, and education. In Aim 2, she will assess
the technical feasibility of telehealth to provide NH palliative care education and support, and develop and
refine study protocols with up to 10 NH residents, families and staff. In Aim 3, she will conduct a pilot
implementation trial in 4 NHs to evaluate the feasibility and acceptability of the multi-component ImPAcTT
intervention. These studies will provide the scientific foundation for a compelling R01 application to ...

## Key facts

- **NIH application ID:** 10397759
- **Project number:** 3K76AG054862-05S1
- **Recipient organization:** UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH
- **Principal Investigator:** Caroline Stephens
- **Activity code:** K76 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2021
- **Award amount:** $241,833
- **Award type:** 3
- **Project period:** 2017-08-15 → 2023-06-30

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10397759

## Citation

> US National Institutes of Health, RePORTER application 10397759, Improving Palliative Care Access Through Technology (ImPAcTT): A Multi-Component Pilot Study (3K76AG054862-05S1). Retrieved via AI Analytics 2026-05-23 from https://api.ai-analytics.org/grant/nih/10397759. Licensed CC0.

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