COMET Project – Fostering research in the community palliative care

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COMET Project – Fostering research in the community palliative care setting

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Health system reform

Quality palliative care for diverse populations, both for consumers and service providers

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Institution: Peter MacCallum Cancer Centre - Victoria, Australia

The community palliative care (CPC) sector is underrepresented in clinical research. People receiving CPC are not being served by current systems of clinical trial delivery. Increasing access to clinical trials and research informed care has important outcomes both for current and future patients.

COMET (Community Supportive Care Trials Program) Program is a 3-year implementation program that commenced in 2022 to build a sustainable research and clinical trial program for patients and staff in CPCs in Victoria. It has the following aims:

1. To build the clinical trial capacity

2. To increase trial availability and access to supportive care clinical trials

3. To increase patient participation in supportive care clinical trials

4. To build a network of trialists and clinicians active in the sector

The COMET project has adopted a multidimensional implementation approach informed by the RE-AIM (Reach Effectiveness Adoption Implementation Maintenance) implementation framework to build a sustainable research and clinical trial program for patients and staff.

To date, the COMET project has successfully engaged with three metropolitan CPC with plans to increase to regional services in 2023. Successful implementation strategies have included: staff education, distribution of resources, regular introduction to research and preliminary development of ‘home grown’ research ideas. Staff have identified 69 potential patients for referral to clinical trials centre, 26 have been referred for consideration of eligibility and 11 patients are part of a supportive care clinical trial.

COMET is an implementation project still ongoing, that has already demonstrated effective strategies for improving staff and patient engagement with research in the community palliative sector in Victoria. Successful outcomes include increased research capability, patient clinical trial participation and established relationships between service providers. The success of this provides a framework and platform for wider implementation to better meet the unmet needs of the Australian community palliative care population.

Presenters

Dr Lucy Demediuk

Palliative Care Consultant

Peter MacCallum Cancer Centre - Melbourne, Australia

Authors

Dr Lucy Demediuk - Peter MacCallum Cancer Centre , Professor Jennifer Philip - Peter MacCallum Cancer Centre, St Vincent's Hospital Melboure, University of Melbourne , Ms Angela Chia - Peter MacCallum Cancer Centre , Professor Brian Le - Royal Melbourne Hospital and Peter MacCallum Cancer Centre, University of Melbourne, University of Technology Sydney , Professor Meera Agar - University of Technology Sydney , Professor Mark Rosenthal - Royal Melbourne Hospital and Peter MacCallum Cancer Centre , Professor Margaret O'Connor - Melbourne City Mission , Associate Professor Natasha Smallwood - Alfred Health , Associate Professor Craig Underhill - Border Oncology , Dr Aaron Wong - Royal Melbourne Hospital and Peter MacCallum Cancer Centre , Dr Ruwani Mendis - Western Health , Dr Anna Collins - University of Melbourne and St Vincent's Hospital Melbourne , Ms Tracey Bilson - , Mr John Doran - Melbourne City Mission , Ms Samantha Chandler - , Ms Michelle Wood - Banksia Community Palliative Care

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COMET Project – Fostering research in the community palliative care setting

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