New adaptive palliative care model aims to give right care at the right time

NCT ID NCT06228209

First seen Jun 26, 2026 · Last updated Jul 16, 2026 · Updated 2 times

Summary

This study tests a home-based palliative care program called TIER-PC that adjusts the care team based on a patient's symptoms and ability to function. It includes 60 adults with advanced heart failure or certain cancers living in Manhattan. The program adds more specialists—like social workers or nurses—as needs increase, with a community health worker staying involved throughout.

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance
Tier - Palliative Care (TIER-PC) behavioral intervention
What this could lead to
If successful, this model could improve quality of life and symptom management for people with advanced heart failure or cancer by matching care intensity to their changing needs.
What could go wrong
This is a small, early feasibility study with only 60 participants, so results may not apply to everyone. The main goal is to see if the model can be delivered, not yet to prove it improves outcomes.

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Conditions

The condition(s) this trial relates to.

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Contacts and locations

Locations

  • Mount Sinai Hospital

    RECRUITING

    New York, New York, 10029, United States

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