protocolSection identificationModule nctId: NCT06270875, orgStudyIdInfo id: PROJECT ADAPT-HF, briefTitle: Addressing Pain Through Navigator-Led Palliative Care Optimized for Heart Failure (ADAPT-HF), acronym: ADAPT HF, statusModule overallStatus: NOT_YET_RECRUITING, startDateStruct date: 2024-05-01, primaryCompletionDateStruct date: 2024-12-03, completionDateStruct date: 2025-01-03, studyFirstPostDateStruct date: 2024-02-21, lastUpdatePostDateStruct date: 2024-03-07, sponsorCollaboratorsModule leadSponsor name: University of Alabama at Birmingham, class: OTHER, descriptionModule briefSummary: Using the MOST framework, factorial pilot design, and an iterative, community-based process, the purpose of this study is to pilot test to further develop and refine a palliative care (PC) intervention addressing pain of Black adults (age \> 18) with advanced HF. Thirty-six persons with advanced heart failure (HF) will be randomized to receive one of 16 conditions (different combinations of navigator coach-delivered PC pain intervention components)., conditionsModule conditions: Heart Failure NYHA Class III, conditions: Heart Failure NYHA Class IV, conditions: Chronic Illness, designModule studyType: INTERVENTIONAL, phases: NA, designInfo allocation: RANDOMIZED, interventionModel: FACTORIAL, primaryPurpose: TREATMENT, maskingInfo masking: DOUBLE, maskingDescription: Data collectors and principal investigator will be blind to participant condition; participants will be instructed NOT to discuss their assignment with data collectors. Trials participants will know their intervention condition as will the palliative care coach involved in delivering the intervention., whoMasked: INVESTIGATOR, whoMasked: OUTCOMES_ASSESSOR, enrollmentInfo count: 36, type: ESTIMATED, armsInterventionsModule interventions name: ADAPT HF, outcomesModule primaryOutcomes measure: Feasibility of Intervention Delivery and Data Collection, primaryOutcomes measure: Acceptability of Intervention Measure (AIM), primaryOutcomes measure: PROMIS Pain Intensity Scale, primaryOutcomes measure: Pain Interference Scale Short Form 6b, primaryOutcomes measure: Feasibility of Intervention Measure, secondaryOutcomes measure: Edmonton Symptom Assessment Scale (ESES-r), secondaryOutcomes measure: Kansas City Cardiomyopathy Questionnaire- Short Form, secondaryOutcomes measure: Hospital Anxiety and Depression Scale (HADS), secondaryOutcomes measure: PROMIS General Self-efficacy, secondaryOutcomes measure: Self-care of Heart Failure Index, secondaryOutcomes measure: Multidimensional Scale of Perceived Social Support (MSPSS), secondaryOutcomes measure: Patient Activation Measure (PAM) Short Form, secondaryOutcomes measure: Brief Multidimensional Measure of Religiousness / Spirituality (BMMRS) - 6-item subscale for Religious/Spiritual Coping + 1 overall Q, secondaryOutcomes measure: Connor-Davidson Resilience Scale (CD-RISC-10), secondaryOutcomes measure: Discrimination in Medical Settings Scale Scale, secondaryOutcomes measure: Cost/Resource Utilization Form, secondaryOutcomes measure: SF Global Health Scale, eligibilityModule sex: ALL, minimumAge: 18 Years, stdAges: ADULT, stdAges: OLDER_ADULT, contactsLocationsModule, hasResults: False