Literature Review

An AI-powered lifestyle intervention vs human coaching in the Diabetes Prevention Program: A randomized clinical trialJAMA Network; by Nestoras Mathioudakis, Benjamin Lalani, Mohammed S. Abusamaan, Mary Alderfer, Defne Alver, Adrian Dobs, Brian Kane, John McGready, Kristin Riekert, Benjamin Ringham, Aliyah Shehadeh, Eatmata Vandi, Amal A. Wanigatunga, Daniel Zade, Nisa M. Maruthur, for the AI-DPP Study Group; 10/27/25How does referral to a lifestyle intervention exclusively driven by artificial intelligence (AI) compare with referral to a human coach–led Diabetes Prevention Program (DPP) lifestyle intervention? Among adults with prediabetes and overweight or obesity, a fully automated AI-led DPP may be a viable alternative to a DPP led by human coaches.Publisher's note: This article caught my attention because I was certain "human coaching" would out-perform the "AI-powered lifestyle intervention". I was wrong - nearly equal percentages of participants achieved the primary weight loss outcome.

[United Kingdom] New end-of-life checklist designed to remove stress in time of crisis Independent; by Aine Fox; 10/27/25 Marie Curie has published an end-of-life checklist to encourage the public to think about their end-of-life care. The list, curated by clinicians, covers everything from wills to wakes and what we might want to happen to pets and social media accounts when we die. The document features five categories, including legal and money matters, people, pets and things important to me, an advance care plan, my funeral, a wake or celebration of life, and making and leaving behind memories. Editor's Note: To download USA Advance Directives for each state, visit (1) CaringInfo (set up by NHPCO 15+ years ago), A Program of the National Alliance for Care at Home, or (2) AARP's Find Advance Directives Forms by State (uses CaringInfo's form, but more user-friendly navigation).

Post-biographical dignity in the age of artificial intelligence: Narrative, ePROMs and ethical challenges in end-of-life care Palliative & Supportive Care; by Abel García Abejas, David Geraldes Santos, Helder Mota-Filipe, Àngels Salvador Vergés; 10/27/25 Significance of results: End-of-life care in the age of AI must move beyond autonomy-focused ethics to encompass the narrative, relational, and posthumous dimensions of dignity. A critical, philosophically informed ethics is essential to prevent depersonalisation in digitally mediated care.

Peaceful acceptance of illness among older adults with advanced cancer Journal of Pain and Symptom Management; by Sule Yilmaz, Elizabeth Gilbride, Sofiia Hryniv, William Consagra, Supriya G Mohile, Eva Culakova, Beverly Canin, Arul Malhotra, Rachael Tylock, Judith O Hopkins, Jane Jijun Liu, Jamil Khatri, Marissa LoCastro, Maya Anand, Allison Magnuson, Kah Poh Loh; 10/23/25 Context: Peaceful acceptance of illness is associated with lower psychological distress and increased engagement in advance care planning among adults with advanced cancer. Limited data exist on factors influencing illness acceptance in older adults. ... Conclusion: Patient psychological health, perceived prognosis, and caregiver education were linked to PEACE. Triadic interventions addressing these factors may enhance end-of-life care for older adults with advanced cancer.

Best of Beth Ashley: After a life well lived, facing the sadness together Marin Independent Journal; by Beth Ashley, this IJ is reprinting some of the late Beth Ashley’s columns. This is from 2014; 10/27/25 A dear friend is now being cared for by hospice. Like so many others, she has trusted hospice to see her through the last days of her life. Knowing that she may soon die is a blow to the heart. But it’s not as though I haven’t known that for all of us, life ends sometimes. That doesn’t make it any easier. By now, a huge assortment of dear ones have left my here and now. My parents are gone. My beloved second husband. My two sisters. My precious son Jeff. And so many friends I’ve lost count, including my best friend and fellow traveler for years and years, my Stanford classmate Skid. I still talk to them all. My mom has not really left my life; I’m just with her in a different way. ... Whenever these endings come near, it’s important to express our love, and face the final sadness together.

Here is what no one tells you about watching your wonderful dad slowly slipping away in front of you HuffPost Personal; by Jill Bodach; 10/25/25 ... When I get the call at 2:30 a.m. from my dad’s nursing home, dread slaps me awake, and I answer in an almost whisper. They say, “Your father is having trouble breathing. We’ve sent him to Bridgeport Hospital.” ... In the emergency department, I am led into a waiting room. ... He is transferred to the ICU, and again I am told to wait. ... When I am finally allowed to see him, family members in other rooms look up when I walk by. Some smile and nod. A knowing. I smile back. We’re all in this together in some weird way the universe has planned. ...

Whenever these endings come near, it’s important to express our love, and face the final sadness together. ~ Beth Ashley (from this issue's "Editor Picks")  

Stitched with love: Allied’s memory bears offer comfort to grieving families in Northeast Pennsylvania WVIA News - PBS/NPR, Scranton, PA; by Lydia McFarlane; 10/27/25 Barbara Rushinski received a bear made of her partner’s pajamas after he passed in hospice care at Allied Services. She was so moved, she put her sewing skills to good use and joined the team of volunteers making the bears for grieving families in Northeast Pennsylvania. ... Allied offers its memory bears to grieving families whose loved ones died in hospice. ... Joyce Wizda started the program at Allied more than six years ago when she joined the healthcare system as a social worker. ... She estimates the volunteers make about 150 bears a year. ... Wizda encourages families to send in clothing items from their loved one’s closet to ease their grieving journey.

After her son’s painful death, a Cheshire mother highlights Connecticut’s pediatric hospice gap New Haven Register, Norwalk, CT; by Cris Villalonga-Vivoni; 10/26/25 Carolyn Torello believes that no parent should outlive their children, yet that became her reality. ...  As his condition worsened, the family faced his impending death without the support of pediatric palliative or hospice care. No provider, she said, seemed to know how to help or where to begin. He died at 15 years old in 2021. ... In 2020, an estimated 7,800 children in Connecticut were living with complex medical conditions that limited their life expectancy and could have benefited from palliative or hospice care, according to data from the National Survey of Children's Health. ... Torello thinks that if Michael had access to hospice care, he could have died with greater dignity, and their family could have focused on simply being together. ... Efforts to create a more formalized pediatric palliative care system have been underway since 2024, led by a state-commissioned working group that will make recommendations to the legislature on potential reforms.

Hospice of the Chesapeake and Partners In Care join to support aging communityHospice of the Chesapeake press release; by Elyzabeth Marcussen; 10/24/25Hospice of the Chesapeake is proud to announce that Partners In Care of Maryland, Inc., has officially joined its family of services under a newly formed umbrella organization, Chesapeake Health Partners... As Maryland’s largest independent nonprofit hospice organization, Hospice of the Chesapeake has been a trusted resource for individuals and families facing serious illness, helping them live each day with intention and peace. Partners In Care, a Maryland-based nonprofit, has built its legacy on helping older adults remain independent and engaged through its signature Service Exchange model where members help one another with transportation, handyman services, social connection and more.Note: This is in addition to Partnership Expands In-Home Palliative Care in Calvert County - Chesapeake Supportive Care (CSC), the palliative care arm of Hospice of the Chesapeake, is excited to announce a new partnership with Southern Maryland House Calls (SMHC), a trusted leader in home-based geriatric care, to enhance access to palliative care services for residents of Calvert County.

How to manage financial caregiving for an aging parent AOL.com; by Kerry Hannon; 10/25/25Steering end-of-life financial decisions for an aging parent is not a job many of us would choose. But we do — and feel our way through the messy emotions as best we can. ...[From an interview:] "[Your mom] was rejected for hospice care, which is covered by Medicare. Can you elaborate on that?""That was just such a slap in the face because it's a hard decision to go to hospice. ... My mom made that decision for herself, but my brother, the doctors, and me had to be on board with it in order for her to do it. The only reason they rejected her is because they thought she would be too costly. They do a cost-benefit analysis of how long that person is going to last— how much [in] resources is she going to consume? They decided that her diagnosis was too murky to justify putting her on hospice at that point. I finally found another hospice company to accept her. And she died in two weeks."

Mentorship, military legacy, and making a difference with Susan Combs Advisor Today; podcast with Susan Combs; 10/25/25 Susan Combs is the Founder of Pancakes for Roger, a nonprofit that honors veterans and amplifies their stories through a grassroots “pancakes” movement. She created it after her father, a Major General, asked for pancakes while on hospice, inspiring a campaign, book, and advocacy project.Editor's Note: Though Veteran's Day is only two weeks away, you have time to implement Susan's amazing "Pancakes for Roger" for the veterans you serve, via their annual national (and international) campaigns each February. Explore more information. 

Ensuring safe, effective transitions to hospice Hospice News; by Jim Parker; 10/22/25 Trust, coordination among staff and speedy processes are essential to hospice referral management. This is according to new research from Transcend Strategy Group. For the consulting firm’s most recent Insights Report it conducted in-depth interviews with hospice admissions and business development professionals to identify recurring themes, barriers and opportunities. ... “We have to remember that for the person calling this is probably one of the worst days of their life — if it’s a family member, or if they’re calling on behalf of themselves — and they need help urgently,” Tony Kudner, chief strategy officer for Transcend Strategy Group, told Hospice News.