Van den Block L, Honinx E, Pivodic L, et al. - Researchers examined how the Palliative Care for Older People (PACE) Steps to Success Program, a multicomponent intervention to integrate basic non-specialist palliative care in nursing homes, influence resident and staff outcomes. They performed a cluster-randomized clinical trial in 78 nursing homes in 7 countries appraising data concerning 551 deceased residents at baseline and 984 postintervention, and data concerning 2,680 staff at baseline and 2.437 postintervention. They compared PACE Steps to Success with usual care and identified no improvement in residents’ comfort in the last week of life. Improvement in staff knowledge of palliative care was reported, however, the difference was very small. These findings do not support the efficacy of the PACE Steps to Success Program in improving residents’ comfort in the last week of life, or in improving staff knowledge of palliative care to a clinically relevant degree.