A Telehealth Advance Care Planning Intervention for Older Patients With Acute Myeloid Leukemia and Myelodysplastic Syndrome (SICG)

University of Rochester

Status: Completed

Conditions: Myelodysplastic Syndromes; Acute Myeloid Leukemia

Treatments: Behavioral: Control; Behavioral: Telehealth

Study type: Interventional

Funder types: Other

Identifiers

NCT04745676

UCCO20134

Details and patient eligibility

About

This is a pilot study to evaluate the usability and feasibility of a telehealth-delivered advance care planning intervention among 20 older patients with acute myeloid leukemia (AML) and myelodysplastic syndrome (MDS).

Full description

Older adults with AML and MDS are more likely to receive aggressive care and less likely to utilize hospice at the end-of-life. Advance care planning (ACP) intervention delivered through telehealth may improve patient-reported outcomes and end-of-life care in this population. This pilot study seeks to evaluate the usability and feasibility of a telehealth-delivered advance care planning intervention. We will adapt the Serious Illness Care Program.

Enrollment: 36 patients

Sex: All

Ages: 60+ years old

Volunteers: No Healthy Volunteers

Inclusion and exclusion criteria

Inclusion Criteria for Patients:

• Age ≥60 years (conventional definition of older age in AML/MDS)
• AML or MDS diagnosis
• Being managed in the outpatient settings
• Able to provide informed consent
• English-speaking

Exclusion Criteria: N/A

Inclusion Criteria for Caregivers

• Age ≥21 years
• Selected by patient when asked if there is a "family member, partner, friend, or caregiver with whom you discuss or who can be helpful in health-related matters"
• Able to provide informed consent
• English-speaking

Exclusion Criteria: N/A

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Single Group Assignment

Masking: None (Open label)

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36 participants in 3 patient groups

Patient

Experimental group

Description:

The SICG program consists of the Serious Illness Conversation Guide as well as training and system-level support for physicians to conduct ACP conversations.

Treatment:

Behavioral: Telehealth

Behavioral: Control

Caregiver

Experimental group

Description:

The SICG program consists of the Serious Illness Conversation Guide as well as training and system-level support for physicians to conduct ACP conversations.

Treatment:

Behavioral: Telehealth

Behavioral: Control

Oncology and Palliative Provider

Experimental group

Description:

The SICG program consists of the Serious Illness Conversation Guide as well as training and system-level support for physicians to conduct ACP conversations.

Treatment:

Behavioral: Telehealth

Behavioral: Control