ACP Video Intervention for Patients With Life-Limiting Illness

Mass General Brigham

Status: Enrolling

Conditions: End Stage Disease; Health Care Utilization

Treatments: Behavioral: Home ACP Video

Study type: Interventional

Funder types: Other

Identifiers

NCT04778761

2020P001277

Details and patient eligibility

About

The goal of this research is to increase patients' knowledge about advance care planning (ACP) discussions and hospice care for patients with serious illness receiving home-based care.

Full description

ACP is a process that allows patients to communicate their wishes and preferences or medical care, when they are seriously ill, to their medical providers. The study investigators would like to assess whether a home-ACP video can improve patient-clinician communication about patients wishes for their medical care and lead to more patient-centered care.

This study is a randomized clinical trial of a Home-ACP intervention among 500 adult patients with serious illness receiving medical care at home with the Clover Health House Calls Program. Study participants will be assigned to one of two groups. In one group, participants will continue to receive usual care with their home-based care team. In the second group, participants will continue to receive their usual care with their home-based care team and also view an ACP video that helps them understand ACP and provides education about ACP and hospice care.

Enrollment: 500 estimated patients

Sex: All

Ages: 21+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Aged 21 or over
• Have a one-year prognosis or less as determined by Clover Health's validated algorithm
• Speak either English or one of the other 25 languages in which the video intervention is available

Exclusion criteria

• Visually impaired beyond 20/200 corrected
• Acute psychiatric illness or other comorbid condition that impairs cognitive ability to participate in advance care planning discussion as determined by the primary House Call Provider.

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

---

500 participants in 2 patient groups

Usual Care

No Intervention group

Description:

Usual care entails receiving usual medical care by the home-based care team.

Video intervention

Experimental group

Description:

In addition to usual care, the intervention will entail having a visit by a trained study clinician to provide access to the ACP video. The study clinician will discuss the content of the video and answer any questions.

Treatment:

Behavioral: Home ACP Video