Advance Care Planning for Older Latinos With Chronic Illness

San Diego State University

Status: Completed

Conditions: Chronic Disease; Communication; Patient Engagement; End of Life

Treatments: Behavioral: ACP-I Plan

Study type: Interventional

Funder types: Other

Identifiers

NCT06081660

HS-2020-0175

Details and patient eligibility

About

The goal of this study is to test the feasibility of a randomized controlled trial to learn about implementation of an intervention model, Advance Care Planning I Plan (ACP-I Plan), among older Latinos with chronic illnesses in community settings.

Full description

The goal of this study is to test the feasibility of a randomized controlled trial to learn about implementation of an intervention model, Advance Care Planning I Plan (ACP-I Plan), among older Latinos with chronic illnesses in community settings.

The questions of this study seek to explore implementation of the intervention model:

1. To evaluate feasibility, acceptability, and preliminary impact of ACP-I Plan to improve AD documentation and increase engagement in ACP communication with family and providers among older Latinos with chronic diseases (cancers and non-cancers); and
2. To evaluate implementation of ACP-I Plan in a community setting and examine further need for adaption.

Participants will be randomized into two groups:

1. ACP education consisting of

   • a brief social work screening,
   • an educational pamphlet,
   • advance directive forms (in English and Spanish), and
   • community resource materials (i.e., handout); and

2. ACP education plus counseling consisting of

   • motivational interviewing
   • decisional support, and
   • patient navigation to address barriers We anticipate that ACP-I Plan will be feasibly and acceptable. Participants who receive ACP-I Plan will show 1) greater likelihood of documenting an AD, 2) greater importance of and concern for engaging in ACP communication with family members and providers, and 3) reduced distress at 4-week post intervention.

Enrollment: 24 patients

Sex: All

Ages: 50+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• 50 years old or older
• Latino/Latina or Hispanic?
• Have 1 or more chronic health conditions

Exclusion criteria

• Schizophrenia
• Schizoaffective Disorder
• Dementia
• Alzheimer's disease

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Factorial Assignment

Masking: None (Open label)

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24 participants in 2 patient groups

ACP education

Active Comparator group

Description:

ACP education consisting of * a brief social work screening, * an educational pamphlet, * advance directive forms (in English and Spanish), and * community resource materials (i.e., handout)

Treatment:

Behavioral: ACP-I Plan

ACP education plus counseling

Experimental group

Description:

ACP education plus counseling consisting of * a brief social work screening, * an educational pamphlet, * advance directive forms (in English and Spanish), and * community resource materials (i.e., handout); * motivational interviewing * decisional support, and * patient navigation to address barriers

Treatment:

Behavioral: ACP-I Plan