Advance Care Planning GuideTailored for Primary Care Patients

The Ohio State University

Status: Completed

Conditions: Chronic Disease; Advance Care Planning; Communication Research

Treatments: Other: Patient Centered Medical Home Based Electronic Framework for Advance Care Planning

Study type: Observational

Funder types: Other

Identifiers

NCT03906773

2015H0350

Details and patient eligibility

About

this project seeks to: validate results of ACP framework pilot study in a larger randomized controlled trial (rates and quality of ACP documentation) prior to using participatory design to develop an Electronic Health Record (EHR)-tethered patient portal delivered ACP communication guide, tailored for use in busy primary care settings, incorporating patients, caregivers, and primary care providers

Enrollment: 419 patients

Sex: All

Ages: 50+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• must have an activated patient portal account over 50 years of age scheduled for a well visit appointment or chronic visit follow up English speaking

Exclusion criteria

• under 50
• inactive patient portal account

Trial design

419 participants in 2 patient groups

Intervention

Description:

The investigators seek to conduct a pragmatic trial including 2 sister clinical sites to test an innovation using a patient portal framework for Advance Care Planning. The intervention site implemented the intervention (secure patient portal delivered pre-visit planning framework for Advance Care Planning communication). The presence of ACP and the quality of documentation will be assessed through post-intervention chart review. Practice level enrollment was sought for the trial, and the framework will be delivered to all patients during a period of roll out. About 250 patients will receive the intervention.

Treatment:

Other: Patient Centered Medical Home Based Electronic Framework for Advance Care Planning

control

Description:

The control site delivered usual care during the same period of roll out.