Effect of an Advance Care Planning Intervention

Brown University

Status: Completed

Conditions: Dementia

Treatments: Behavioral: Advance Care Planning Video

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT04852055

2008002779

3U54AG063546-02S1 (U.S. NIH Grant/Contract)

Details and patient eligibility

About

The intervention being studied is an advance care planning intervention. The trial has two arms: usual care and information arm.

Full description

Eligible patients whose assisted living centers are randomized to the information arm will receive a letter from their clinician with links to informational video. Eligible patients whose assisted living centers are randomized to the usual care arm have advance care planning discussions with a clinician at admission, annually, and sometimes with a hospitalization or other change in condition.

Enrollment: 2,364 patients

Sex: All

Volunteers: No Healthy Volunteers

Inclusion criteria

• Partnering assisted living center with at least 20 patients with a dementia diagnosis (based on International Classification of Diseases, version 10 codes)
• Patients not on hospice
• Patients who do not have comfort care or do-not-hospitalize orders at baseline

Exclusion criteria

• Partnering assisted living center with less than 20 patients with a dementia diagnosis (based on International Classification of Diseases, version 10 codes)
• Patients on hospice
• Patients with comfort care or do-not-hospitalize orders at baseline

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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2,364 participants in 2 patient groups

Usual Care

No Intervention group

Description:

Patients and proxies in assisted living centers randomized to the usual care arm have advance care planning discussions with a clinician at admission, annually, and sometimes with a hospitalization or other change in condition. There is no standardized decision- or conversation-support tools used to have these discussions.

Information

Experimental group

Description:

Patients and proxies in assisted living centers randomized to the information arm will receive a letter from their clinician with a link to an educational video describing the goals of care and how specific treatment decisions align with these goals. Patients and proxies will also continue to receive usual care advance care planning conversations.

Treatment:

Behavioral: Advance Care Planning Video