Pilot Evaluation of Hospice Decision Support Tools

University of Colorado Denver (CU Denver)

Status: Completed

Conditions: End-of-life Decision Making; Hospice; Hospice Decision Making

Treatments: Other: Hospice Decision Aids

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT03794700

1R21AG059114-01 (U.S. NIH Grant/Contract)

18-1138

Details and patient eligibility

About

The goal of this project is to determine the feasibility and acceptability of a hospice decision aid among a diverse population of older adults at multiple stages of illness (Aim 1) and to determine the preliminary efficacy of the hospice decision aid on decision quality, hospice knowledge, and values-concordance (Aim 2). By testing the feasibility, acceptability, and preliminary efficacy of a novel hospice Patient Decision Aid (PTDa) in a diverse population of older adults, additionally the study will simultaneously explore barriers to PtDA implementation in both an outpatient primary care and inpatient palliative care setting. The study will also gather sufficient pilot data to support a subsequent effectiveness/implementation trial and thus address the absence of quality of SDM interventions for end-of-life care decision-making.

Enrollment: 131 patients

Sex: All

Ages: 65+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• 65 or older.
• At least one life-limiting illness or syndrome.

Exclusion criteria

• Non-English speakers.
• Patients with cognitive Impairments preventing ability to provide informed consent.
• Patients on isolation precautions due to resistant bacteria or impaired immune function.

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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131 participants in 2 patient groups

Control

No Intervention group

Intervention

Other group

Description:

Participants will receive hospice decisional support materials and be asked to review them. Participants will provide feedback on tools and complete feasibility, efficacy and knowledge assessments.

Treatment:

Other: Hospice Decision Aids