Project to Improve Communication About Serious Illness - Pilot Study (PICSI-P)

University of Washington

Status

Completed

Conditions

Malignant Neoplasm

Diabetes Complications

Peripheral Vascular Disease

Liver Failures, Chronic

Lung Disease Chronic

Frail Elderly

Dementia

Leukemia, Lymphocytic, Chronic, B-Cell

Renal Insufficiency, Chronic

Congestive Heart Failure

Treatments

Behavioral: Jumpstart Intervention

Study type

Interventional

Funder types

Other

Identifiers

NCT03746392

STUDY00004821

Details and patient eligibility

About

This two-year pilot study will test whether a one-page "Jumpstart Form" will affect goals-of-care discussions in the hospital. This form will be provided to clinicians and will include patient-specific information about preferences for goals-of-care communication and for care, as well as tips to improve this communication. Jumpstart forms will also be provided to patients or, if they are unable to communicate, their surrogates/family members. The information on the form will be obtained from questionnaires. The form is tailored to help patients and surrogates talk with clinicians about goals of care. This study is based on a successful application of Jumpstart Form in the outpatient clinic setting.

Enrollment

150 patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion and exclusion criteria

Inclusion Criteria, Patients: meeting criteria for serious illness (encompassing multiple acute and chronic illnesses) including:

those used by the Dartmouth Atlas to study end-of-life care in the US: malignant cancer/leukemia, chronic pulmonary disease, coronary artery disease, congestive heart failure, chronic liver disease, chronic renal disease, dementia, diabetes with end-organ damage, and peripheral vascular disease.
patients over age 65 with markers of frailty: albumin level <3.0 within 48 hours of admission and weight loss of ≥10 pounds in the past year.
hospitalized patients over age 80.
English-speaking

Exclusion Criteria, Patients: