Sharing and Talking About my Preferences (STAMPVA)

VA Connecticut Healthcare System

Status: Unknown

Conditions: Chronic Disease

Treatments: Behavioral: Motivational Enhancement Therapy; Behavioral: Computer-Tailored Intervention; Behavioral: Motivational Interviewing

Study type: Interventional

Funder types: Other U.S. Federal agency

Identifiers

NCT03103828

TF0025

Details and patient eligibility

About

The purpose of this study is to figure out the best way to help veterans do advance care planning. This study will examine the effects of two theory based behavior interventions by randomizing veteran into 4 groups to see which veterans will complete the 4 step process of advance care planning.

Full description

Purpose: The purpose of this study is to examine the effects of two theory-based behavior interventions on engagement of Veterans in advance care planning (ACP) by means of the following specific aim:

Primary Aim: To conduct a randomized controlled trial examining the effects of: a) usual care; b) computer-tailored intervention (CTI); c) motivational enhancement therapy (MET); d) CTI + MET on the proportion of middle-age and older Veterans receiving primary care at the VA who complete the process of ACP, defined as completing a total of 4 key ACP behaviors, including selecting a health care proxy, communicating with the proxy about goals of care, communicating with the clinician about goals of care, and documenting proxy selection and goals.

Primary Hypothesis: The proportion of Veterans completing ACP will be higher among those in each of the intervention groups compared to Veterans receiving usual care.

All of 4 groups will receive their assessments and, if, their interventions, by telephone and/or mail. The veterans will from the VA Connecticut Healthcare System. Participants will be identified through a data query of the Regional Data Warehouse who have had a primary care visit in the past 12 months. We will then be able to oversample female and minority Veterans.

Enrollment: 484 estimated patients

Sex: All

Ages: 55+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Veteran

  ---Must have seen primary care provider in the past 12 months

• Primary language is English

Exclusion criteria

• Severe hearing or vision loss

  • moderate-to-severe cognitive impairment

• active psychiatric illness

• No regular phone or permanent address

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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484 participants in 4 patient groups

Computer-tailored intervention

Active Comparator group

Treatment:

Behavioral: Computer-Tailored Intervention

Motivational Interviewing

Active Comparator group

Treatment:

Behavioral: Motivational Interviewing

Motivational Enhancement Therapy

Active Comparator group

Treatment:

Behavioral: Motivational Enhancement Therapy

Control Group

No Intervention group