STAMP: Sharing and Talking About My Preferences

Yale University

Status: Completed

Conditions: Advanced Care Planning (ACP)

Treatments: Behavioral: Transtheoretical Model (TTM) of health behavior change; Other: Usual Care

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT03137459

1604017648

1R01NR016007-01 (U.S. NIH Grant/Contract)

Details and patient eligibility

About

The purpose of this study is to examine the effect of an individually transtheoretical model (TTM) tailored intervention on the completion of advance care planning (ACP) behaviors.

Full description

This will be a randomized controlled trial examining the effect of an individually TTM-tailored intervention on the proportion of middle-age and older persons recruited from primary care practices who complete four ACP behaviors (completion of a living will, assignment of a health care proxy, and communication with loved ones and with their clinician about views on quality versus quantity of life) over six months, compared with usual care.

Enrollment: 909 patients

Sex: All

Ages: 55+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Participants will be community-dwelling persons with an upcoming primary care visit in the study's practice settings.

Exclusion criteria

• Severe hearing impairment, defined as being unable to participate in a telephone conversation.
• Severe visual impairment, defined as being unable to read large-print materials.
• Moderate to severe cognitive impairment, defined as either a diagnosis of dementia and/or short-term recall of <2/3 objects at 2 minutes.
• Primary language other than English.
• Having completed all of the four ACP behaviors that are the focus of this study.

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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909 participants in 2 patient groups

TTM

Experimental group

Description:

Participants enrolled at the intervention site will receive four contacts, at baseline, two, four and six months. Each of the first three contacts consists of an integrated assessment and intervention feedback report, using an expert system.

Treatment:

Behavioral: Transtheoretical Model (TTM) of health behavior change

Usual Care

Active Comparator group

Description:

Participants enrolled in control sites will receive four assessment contacts on the same schedule and in the same manner as the participants enrolled in intervention sites.

Treatment:

Other: Usual Care