Improving Advance Care Planning by Preparing Diverse Seniors for Decision Making
Information source: University of California, San Francisco
ClinicalTrials.gov processed this data on August 23, 2015 Link to the current ClinicalTrials.gov record.
Condition(s) targeted: Chronic Disease
Intervention: PREPARE Intervention (Behavioral)
Phase: N/A
Status: Recruiting
Sponsored by: University of California, San Francisco Official(s) and/or principal investigator(s): Rebecca Sudore, MD, Principal Investigator, Affiliation: University of California, San Francisco Dean Schillinger, MD, Principal Investigator, Affiliation: University of California, San Francisco Deborah E Barnes, PhD, Principal Investigator, Affiliation: University of California, San Francisco W. John Boscardin, PhD, Principal Investigator, Affiliation: San Francisco Veteran Affairs Medical Center
Overall contact: Rebecca Sudore, MD, Phone: 415-221-4810, Ext: 3475, Email: rebecca.sudore@ucsf.edu
Summary
The objective of this proposal is to test whether a multi-media website
(www. prepareforyourcare. org) that is focused on preparing older adults for communication and
medical decision making can help people engage in advance care planning.
Clinical Details
Official title: Improving Advance Care Planning by Preparing Diverse Seniors for Decision Making
Study design: Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Investigator), Primary Purpose: Supportive Care
Primary outcome: Change in engagement in advance care planning behavior using validated surveys at 12 months from baseline
Secondary outcome: Change in advance care planning behavior at 12 months from baseline
Detailed description:
PREPARE is a website (www. prepareforyourcare. org) that teaches patients how to identify what
is most important in life, how to communicate their preferences to clinicians and loved
ones, and how to make informed decisions. It is written at a 5th grade level and includes
voice-overs of text and closed captioning of videos that model advance care planning
behaviors. The goal of this proposal is to test the efficacy of PREPARE plus an easy-to-read
advance directive, versus an advance directive alone, to improve patient engagement in
multiple advance care planning behaviors including discussions with surrogate decision
makers and clinicians in addition to advance directive completion. The investigators will
also determine whether PREPARE can empower and activate patients within clinical encounters
with their clinicians and help to decrease health disparities in advance care planning.
Eligibility
Minimum age: 55 Years.
Maximum age: N/A.
Gender(s): Both.
Criteria:
Inclusion Criteria:
- English-speaking older adults (≥55 years)
- ≥ 2 chronic illnesses determined by International Classification of Diseases-9
(ICD-9) codes
- ≥ 2 visits with an outpatient primary care clinician at San Francisco General
Hospital in the past year
- ≥2 additional outpatient/inpatient visits to San Francisco General Hospital in the
past year
Exclusion Criteria:
- deaf, blind, or demented as determined by ICD-9 codes
- too mentally or physically ill to participate as determined by their clinicians
- Moderate or severe cognitive impairment as determined by the Short Portable Mental
Status Questionnaire (SPMSQ), and mild cognitive impairment as determined by the
SPMSQ plus an abnormal Mini-Cog
- self-reported poor vision and inability to see the words on a newspaper
- lack of a telephone
- traveling or moving out of the area for ≥3 months during the study follow- up period
Locations and Contacts
Rebecca Sudore, MD, Phone: 415-221-4810, Ext: 3475, Email: rebecca.sudore@ucsf.edu
San Francisco General Hospital and Trauma Center, San Francisco, California 94110, United States; Recruiting Rebecca Sudore, MD, Phone: 415-221-4810, Ext: 3475, Email: rebecca.sudore@ucsf.edu Ryan McMahan, BS, Phone: 415-221-4810, Ext: 3311, Email: Ryan.McMahan@ucsf.edu Rebecca Sudore, MD, Principal Investigator
San Francisco General Hospital and Trauma Center, San Francisco, California 94110, United States; Recruiting Rebecca Sudore, MD, Phone: 415-221-4810, Ext: 3475, Email: rebecca.sudore@ucsf.edu Ryan McMahan, BS, Phone: 415-221-4810, Ext: 3311, Email: ryan.mcmahan@ucsf.edu Rebecca Sudore, MD, Principal Investigator
Additional Information
PREPARE
Starting date: January 2013
Last updated: June 2, 2015
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