Ignite Creation Date:
2024-10-26 @ 3:38 PM
Last Modification Date:
2024-10-26 @ 3:38 PM
Study NCT ID:
NCT06565169
Status:
NOT_YET_RECRUITING
Last Update Posted:
None
First Post:
2024-08-01
Brief Title:
Improving PCP Advance Care Planning for People With ADRD
Sponsor:
None
Organization:
None
Study Overview
Official Title:
Improving Primary Care Clinicians Advance Care Planning Alzheimers Disease and Related Dementias
Status:
NOT_YET_RECRUITING
Status Verified Date:
2024-08
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
No
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
AD-ACP
Brief Summary:
This study will test the Dementia Advance Care Planning AD ACP Toolkit intervention to usual care in facilitating goals of care GOC discussions between People Living with Dementia PLwD and primary care team members over an 18-month period The primary outcome is to assess the frequency and quality of GOC discussions with PLwD Secondary outcomes include the identification of preferred surrogates assessment of decisional capacity and the completion of portable ACP orders This randomized clinical trial aims to determine if the AD ACP Toolkit can enhance ACP practices and improve care planning outcomes for PLwD compared to the standard care approach
Detailed Description:
This project will test an advance care planning ACP toolkit for primary care teams caring for patients living with Alzheimers Disease and related dementias ADADRD in a cluster randomized control trial In 20 primary clinics the advance care planning practices including goals of care discussions will be examined as the primary outcome with secondary outcomes including health care utilization and implementation outcomes The AD ACP intervention will be tested to determine whether it can enable primary care teams to better conduct goals of care GOC discussions more efficiently and thus increase the number of GOC discussions held as compared to controls The AD ACP Toolkit will be delivered to 10 intervention primary care clinics and usual care to 10 control clinics using a computerized case-finding algorithm within a large integrated health care system The primary aim is to conduct a trial comparing the AD ACP Toolkit to usual care on GOC discussions and other ACP measures The second aim is to examine the 18-month healthcare utilization outcomes for all PLwD with 50 5-year mortality risk between intervention and control Secondary analyses will be conducted to examine outcomes by key patient and team characteristics Lastly aim 3 implementation will be assessed via surveys in the intervention clinics followed by interviews to explain variations in those outcomes This work will improve how to incorporate ACP approaches for aging-related conditions by primary care teams and may be adaptable to other outpatient specialties such as oncology or cardiology
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None