Aligning Patient Preferences: a Role Offering Alzheimer's Patients, Caregivers, and Healthcare Providers Education and Support

Part of paid clinical trials in Warsaw, Indiana.

Sponsor
Indiana University
Study ID
NCT03323502
Status
Completed

Conditions

Eligibility Criteria

Sex
ALL
Age
18 Years - N/A
Healthy Volunteers
Not accepted

Interventions

  • APPROACHES ACP Specialist Program — BEHAVIORAL
    The APPROACHES Advance Care Planning (ACP) Specialist will work with nursing home leaders (in intervention arm facilities) to: i. Consolidate nursing home ACP procedures; ii. Train and educate staff; and iii. Facilitate ACP Specialist Program with patients who have Alzheimer's disease/related dementias and their family caregivers.
  • Standard of care — OTHER
    Standard of care Advance Care Planning (ACP) procedures

Study Details

Nursing home (NH) patients with Alzheimer's disease and related dementias often receive unwanted, burdensome treatments such as hospitalization. Advance care planning (ACP) is a key strategy to support patients and family-caregivers in making informed decisions and ensuring treatment preferences are proactively known and honored. The ACP Specialist Program will improve care and reduce unwanted, burdensome hospitalizations through improved ACP procedures, standardized staff education on ACP, and systematic ACP facilitation delivered by existing NH staff.

Key Dates

Start date
Feb 1, 2020
Status verified
Nov 2025
Primary completion
Aug 31, 2022
Completion
Aug 31, 2022

Study Design

Enrollment
47,396 participants (actual)
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE

Arms

  • Experimental: APPROACHES ACP Specialist Program
    Enrolled facilities that will be trained in the APPROACHES Advance Care Planning (ACP) Specialist Program.
  • Active Comparator: Control
    Enrolled facilities that will perform standard of care Advance Care Planning (ACP) procedures.

Primary Outcome Measure

Hospital Transfers [ Time Frame: 12 months ]

Locations (2)

FacilityCityStateZIPSite coordinators
Miller's Merry ManorWarsawIndiana46580-
Signature HealthCARE LLCLouisvilleKentucky40299-

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