Promoting Goals-of-Care Discussions for Patients With Memory Problems and Their Caregivers

Part of paid clinical trials in Seattle, Washington.

Sponsor
University of Washington
Study ID
NCT05596760
Status
Recruiting
Apply to this trial

Conditions

  • Alzheimer Disease
  • Chronic Disease
  • Cognitive Aging
  • Cognitive Dysfunction
  • Creutzfeldt-Jakob Syndrome
  • Dementia
  • Dementia, Vascular
  • Frontotemporal Lobar Degeneration
  • Health Care Quality, Access, and Evaluation
  • Health Communication
  • Huntington Disease
  • Lewy Body Disease
  • Mixed Dementias
  • Palliative Care, Patient Care
  • Patient Care
  • Patient Care Planning
  • Quality of Life

Eligibility Criteria

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

Interventions

  • Jumpstart Guide — BEHAVIORAL
    The Jumpstart Guide is a communication-priming intervention for clinicians, patients and their families in the outpatient setting. The intervention's goal is to prompt clinicians to provide, during a scheduled (non-urgent) clinic visit, standard of care which includes a discussion with patients (and/or their LNOKs) about their goals of care. It is designed to promote and guide these discussions for older adults with memory problems through suggestions and tips on the Jumpstart Guide.

Study Details

The goal of this clinical trial is to improve communication among clinicians, patients with memory problems, and their family members. We are testing a way to help clinicians have better conversations to address patients' goals for their healthcare. To do this, we created a simple, short guide called the "Jumpstart Guide." The goal of this research study is to show that using this kind of guide is possible and can be helpful for patients and their families. Patients' clinicians may receive a Jumpstart Guide before the patient's clinic visit. Researchers will compare patients whose clinician received a Jumpstart Guide to patients whose clinician did not receive a guide to see if more patients in the Jumpstart Guide group had conversations about the patient's goals for their healthcare. Patients and their family members will also be asked to complete surveys after the visit with their clinician.

Key Dates

Start date
Sep 11, 2023
Status verified
Jul 2025
Primary completion
Jun 30, 2026
Completion
Jul 31, 2027

Study Design

Enrollment
1,800 participants (estimated)
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE

Arms

  • Experimental: Jumpstart Guide
    The Jumpstart Guide is developed using automated methods. It summarizes the presence/absence of POLST, advance directives and DPOA documentation. The Jumpstart Guide also provides tips for conducting discussion about goals of care.
  • No Intervention: Usual Care
    Clinicians of patients in the Usual Care arm will not receive a Jumpstart Guide.

Primary Outcome Measure

EHR documentation of Goals of Care discussions [ Time Frame: 90 days following randomization ]

Central Contacts

Locations (3)

FacilityCityStateZIPSite coordinators
Harborview Medical CenterSeattleWashington98104
Erin Kross, MD
[email protected]
206.744.4649
UW Medical CenterSeattleWashington98195
Erin Kross, MD
[email protected]
206.744.4649
UW Medicine Neighborhood ClinicsSeattleWashington98195
Erin Kross, MD
[email protected]
206.744.4649

Find similar trials in Seattle, WA

By condition
Alzheimer's diseaseHuntington disease
By specialty
NeurologyDementia careBrain disordersGeriatrics
By research site
Harborview Medical Center· Seattle, WAUW Medical Center· Seattle, WAUW Medicine Neighborhood Clinics· Seattle, WA

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