Improving PCP Advance Care Planning for People With ADRD

Part of paid clinical trials in Chapel Hill, North Carolina.

Sponsor
University of Pittsburgh
Study ID
NCT06565169
Status
Recruiting
Apply to this trial

Conditions

Eligibility Criteria

Sex
ALL
Age
18 Years - 99 Years
Healthy Volunteers
Not accepted

Interventions

  • Primary Care Team Advance Care Planning With People with Alzheimer's Disease or a Related Dementia Training — BEHAVIORAL
    Included in arm/group descriptions
  • Care as Usual — BEHAVIORAL
    Included in arm/group descriptions

Study Details

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.

Key Dates

Start date
Mar 19, 2025
Status verified
Apr 2026
Primary completion
May 31, 2027
Completion
May 31, 2028

Study Design

Enrollment
120 participants (estimated)
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE

Arms

  • Experimental: Intervention: Advance Care Planning Training
    1. Dementia-specific education: Stage-specific findings and challenges, including AD/ADRD staging, capacity assessment, symptom burden, hospice guidelines, etc - 10-minute didactics, delivered via video conferencing and via the website 2. ACP communication skills: Context-specific skills and tips on how to slow down, set the communication stage, active listening, respect for personhood and cultural norms, and common, useful language to prepare patients and families- 10-minute didactics, delivered via video conferencing and via the website 3. Clinical implementation support: Coding and billing information for ACP and ACP templates, an action plan for each team member participant, monthly ACP audit-and-feedback to participants, monthly coaching sessions, site champion, refresher sessions, and educational in-services as needed - Resources at the end of the training session, available on the website, monthly feedback reports on ACP practices, periodic coaching
  • Active Comparator: Care as Usual: No Training
    These primary care teams will not receive the Advance Care Planning training. Clinics randomized to the control arm will have access to voluntary, routine ACP training sessions provided by UNC HEALTH. We will provide the control clinics summary reports of their ACP practice outcomes at the end of the 18-month follow-up period, which can be used in future practice improvement efforts.

Primary Outcome Measure

Goals of Care Discussions [ Time Frame: 18 months ]

Central Contacts

Locations (1)

FacilityCityStateZIPSite coordinators
University of North Carolina, Chapel HillChapel HillNorth Carolina27599
Laura C. Hanson, MD, MPH
[email protected]
Kathryn Wessell, MPH
[email protected]
919-966-2939

Find similar trials in Chapel Hill, NC

By condition
Alzheimer's disease
By specialty
NeurologyDementia careBrain disordersGeriatrics
By research site
University of North Carolina, Chapel Hill· Chapel Hill, NC

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