The Impact of Active Choice on Completion Rates of Advanced Directives in New Employees of an Academic University Hospital
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 1,279
- 试验地点
- 1
- 主要终点
- Proportion of Participants That Select to Complete an Advance Directive
研究概览
简要总结
The overall objective of this project is to assess if an active choice intervention can increase advance directive completion rates.
详细描述
Nearly 70% of Americans express the desire to die at home, and most individuals want to avoid aggressive or futile care. Despite this, more than half of Americans die in a hospital. Advance directives provide the opportunity to provide, in advance, one's wishes for end of life care, however their completion rates are low. The overall objective of this project is to assess if an active choice intervention can increase AD completion rates. Eligible participants for this study will be all new employees of the University of Pennsylvania Health System (UPHS) who need to complete their online employment paperwork via the On Boarding portal. Participants will have an advanced health care planning task programmed as part of their On Boarding online employment paperwork. Upon selection of the task, each participant will be directed a designated Advance Healthcare Planning (AHCP) website. Participants will be randomized into either the active choice or control arm of the study and proceed through steps to complete or not complete an AD according to the decision making process of the given study arm. All participants in both groups will have access to additional online and telephone resources thought the entire study for any questions. Participants in the active choice group will be given directions stating they are required to complete either the advanced directive or the declination form in order to complete their On Boarding process. Participants in the control group will be given directions stating that completion of the AD is optional.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •New participants of the University of Pennsylvania Health System who have not yet completed their On Boarding process.
- •18 years of age or older
- •Have proficiency in reading, writing, and speaking English
排除标准
- •All new UPHS employees will be enrolled
研究组 & 干预措施
Mandatory active choice
The mandatory active choice group will be presented two forms at the same time. The first form will be a legally valid AD. The second form will be a declination form. Participants in the intervention arm will be required to complete, and submit either of the two forms the task.
干预措施: Mandatory active choice (Behavioral)
Control
Participants in the control group will be presented an AD form only and will be encouraged to complete, and submit the form without having to declare the choice of completing or declining the AD.
结局指标
主要结局
Proportion of Participants That Select to Complete an Advance Directive
时间窗: Baseline - up to 1 year
We will analyze the effects of the active choice intervention on rates of completion.
次要结局
- Proportion of Participants Who Already Have ADs(Baseline - up to 1 year)
- Proportion of Participants Who Return a Signed AD(Baseline - up to 1 year)