NCT01565642CompletedNot Applicable
Goals of Care: A Nursing Home Trial of Decision Support for Advanced Dementia
University of North Carolina, Chapel Hill1 site in 1 country302 target enrollmentStarted: May 1, 2012Last updated:
Conditions
Interventions
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Enrollment
- 302
- Locations
- 1
- Primary Endpoint
- Quality of Communication and Decision-making
Study Overview
Brief Summary
This cluster randomized controlled trial is to examine whether decision support for goals of care can improve quality of communication and decision-making and improve the quality of palliative care for nursing home residents with advanced dementia.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Supportive Care
- Masking
- Triple (Participant, Care Provider, Outcomes Assessor)
Eligibility Criteria
- Ages
- 65 Years to — (Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Surrogate for nursing home resident with advanced dementia, paired with resident with advanced dementia
Exclusion Criteria
- •Non-related legal surrogate without personal knowledge of resident
Arms & Interventions
Control
No Intervention
Attention control information on dementia care
Decision support intervention
Experimental
Decision aid and care plan meeting
Intervention: Goals of care decision support (Behavioral)
Outcomes
Primary Outcomes
Quality of Communication and Decision-making
Time Frame: 3 months
The Quality of Communication (QOC) score with its End of Life (EOL) subscale score. Scores range 0-10 on QOC and its subscales, with higher scores indicating better communication quality.
Secondary Outcomes
- Satisfaction With Care(9 months)
- Number of Palliative Care Domains in Care Plan(9 months)
- Comfort in Dying(9 months)
- Alzheimer Disease Related Quality of Life(9 months)
- Quality of Dying(9 months)
- Frequency of Communication(9 months)
- Hospitalizations(9 months)
- Hospice Referral(9 months)
Investigators
Study Sites (1)
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