Randomized Trial of a Home-Advance Care Planning Video Intervention for Patients With Life-Limiting Illness
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 500
- 试验地点
- 2
- 主要终点
- Hospice utilization
研究概览
简要总结
The goal of this research is to increase patients' knowledge about advance care planning (ACP) discussions and hospice care for patients with serious illness receiving home-based care.
详细描述
ACP is a process that allows patients to communicate their wishes and preferences or medical care, when they are seriously ill, to their medical providers. The study investigators would like to assess whether a home-ACP video can improve patient-clinician communication about patients wishes for their medical care and lead to more patient-centered care.
This study is a randomized clinical trial of a Home-ACP intervention among 500 adult patients with serious illness receiving medical care at home with the Clover Health House Calls Program. Study participants will be assigned to one of two groups. In one group, participants will continue to receive usual care with their home-based care team. In the second group, participants will continue to receive their usual care with their home-based care team and also view an ACP video that helps them understand ACP and provides education about ACP and hospice care.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- Single (Outcomes Assessor)
盲法说明
The research team collecting study outcomes will be blinded to group assignment
入排标准
- 年龄范围
- 21 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Aged 21 or over
- •Have a one-year prognosis or less as determined by Clover Health's validated algorithm
- •Speak either English or one of the other 25 languages in which the video intervention is available
排除标准
- •Visually impaired beyond 20/200 corrected
- •Acute psychiatric illness or other comorbid condition that impairs cognitive ability to participate in advance care planning discussion as determined by the primary House Call Provider.
结局指标
主要结局
Hospice utilization
时间窗: up to one year follow-up or death
Compare the use of hospice (yes vs. no) between the study groups
次要结局
- Rates of documented resuscitation preferences in the Electronic Health Record(up to one year follow-up or death)
- Patient reported satisfaction with clinician communication(up to two days following the intervention visit)
- Patient knowledge about Advance Care Planning(Up to two days following the intervention visit)
- Patient reported confidence in care(up to two days following the intervention visit)
- Patient reported decisional certainty(up to two days following the intervention visit)
- Hospice length of stay(up to one year follow-up or death)
- Rates of Advance Care Planning documentation in the Electronic Health Record(up to one year follow-up or death)
- Patient reported decisional satisfaction(up to two days following the intervention visit)
研究者
El-Jawahri, Areej,M.D.
Assistant Professor Of Medicine
Massachusetts General Hospital