Decision Making and Implementation of Aging-in-Place/Long Term Care Plans Among Older Adults

Not Applicable

Active, not recruiting

• Conditions: Mild Cognitive Impairment; Alzheimer Disease

• Registration Number: NCT03960476
• Lead Sponsor: Northwestern University

Brief Summary

This study seeks to better understand how older adult aging-in-place/long term care decision making and implementation is impacted by age-related changes (e.g. cognition, health literacy, chronic conditions), social influences (e.g. caregivers/supporters), and environmental factors.

Detailed Description

Subjects who are part of the National Institute on Aging (NIA)-funded LitCog study will be given access to PlanYourLifespan.org, a web-based decision-making and planning tool. Participants will be followed for up to 42 months to examine the mediating/moderating factors involved in decision-making, timing of decision implementation, and goal concordance. Findings have the potential to inform healthcare providers, caregivers, health/long term care insurers, area agencies on aging, and older adults nationally in supporting aging-in-place decisions and services use.

Study Timeline

• Study First Submitted: 2019-05-16
• Study First Submitted QC: 2019-05-20
• Study First Posted: 2019-05-23
• Study Start: 2020-01-13
• Primary Completion: 2024-11-12
• Status Verified: 2025-03
• Last Update Submitted: 2025-03-12
• Last Update Posted: 2025-03-17
• Study Completion: 2026-02-28

Recruitment & Eligibility

• Status: ACTIVE_NOT_RECRUITING
• Sex: All
• Target Recruitment: 293

Inclusion Criteria

• Current participant in the LitCog Trial [R01AG03611]
• English-speaking
• Community-dwelling
• Currently use a computer or tablet with internet

Exclusion Criteria

• Previous participation in the Advanced Planning for Home Services study [IH-12-11-4259]

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Primary Outcome Measures

Name	Time	Method
Change in long-term care plan decision-making	Change from baseline decision-making at 36 months. Will also be measured every six months, up to 42 months.	Change in participant's long-term care plan decision-making from baseline to 36 months post-baseline. Decision-making will be measured as a binary ('yes', 'no') outcome at each time-point.

Secondary Outcome Measures

Name	Time	Method
Participant utilization of long-term care services	Baseline and every six months, up to 42 months	Participant utilization of long-term care services such as in-home caregivers as measured by the Resource Use Inventory (Sano M, Zhu CW, Whitehouse PJ, et al. ADCS Prevention Instrument Project: pharmacoeconomics: assessing health-related resource use among healthy elderly. Alzheimer Dis Assoc Disord. 2006;20(4 Suppl 3):S191-S202. doi:10.1097/01.wad.0000213875.63171.87).
Number of participants that implement any of their long-term care plans	Baseline and every six months, up to 42 months	The number of participants that implement any long-term care plans they have set. This will be measured as a binary ('yes', 'no') outcome at each time-point.
Participant long-term care goal concordance	Baseline and every six months, up to 42 months	Assess whether participant's long-term care plans are carried out in accordance to their goals. This will be measured as a binary ('yes', 'no') outcome at each time-point.

Trial Locations

Locations (1)

Northwestern University; 🇺🇸 Chicago, Illinois, United States