A Portal-based Advance Care Planning Intervention Among Community-Dwelling Persons Living With Cognitive Impairment
Overview
- Phase
- N/A
- Intervention
- Advance Care Planning Tool - ACPVoice
- Conditions
- Advanced Care Planning
- Sponsor
- Wake Forest University Health Sciences
- Enrollment
- 300
- Locations
- 1
- Primary Endpoint
- Intervention Completion
- Status
- Completed
- Last Updated
- 3 months ago
Overview
Brief Summary
The purpose of this research is to examine the feasibility of using a patient portal based advance care planning (ACP) tool to improve ACP discussions and documentation in persons living with cognitive impairment in outpatient primary care.
Detailed Description
The goal of this study is to explore whether sending a portal-based ACP tool (called ACPVoice) paired with a motivational message within the patient portal before a routine primary care physician visit can improve ACP discussions and documentation within the electronic health record among persons living with cognitive impairment in outpatient primary care.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Age 65 years old and older
- •Diagnosis of recognized or probable mild cognitive impairment or mild dementia or elevated eRADAR score
- •Completed visit with their primary care provider (PCP) within the past 12 months and have upcoming PCP visit in next 6 months
- •Have an active patient portal account
Exclusion Criteria
- •Lives in a long-term care facility
- •Severe vision impairment/blindness (as they need to be able to read portal messages)
- •Enrolled in hospice
- •Lacks decisional capacity as deemed by PCP
Arms & Interventions
ACPVoice Intervention
Community-dwelling persons living with cognitive impairment aged 65 and older with known or probable mild cognitive impairment or dementia or elevated eRADAR score (with decision-making capacity), who are affiliated with the Atrium-Wake Forest Baptist Health , have a primary care physician at one of the participating sites, and have an active patient portal account.
Intervention: Advance Care Planning Tool - ACPVoice
Standard of Care
Community-dwelling persons living with cognitive impairment aged 65 and older with known or probable mild cognitive impairment or dementia or elevated eRADAR score (with decision-making capacity), who are affiliated with the Atrium-Wake Forest Baptist Health, have a primary care physician within the Atrium-Wake Forest Baptist Health Network, and have an active patient portal account.
Intervention: Standard of Care for Advance Care Planning
Outcomes
Primary Outcomes
Intervention Completion
Time Frame: 6 months post intervention
Percentage of participants who were sent the ACPVoice mychart message that complete the ACPVoice tool.
Reach/Engagement
Time Frame: 6 months post intervention
Percentage of participants who open the advance care planning tool (ACPVoice) mychart message
Secondary Outcomes
- Advance Care Planning Billing Code Usage(6 months post intervention)
- Documented Designated Surrogate Decision Maker(6 months post intervention)
- Advance Care Planning Documentation Rates by Primary Care Providers(6 months post intervention)
- Advance Care Planning Documentation Rates by Primary Care Providers(12 months pre intervention)
- Advance Care Planning Billing Code Usage(12 months pre intervention)
- Documented Designated Surrogate Decision Maker(12 months pre intervention)