A Portal-based Advance Care Planning Intervention Among Community-Dwelling Persons Living With Cognitive Impairment

Not Applicable

Recruiting

• Conditions: Advanced Care Planning
• Interventions: Behavioral: Standard of Care for Advance Care Planning; Behavioral: Advance Care Planning Tool - ACPVoice

• Registration Number: NCT06509373
• Lead Sponsor: Wake Forest University Health Sciences

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.

Study Timeline

• Study First Submitted: 2024-07-12
• Study First Submitted QC: 2024-07-12
• Study First Posted: 2024-07-19
• Study Start: 2024-08-19
• Status Verified: 2024-12
• Last Update Submitted: 2024-12-02
• Last Update Posted: 2024-12-05
• Primary Completion: 2025-06-30
• Study Completion: 2025-07-30

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 300

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

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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

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Standard of Care	Standard of Care for Advance Care Planning	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.
ACPVoice Intervention	Advance Care Planning Tool - ACPVoice	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.

Primary Outcome Measures

Name	Time	Method
Intervention Completion	6 months post intervention	Percentage of participants who were sent the ACPVoice mychart message that complete the ACPVoice tool.
Reach/Engagement	6 months post intervention	Percentage of participants who open the advance care planning tool (ACPVoice) mychart message

Secondary Outcome Measures

Name	Time	Method
Advance Care Planning Billing Code Usage	6 months post intervention	Advance care planning billing codes usages will be recorded.
Documented Designated Surrogate Decision Maker	6 months post intervention	Measured by number of designated surrogate decision makers documented in the electronic health record.
Advance Care Planning Documentation Rates by Primary Care Providers	6 months post intervention	Documentation of advance care planning within the electronic health record by primary care provider.

Trial Locations

Locations (1)

Wake Forest University Health Sciences; 🇺🇸 Winston-Salem, North Carolina, United States