Pilot Evaluation of Hospice Decision Support Tools

Not Applicable

Completed

• Conditions: Hospice; End-of-life Decision Making; Hospice Decision Making
• Interventions: Other: Hospice Decision Aids

• Registration Number: NCT03794700
• Lead Sponsor: University of Colorado, Denver

Brief Summary

The goal of this project is to determine the feasibility and acceptability of a hospice decision aid among a diverse population of older adults at multiple stages of illness (Aim 1) and to determine the preliminary efficacy of the hospice decision aid on decision quality, hospice knowledge, and values-concordance (Aim 2). By testing the feasibility, acceptability, and preliminary efficacy of a novel hospice Patient Decision Aid (PTDa) in a diverse population of older adults, additionally the study will simultaneously explore barriers to PtDA implementation in both an outpatient primary care and inpatient palliative care setting. The study will also gather sufficient pilot data to support a subsequent effectiveness/implementation trial and thus address the absence of quality of SDM interventions for end-of-life care decision-making.

Detailed Description

Not available

Study Timeline

• Study Start: 2018-07-15
• Study First Submitted: 2018-12-21
• Study First Submitted QC: 2019-01-02
• Study First Posted: 2019-01-07
• Primary Completion: 2020-03-04
• Study Completion: 2020-03-04
• Results First Submitted: 2022-07-13
• Status Verified: 2022-08
• Results First Submitted QC: 2022-08-08
• Last Update Submitted: 2022-08-08
• Results First Posted: 2022-08-30
• Last Update Posted: 2022-08-30

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 131

Inclusion Criteria

• 65 or older.
• At least one life-limiting illness or syndrome.

Exclusion Criteria

• Non-English speakers.
• Patients with cognitive Impairments preventing ability to provide informed consent.
• Patients on isolation precautions due to resistant bacteria or impaired immune function.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Intervention	Hospice Decision Aids	Participants will receive hospice decisional support materials and be asked to review them. Participants will provide feedback on tools and complete feasibility, efficacy and knowledge assessments.

Primary Outcome Measures

Name	Time	Method
Hospice Knowledge Scale	1 month follow-up	Hospice Knowledge Scale is a 23-item true/false scale that measures patient knowledge about hospice care. Each question is worth 1 point with possible scores ranging from 0 to 23. Higher scores indicate more knowledge.
Decision Self Efficacy Scale	1 month Follow up	Is an 11-item instrument that one's self-confidence in decision making. This scale is a validated scale with a Cronbach's alpha of 0.92 and correlates with DCS subscale of being informed (r=0.47). Scored from 0-100 with higher scores indicating more decision self efficacy.
Hospice Beliefs and Attitudes Scale	1-Month follow up	8-item scale developed to measure beliefs and attitudes towards hospice care. It has a Cronbach's α = .74 for the scale, indicating a good degree of internal reliability. Scores from 8 to 40. Higher scores indicate better opinions of hospice. .

Trial Locations

Locations (1)

University of Colorado Denver; 🇺🇸 Aurora, Colorado, United States