Advance Care Planning GuideTailored for Primary Care Patients

Completed

• Conditions: Chronic Disease; Communication Research; Advance Care Planning
• Interventions: Other: Patient Centered Medical Home Based Electronic Framework for Advance Care Planning

• Registration Number: NCT03906773
• Lead Sponsor: Ohio State University

Brief Summary

this project seeks to: validate results of ACP framework pilot study in a larger randomized controlled trial (rates and quality of ACP documentation) prior to using participatory design to develop an Electronic Health Record (EHR)-tethered patient portal delivered ACP communication guide, tailored for use in busy primary care settings, incorporating patients, caregivers, and primary care providers

Detailed Description

Not available

Basic Information
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Recruitment & Eligibility
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Study & Design
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Trial Locations

Study Timeline

• Study Start: 2017-04-30
• Primary Completion: 2017-08-18
• Study First Submitted: 2018-02-26
• Study Completion: 2018-12-15
• Status Verified: 2019-04
• Study First Submitted QC: 2019-04-05
• Last Update Submitted: 2019-04-05
• Study First Posted: 2019-04-08
• Last Update Posted: 2019-04-08

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 419

Inclusion Criteria

• must have an activated patient portal account over 50 years of age scheduled for a well visit appointment or chronic visit follow up English speaking

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Exclusion Criteria

• under 50
• inactive patient portal account

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Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
Intervention	Patient Centered Medical Home Based Electronic Framework for Advance Care Planning	The investigators seek to conduct a pragmatic trial including 2 sister clinical sites to test an innovation using a patient portal framework for Advance Care Planning. The intervention site implemented the intervention (secure patient portal delivered pre-visit planning framework for Advance Care Planning communication). The presence of ACP and the quality of documentation will be assessed through post-intervention chart review. Practice level enrollment was sought for the trial, and the framework will be delivered to all patients during a period of roll out. About 250 patients will receive the intervention.

Primary Outcome Measures

Name	Time	Method
Presence of Advance Care Planning (ACP) documentation as noted in description	4 weeks post-intervention	Presence of Electronic Health Record problem list based ACP documentation or presence of Electronic Health Record scanned completed Advance Directive document

Trial Locations

Locations (1)

Ohio State University Wexner Medical Center; 🇺🇸 Columbus, Ohio, United States