Promoting Healthcare Planning as a Healthy Behavior (STAMP VA)
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Chronic Disease
- Sponsor
- VA Connecticut Healthcare System
- Enrollment
- 484
- Locations
- 1
- Primary Endpoint
- Completion of 4 ACP behaviors
- Last Updated
- 6 years ago
Overview
Brief Summary
The purpose of this study is to figure out the best way to help veterans do advance care planning. This study will examine the effects of two theory based behavior interventions by randomizing veteran into 4 groups to see which veterans will complete the 4 step process of advance care planning.
Detailed Description
Purpose: The purpose of this study is to examine the effects of two theory-based behavior interventions on engagement of Veterans in advance care planning (ACP) by means of the following specific aim: Primary Aim: To conduct a randomized controlled trial examining the effects of: a) usual care; b) computer-tailored intervention (CTI); c) motivational enhancement therapy (MET); d) CTI + MET on the proportion of middle-age and older Veterans receiving primary care at the VA who complete the process of ACP, defined as completing a total of 4 key ACP behaviors, including selecting a health care proxy, communicating with the proxy about goals of care, communicating with the clinician about goals of care, and documenting proxy selection and goals. Primary Hypothesis: The proportion of Veterans completing ACP will be higher among those in each of the intervention groups compared to Veterans receiving usual care. All of 4 groups will receive their assessments and, if, their interventions, by telephone and/or mail. The veterans will from the VA Connecticut Healthcare System. Participants will be identified through a data query of the Regional Data Warehouse who have had a primary care visit in the past 12 months. We will then be able to oversample female and minority Veterans.
Investigators
Eligibility Criteria
Inclusion Criteria
- •--Must have seen primary care provider in the past 12 months
- •Primary language is English
Exclusion Criteria
- •Severe hearing or vision loss
- •moderate-to-severe cognitive impairment
- •active psychiatric illness
- •No regular phone or permanent address
Outcomes
Primary Outcomes
Completion of 4 ACP behaviors
Time Frame: 6 months
Having completed 4 ACP behaviors: living will, health care agent, communication with loved ones about quality versus quantity of life, having forms in medical record
Secondary Outcomes
- Movement on each of 4 ACP behaviors(6 months)