Sharing and Talking About my Preferences

Not Applicable

• Conditions: Chronic Disease
• Interventions: Behavioral: Motivational Interviewing; Behavioral: Motivational Enhancement Therapy; Behavioral: Computer-Tailored Intervention

• Registration Number: NCT03103828
• Lead Sponsor: VA Connecticut Healthcare System

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.

Study Timeline

• Study First Submitted: 2017-03-31
• Study First Submitted QC: 2017-03-31
• Study First Posted: 2017-04-06
• Study Start: 2017-10-02
• Status Verified: 2020-01
• Last Update Submitted: 2020-01-06
• Last Update Posted: 2020-01-09
• Primary Completion: 2021-03-31
• Study Completion: 2021-03-31

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 484

Inclusion Criteria

• Veteran

  ---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

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Motivational Interviewing	Motivational Interviewing	-
Motivational Enhancement Therapy	Motivational Enhancement Therapy	-
Computer-tailored intervention	Computer-Tailored Intervention	-

Primary Outcome Measures

Name	Time	Method
Completion of 4 ACP behaviors	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 Outcome Measures

Name	Time	Method
Movement on each of 4 ACP behaviors	6 months	Progression in readiness to change for each of the 4 ACP behaviors described above.

Trial Locations

Locations (1)

VA Connecticut Healthcare System; 🇺🇸 West Haven, Connecticut, United States