The Enhanced Advance care planning and life Review Longitudinal Intervention (EARLI) Project Cluster Randomised Controlled Trial

Not Applicable

Recruiting

• Conditions: Cognitive impairment; Frailty; Cancer; Cardiovascular disease; Neurological disorders; Neurological - Neurodegenerative diseases; Cancer - Any cancer; Renal and Urogenital - Kidney disease; Respiratory disorders; Respiratory - Chronic obstructive pulmonary disease

• Registration Number: ACTRN12622001399785
• Lead Sponsor: niversity of New South Wales

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2022-11-01
• Last Update Posted: 9 October 2023

Recruitment & Eligibility

• Status: Recruiting
• Sex: All
• Target Recruitment: 384

Inclusion Criteria

1. aged 65 years or older (50 years or older for Aboriginal or Torres Strait Islander people);
2. a previous aged care assessment team (ACAT) assessment;
3. living in a private residence (own or rented dwelling, including retirement village or other co-operative housing, but NOT a residential aged care facility) with an address within the study region(s);
4. receiving home care services from one of the participating aged care provider study sites (Home Care Package Level 1-4, or commensurate self-funded service);
5. able to communicate in English, Italian or Chinese (Mandarin or Cantonese);
6. capable of providing informed consent at initial recruitment and answering baseline questions (successfully completing at least 75% of baseline questions).

Care partner inclusion criteria:
1. Aged 18 years or over
2. Able to communicate in English, Italian or Chinese (Mandarin or Cantonese)
3. Capable of providing informed consent at initial recruitment and answering baseline questions (successfully completing at least 75% of baseline questions).

Exclusion Criteria

1. the aged care provider study site representative expresses significant concern about home visit safety (either for the care recipient or for the interventionist) which cannot be appropriately managed;
2. a baseline cognitive assessment indicates greater than moderate level of cognitive impairment (Telephone Montreal Cognitive Assessment Score <8);
3. a baseline clinical frailty assessment indicates a complete absence of frailty (CFS score <3) or greater than severe frailty (CFS score >7);
4. it becomes known that the person is expected to die within 'days or weeks' (based on information provided by the aged care provider and/or participant's general practitioner during the recruitment process).

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Care-recipient-completed advance care planning documentation (statutory or non-statutory advance care directives) in the aged care provider's client record (recorded as 'yes' or 'no')[ Baseline and 3 months post consent];Advance care planning readiness, as measured on the 4-item advance care planning engagement tool, among participating care recipients[ Baseline and 3 months post consent]