Advance Care Planning for Older Latinos With Chronic Illness: A Feasibility Study
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Patient Engagement
- Sponsor
- San Diego State University
- Enrollment
- 24
- Locations
- 1
- Primary Endpoint
- Retention and Attrition Rates
- Status
- Completed
- Last Updated
- 2 years ago
Overview
Brief Summary
The goal of this study is to test the feasibility of a randomized controlled trial to learn about implementation of an intervention model, Advance Care Planning I Plan (ACP-I Plan), among older Latinos with chronic illnesses in community settings.
Detailed Description
The goal of this study is to test the feasibility of a randomized controlled trial to learn about implementation of an intervention model, Advance Care Planning I Plan (ACP-I Plan), among older Latinos with chronic illnesses in community settings. The questions of this study seek to explore implementation of the intervention model: 1. To evaluate feasibility, acceptability, and preliminary impact of ACP-I Plan to improve AD documentation and increase engagement in ACP communication with family and providers among older Latinos with chronic diseases (cancers and non-cancers); and 2. To evaluate implementation of ACP-I Plan in a community setting and examine further need for adaption. Participants will be randomized into two groups: 1. ACP education consisting of * a brief social work screening, * an educational pamphlet, * advance directive forms (in English and Spanish), and * community resource materials (i.e., handout); and 2. ACP education plus counseling consisting of * motivational interviewing * decisional support, and * patient navigation to address barriers We anticipate that ACP-I Plan will be feasibly and acceptable. Participants who receive ACP-I Plan will show 1) greater likelihood of documenting an AD, 2) greater importance of and concern for engaging in ACP communication with family members and providers, and 3) reduced distress at 4-week post intervention.
Investigators
Frances Nedjat-Haiem
Associate Professor
San Diego State University
Eligibility Criteria
Inclusion Criteria
- •50 years old or older
- •Latino/Latina or Hispanic?
- •Have 1 or more chronic health conditions
Exclusion Criteria
- •Schizophrenia
- •Schizoaffective Disorder
- •Alzheimer's disease
Outcomes
Primary Outcomes
Retention and Attrition Rates
Time Frame: 12 months
Feasibility of recruitment and retention
Intervention Feasibility
Time Frame: 12 months
Feasibility We use benchmarks for feasibility. 1. Number of Participants Recruited, and screening no more than 100 participants, 2. tracking numbers of participants consented into the study, 3. percent refused to participate and dropout, amount of time to screen participants and complete a baseline survey once consented into the study, 4. ACP-I Plan intervention delivered for the first session \<2 weeks from their recruitment and randomization date and second session \<4 weeks from recruitment, 5. identify missing data. 6. Track the number of participants who indicate they returned a completed AD to their provider and/or talked with a family member regarding ACP.
Satisfaction with intervention
Time Frame: 1 month
Acceptability of the intervention Satisfaction survey questions includes 14 questions using "I" statements and a 5-point Likert scale: Strongly Disagree to Strongly Agree). Improved scores at follow up indicate satisfaction of information delivery. Reference Lyon ME, Garvie PA, Briggs L, He J, McCarter R, D'Angelo LJJJopm. Development, feasibility, and acceptability of the Family/Adolescent-Centered (FACE) Advance Care Planning intervention for adolescents with HIV. 2009;12(4):363-372.
Secondary Outcomes
- Communication Readiness Provider(1 month)
- Completion Rates(1 month)
- Communication Readiness Family(1 month)