A Pilot Study to Test the Acceptability and Feasibility of Brief Motivational Interview Intervention to Help Patients Formulate Their Goals for Medical Care in the Emergency Department
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 75
- 试验地点
- 2
- 主要终点
- Number of Patients Who Found the Intervention Acceptable and Provided Suggestions for Improvement
研究概览
简要总结
Test the acceptability and feasibility of a brief motivational interview intervention to facilitate advance care planning (ACP) conversations for older adults with serious co-morbid illness being discharged from the emergency department (ED). The investigators will interview the participants to understand their perception of the intervention and collect patient-reported outcomes data after leaving the ED.
详细描述
This study is designed to engage seriously ill older adults in conversations about their goals of care. Our intervention is intended to help these patients understand the significance of ED visits in the course of their illnesses.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 65 Years 至 —（Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •≥65 years of age
- •English-speaking
- •Capacity to consent
- •AND ≥1 Serious illness (New York Heart Association stage 3 or 4 heart failure, oxygen-dependent chronic obstructive lung disease, chronic kidney disease on dialysis, and metastatic cancer.) OR determined by the emergency department provider that the patient has a high likelihood of death in the next 12 months ("I would not be surprised if this patient died in the next 12 months.").
排除标准
- •Acute physical or emotional distress
- •Determined by emergency department provider not to be appropriate
- •Clearly documented goals for medical care already exists (e.g. medical order for life sustaining treatment - MOLST).
- •Already enrolled in this study
结局指标
主要结局
Number of Patients Who Found the Intervention Acceptable and Provided Suggestions for Improvement
时间窗: Immediately following the intervention in the emergency department.
The investigator will measure quantitatively and qualitatively whether patients found this intervention acceptable and provided suggestions for its improvement.
次要结局
- Advance Care Planning Engagement Behavior(At baseline (in-person) and 1 month after (over the phone) the intervention.)
- Acceptability of the Intervention by Administering Clinicians.(Immediately following the intervention in the emergency department.)
- Patient's Quality of Life(At baseline (in-person) and 1 month after (over the phone) the intervention.)
- Patient Empowerment(At baseline (in-person) and 1 month after (over the phone) the intervention.)
- Patient Distress(Within 7 days after the intervention.)
研究者
Kei Ouchi
Principal Investigator
Brigham and Women's Hospital