Group Advanced Care Planning Pilot for Veterans
试验速览
- 阶段
- 不适用
- 状态
- 进行中（未招募）
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- Goals of Care Documentation
研究概览
简要总结
The proposed research aims to engage participants in group educational sessions to facilitate learning of topics related to advanced care planning and to determine whether this approach is more effective than usual care alone.
详细描述
The purpose of this study is to compare usual care against a group advanced care planning intervention comprised of two sessions led by trained community health workers or health educators from VA Palo Alto. A total of 60 participants will be randomly assigned to either usual care (n=30) or usual care + group advanced care planning intervention (n=30). Usual care includes written, mailed educational materials about advanced care planning that patients may review independently. Those in the group advanced care planning arm will receive usual care along with the written materials and will participate in two 60-90 minute educational sessions led by a community health worker that will either be conducted in person on-site or by VA-approved video conference or a hybrid model. Topics will include an introduction to advanced care planning, goals of care topics, advance directives, and physicians order of life sustaining treatment. Both usual care and the group advanced care planning arms will also participate in pre/post surveys and/or interviews.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- Triple (Care Provider, Investigator, Outcomes Assessor)
盲法说明
The statistician analyzing the data will be masked from the experimental treatment and the control as will all research staff who are abstracting or collecting outcomes data.
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •All patients >18 years old with newly diagnosed cancer are eligible.
- •Patients must have the ability to understand and willingness to provide verbal consent
- •Participants must speak English
排除标准
- •Inability to consent to the study
- •Plans to move within the area and leave the VA system within 4 months
研究组 & 干预措施
Usual Care
The patient will continue to receive as normal and usual care. The participant will also receive educational materials in writing regarding advance care planning mailed to their preferred mailing address. The participants will complete surveys and interviews at baseline at again at 2 months post-enrollment.
Group Advance Care Planning
The participant will receive normal and usual care which also consists of educational materials in writing regarding advance care planning mailed to their preferred mailing address. They will also engage in 2 group educational sessions with 4-5 participants which will last 60-90 minutes regarding advance care planning. They participants will complete surveys and interviews at baseline and again at 2 months post-enrollment.
干预措施: Group Advance Care Planning Education (Behavioral)
结局指标
主要结局
Goals of Care Documentation
时间窗: Month 2 after patient enrollment
Documentation of goals of care discussions will be analyzed for each patient at 8 weeks after patient enrollment.
次要结局
- Feeling Heard and Understood(Baseline and Month 2 after patient enrollment)
- Change in patient activation using the Patient Activation Measure(Baseline and Month 2 after patient enrollment)
- Change in patient satisfaction with decision using the Satisfaction with Decision Measure(Baseline and Month 2 after patient enrollment)
- Palliative Care Use (Self-reported and Chart Review)(At Baseline and Month 6 after patient enrollment)
- Hospice Care Use (Self-reported and Chart Review)(At Baseline and Month 6 after patient enrollment)
- Hospitalization Visits (Self-reported and Chart Review)(At Baseline and Month 6 after patient enrollment)
- Change in patient activation using the Patient Activation Measure(Baseline and Week 8 after patient enrollment)
研究者
Manali I. Patel
Staff Physician
VA Palo Alto Health Care System