Responses to a Standardized Approach to Advance Care Planning in Cognitive Disorders Clinic
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- University of Florida
- Enrollment
- 38
- Locations
- 2
- Primary Endpoint
- Change in rate of advance directive completion during or following the visit
Study Overview
Brief Summary
Advance care planning among patients with cognitive disorders poses unique challenges to clinicians. To improve planning in patients with Alzheimer's disease and other dementias, the researchers suggest a routine, standardized approach to these conversations. The main outcome measure is the rate of entry of Advance Directive completion in the patient's Electronic Health Record (EHR). A control group of similar patients from another provider specializing in cognitive disorders will be used to tease out confounding variable effects.
Study Design
- Study Type
- Interventional
- Allocation
- Non Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Supportive Care
- Masking
- None
Eligibility Criteria
- Ages
- 18 Years to 100 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Patients having mild cognitive impairment (MCI) or very mild to mild dementia (CDR 0.5-1).
Exclusion Criteria
- •Patients with moderate to severe dementia (CDR 2-3).
Arms & Interventions
Intervention Group
Patients diagnosed with mild cognitive impairment, very mild dementia, or mild dementia, will receive the guided advance care planning conversations with the PI
Intervention: Advance Care Planning (Other)
Control Patients
Patients diagnosed with mild cognitive impairment, very mild dementia, or mild dementia, will not receive the guided advance care planning conversations with the PI
Outcomes
Primary Outcomes
Change in rate of advance directive completion during or following the visit
Time Frame: Baseline; Month 6; Month 12; Month 18
Change in the rate of completed advance directives that are uploaded to the patient's electronic medical record
Time Frame: Baseline; Month 6; Month 12; Month 18
Secondary Outcomes
- Change in Hospital Anxiety and Depression Scale (HADS)(Baseline; Month 2; Month 3)
- Change in Beck Hopelessness Scale (BHS)(Baseline; Month 2; Month 3)