Evaluation of an Advance Care Planning Activity: Feasibility Testing for a Randomized Controlled Trial
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Chronic Disease
- Sponsor
- Lauren Van Scoy
- Enrollment
- 34
- Primary Endpoint
- Completion of an online advance directive
- Status
- Completed
- Last Updated
- 9 years ago
Overview
Brief Summary
The overarching goal of this project is to facilitate engagement of individuals in effective advance care planning (ACP). Our specific objective is to conduct a randomized, controlled trial to determine whether playing a structured conversation game will increase the likelihood that participants will complete advance directives and perform other ACP behaviors compared to those who are provided with only standard ACP educational materials.
Detailed Description
Our central hypothesis is that having ACP conversations in a non-threatening and enjoyable game format will stimulate participants to engage in additional ACP behaviors including completion of ADs. We will use the ACP Engagement Survey to measure readiness to perform ACP, which includes measures of the "stage of change" for performing ACP behaviors. The proposed study has two specific aims: Aim 1. To determine whether individuals who play a conversation game are more likely to subsequently complete an online AD (called 'Making Your Wishes Known'; MYWK) compared to individuals who receive standard information about ACP. Our hypothesis is that playing a conversation game will result in a higher AD completion rate (compared to control) in the three months following the intervention. Aim 2. To identify which participant and/or conversation-related factors influence movement along the stages of change continuum with respect to ACP behaviors (discussing end-of-life wishes with families or clinicians and then completing ADs). Our hypotheses are that: H1) the game intervention will lead to higher quality conversations than the control; and H2) participants whose conversations consist of high-quality ACP discussions will be more likely to progress toward enacting ACP behaviors (as measured by the ACP Engagement Survey score) than those participants whose conversations consist of low-quality discussions.
Investigators
Lauren Van Scoy
Assistant Professor
Milton S. Hershey Medical Center
Eligibility Criteria
Inclusion Criteria
- Not provided
Exclusion Criteria
- •Do not fall into one of the above 3 categories
- •Are \<18 years of age
- •Non-English speaking
- •Cognitively impaired by self-report or score less than 21 on the MoCA screening tool
- •Do not have a chronic illness (lacking one of the diseases from Iezonni's ICD-9 codes in chronic illness categories, described above)
- •Have completed an advance directive within the last 18 months
- •Do not provide informed consent or unable to provide informed consent
- •Carry a diagnosis of dementia
- •Unable to complete a 3 hour study session in one sitting (by self-report)
Outcomes
Primary Outcomes
Completion of an online advance directive
Time Frame: 3 months
Secondary Outcomes
- Advance Care Planning Engagement Survey(3 months)
- Advance Care Planning Behaviors(3 months)