Consumer Engagement to Increase Advance Care Planning: Patient Randomization

Phase 2

Completed

• Conditions: Advance Care Planning
• Interventions: Behavioral: Educational website; Behavioral: Financial incentive

• Registration Number: NCT02418403
• Lead Sponsor: University of Pittsburgh

Brief Summary

This is a study of the effect of consumer-directed financial incentives on completion of advance care planning among Medi-Cal patients.

Detailed Description

Older adults receiving primary care from one of three clinics contracting with Partnership HealthPlan of California, a multi-county Medi-Cal managed care plan will be mass randomized to receiving educational materials regarding advance care planning with or without a financial reward for completing advance care planning.

Study Timeline

• Study Start: 2015-03
• Study First Submitted: 2015-04-13
• Study First Submitted QC: 2015-04-15
• Study First Posted: 2015-04-16
• Primary Completion: 2015-07
• Study Completion: 2015-08
• Status Verified: 2017-06
• Last Update Submitted: 2017-06-13
• Last Update Posted: 2017-06-15

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 376

Inclusion Criteria

• Partnership HealthPlan of California enrollee
• Receipt of primary care from one of 3 participating clinics (Ole, Petaluma, West County)
• Age > 65

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Exclusion Criteria

• > 75

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
PREPARE	Educational website	Access to "Prepare for Your Care" website and written encouragement to discuss ACP with one's PCP.
PREPARE+financial incentive	Educational website	Access to "Prepare for Your Care" website and written encouragement to discuss ACP with one's PCP; offer of $50 to complete the website and entry into $1000 lottery for discussing ACP with one's PCP.
PREPARE+financial incentive	Financial incentive	Access to "Prepare for Your Care" website and written encouragement to discuss ACP with one's PCP; offer of $50 to complete the website and entry into $1000 lottery for discussing ACP with one's PCP.

Primary Outcome Measures

Name	Time	Method
Having an advance care planning conversation with one's primary care provider	3 months	Primary care providers' documentation of an advance care planning conversation in the chart and/or via a Partnership HealthPlan of California ACP attestation form.

Secondary Outcome Measures

Name	Time	Method
Completion of "Prepare for Your Care" website modules	3 months	Logging into the website, completing the modules, and creating an action plan

Trial Locations

Locations (1)

Partnership HealthPlan of California; 🇺🇸 Fairfield, California, United States