Effect of an Advance Care Planning Intervention

Not Applicable

Completed

• Conditions: Dementia

• Registration Number: NCT04852055
• Lead Sponsor: Brown University

Brief Summary

The intervention being studied is an advance care planning intervention. The trial has two arms: usual care and information arm.

Detailed Description

Eligible patients whose assisted living centers are randomized to the information arm will receive a letter from their clinician with links to informational video. Eligible patients whose assisted living centers are randomized to the usual care arm have advance care planning discussions with a clinician at admission, annually, and sometimes with a hospitalization or other change in condition.

Study Timeline

• Study Start: 2021-03-30
• Study First Submitted: 2021-04-16
• Study First Submitted QC: 2021-04-16
• Study First Posted: 2021-04-21
• Primary Completion: 2022-03-23
• Study Completion: 2022-03-23
• Results First Submitted: 2023-04-21
• Status Verified: 2023-09
• Results First Submitted QC: 2023-09-05
• Last Update Submitted: 2023-09-05
• Results First Posted: 2023-09-11
• Last Update Posted: 2023-09-11

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 2611

Inclusion Criteria

• Partnering assisted living center with at least 20 patients with a dementia diagnosis (based on International Classification of Diseases, version 10 codes)
• Patients not on hospice
• Patients who do not have comfort care or do-not-hospitalize orders at baseline

Exclusion Criteria

• Partnering assisted living center with less than 20 patients with a dementia diagnosis (based on International Classification of Diseases, version 10 codes)
• Patients on hospice
• Patients with comfort care or do-not-hospitalize orders at baseline

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Primary Outcome Measures

Name	Time	Method
Do-Not-Resuscitate	4 months	Percentage of residents with do-not-resuscitate orders documented in the electronic health record at end of follow-up, comparison between usual care and experimental arm

Secondary Outcome Measures

Name	Time	Method
Do-Not-Hospitalize	4 months	Percentage of residents in each arm with do-not-hospitalize or comfort care orders documented in the electronic health record at end of follow-up, comparison between usual care and experimental arm
Advance Care Planning Billing	4 months	Percentage of residents in each arm with current procedural terminology billing code for advance care planning during follow-up based on Medicare claims data, comparison between usual care and experimental arm. Requires access to claims data which delays reporting
Hospitalization	4 months	Percentage of residents with any inpatient hospitalization during follow-up based on Medicare claims data, comparison between usual care and experimental arm. Requires access to claims data which delays reporting

Trial Locations

Locations (1)

Bluestone Physician Services; 🇺🇸 Stillwater, Minnesota, United States