Effect of an Advance Care Planning Intervention on Documentation of Advance Directives and Goals of Care in Assisted Living Centers
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 2,364
- 试验地点
- 2
- 主要终点
- Do-Not-Resuscitate
研究概览
简要总结
The intervention being studied is an advance care planning intervention. The trial has two arms: usual care and information arm.
详细描述
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- Double (Investigator, Outcomes Assessor)
入排标准
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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
排除标准
- •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
结局指标
主要结局
Do-Not-Resuscitate
时间窗: 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
次要结局
- Do-Not-Hospitalize(4 months)
- Advance Care Planning Billing(4 months)
- Hospitalization(4 months)
- Do-Not-Hospitalize(4 months)
- Advance Care Planning Billing(4 months)
- Hospitalization(4 months)
研究者
Vincent Mor
Florence Pirce Grant University Professor, Professor of Health
Brown University