Responses to a Standardized Approach to Advance Care Planning in Cognitive Disorders Clinic
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 38
- 试验地点
- 2
- 主要终点
- Change in rate of advance directive completion during or following the visit
研究概览
简要总结
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 100 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients having mild cognitive impairment (MCI) or very mild to mild dementia (CDR 0.5-1).
排除标准
- •Patients with moderate to severe dementia (CDR 2-3).
研究组 & 干预措施
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
干预措施: 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
结局指标
主要结局
Change in rate of advance directive completion during or following the visit
时间窗: 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
时间窗: Baseline; Month 6; Month 12; Month 18
次要结局
- Change in Hospital Anxiety and Depression Scale (HADS)(Baseline; Month 2; Month 3)
- Change in Beck Hopelessness Scale (BHS)(Baseline; Month 2; Month 3)