Reducing Disparities in the Quality of Advance Care Planning for Older Adults
This study compares the effectiveness of two different approaches to advance care planning among older African Americans and older Whites living in the community. The two approaches are a structured approach with an advance care planning conversation led by a trained person using Respecting Choices (First Steps) and a patient-driven approach which includes a Five Wishes advance care planning form written in plain language. The study will determine which approach is more effective at increasing advance care planning within each racial group and reducing differences between the two groups in advance care planning.
Checked against the public recordLast updated May 16, 2024 · Source: ClinicalTrials.gov
What this study is about
- Purpose
- Other
- Study type
- Interventional
- Phase
- Not applicable
- Sponsor
- Duke University
- Interventions being studied
- Behavioral: Respecting Choices First Steps; Behavioral: Five Wishes Form
How this study is categorized
These labels come from structured fields and exact terms in the public record.
Who may be able to participate
Inclusion Criteria for Patients: * African-American or White * age 65 or greater * English-speaking * residing in non-institutional setting * cognitively able to participate in advance care planning * Serious or chronic illness including: metastatic cancer; end stage renal disease; advanced liver disease, heart disease or lung disease; amyotrophic lateral sclerosis, severe Parkinson's disease; 2 or more unplanned hospitalizations in the last year; requiring assistance with any basic activity of daily living * Serious illness based on the following: Clinician answers "no" to the surprise question: "Would you be surprised if this person died in the next 12 months?" Exclusion Criteria for Patients: * residence in nursing home or assisted living facility * diagnosis of dementia or unable to consent * documented advance care plan (living will, health care proxy, MOST form, provider note) * current or prior use of hospice * current or prior use of non-hospice palliative care except inpatient palliative care consultation
Important: This is the sponsor’s public criteria, not a determination of eligibility. The study team must review your individual situation.
U.S. locations
- University of Alabama at BirminghamBirmingham, Alabama
- Emory UniversityAtlanta, Georgia
- University of South CarolinaColumbia, South Carolina
- University of Texas SouthwesternDallas, Texas
Source and freshness
Processed from ClinicalTrials.gov. Last public update: May 16, 2024. Always confirm current availability with the study team.