Reducing Disparities in the Quality of Advance Care Planning for Older Adults

Study summary

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.

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Key things to know

Main goalOther

This describes the study’s primary purpose.

What is being studiedRespecting Choices First Steps and Five Wishes Form

The study team can explain what participation involves.

Who it may be forMetastatic or stage IV

These are broad labels—not an eligibility decision.

Checked against the public recordLast updated May 16, 2024 · Source: ClinicalTrials.gov

Is enrollment open?Completed

Ask the study team to confirm whether enrollment is open.

What kind of study?Not applicable

Interventional

Where is it offered?4 U.S. locations

Locations may change over time.

Who runs it?Duke University

Study sponsor

Study overview

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

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How this study is categorized

These labels come from structured fields and exact terms in the public record.

Disease setting

Metastatic or stage IV→

Treatment approach

Supportive or behavioral care→

Public criteria

Who may be able to participate

The sponsor separates these requirements into two groups. You do not need to interpret them alone—use them to guide a conversation with the study team.

Requirements people may need to meetInclusion 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?"

Reasons someone may not be able to joinExclusion 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.

Study sites

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.

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