N/A
N=302
Goals of Care: A Nursing Home Trial of Decision Support for Advanced Dementia
Dementia
Bottom Line
View on ClinicalTrials.gov: NCT01565642 ↗Enrolled (actual)
302
Serious AEs
0.0%
Results posted
Aug 2018
Primary outcome: Primary: Quality of Communication and Decision-making — 6.0; 5.6; 3.7; 3.0 units on a scale
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- Goals of care decision support (Behavioral)
- Age
- Older Adult · 65+ yrs
- Sex
- All
- Sponsor
- University of North Carolina, Chapel Hill
- Primary completion
- Jul 2015
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Quality of Communication and Decision-making |
6.0; 5.6; 3.7; 3.0 | — |
| SECONDARY Number of Palliative Care Domains in Care Plan |
5.9; 5.3 | — |
| SECONDARY Satisfaction With Care |
31.0; 31.6 | — |
| SECONDARY Comfort in Dying |
34.0; 32.7 | — |
| SECONDARY Alzheimer Disease Related Quality of Life |
67.8; 65.9 | — |
| SECONDARY Quality of Dying |
41.7; 41.7 | — |
| SECONDARY Frequency of Communication |
121; 123 | — |
| SECONDARY Hospice Referral |
17; 18 | — |
| SECONDARY Hospitalizations |
0.08; 0.16 | — |
Summary
This cluster randomized controlled trial is to examine whether decision support for goals of care can improve quality of communication and decision-making and improve the quality of palliative care for nursing home residents with advanced dementia.
Eligibility Criteria
Inclusion Criteria
- Surrogate for nursing home resident with advanced dementia, paired with resident with advanced dementia
Exclusion Criteria
- Non-related legal surrogate without personal knowledge of resident
Data sourced from ClinicalTrials.gov (NCT01565642). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.