N/A
N=110
ENgaging in Advance Care Planning Talks Group Visit Intervention
Advance Care Planning · Primary Health Care
Bottom Line
View on ClinicalTrials.gov: NCT03141242 ↗Enrolled (actual)
110
Serious AEs
0.0%
Results posted
Feb 2021
Primary outcome: Primary: Presence of Medical Decision-maker Documentation in the EHR — 41; 38; 51; 40 participants
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- ENACT group visit (Behavioral); Mailed Resources (Behavioral)
- Age
- Adult, Older Adult · 50+ yrs
- Sex
- All
- Sponsor
- University of Colorado, Denver
- Primary completion
- May 2020
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Presence of Medical Decision-maker Documentation in the EHR |
41; 38; 51; 40 | — |
| PRIMARY Presence of Advance Directive in the EHR |
24; 22; 39; 25 | — |
| SECONDARY Change in Advance Directive in Medical Record |
24; 22; 38; 24; 39; 25 | — |
| SECONDARY Change in Readiness to Engage in ACP (ACP Engagement Score) |
4.56; 4.13 | — |
| SECONDARY Change in Readiness to Chose a Surrogate Decision Maker |
4.49; 4.25; 4.8; 4.39 | — |
| SECONDARY Change in Readiness to Discuss Values and Care Preferences With Surrogate Decision Maker |
4.65; 4.25; 4.74; 4.28 | — |
| SECONDARY Readiness to Talk to Patient's Physician About Future Medical Care |
3.47; 3.47; 3.99; 3.59 | — |
| SECONDARY Readiness to Sign Official Papers About Medical Care |
4.24; 4.04; 4.69; 4.26 | — |
Summary
The main goal of the ENACT (ENgaging in Advance Care planning Talks) Group Visit intervention is to integrate a patient-centered advance care planning process into primary care, ultimately helping patients to receive medical care that is aligned with their values. The ENACT Group Visit intervention involves two group discussions about advance care planning with 8-10 patients who meet for 2-hour sessions, one month apart, facilitated by a geriatrician and a social worker. This study will compare the ENACT Group Visit intervention to mailed advance care planning materials.
Eligibility Criteria
Inclusion Criteria
- 50 or older
- Receive primary care through UCHealth, Colorado, USA.
Exclusion Criteria
- Severe cognitive impairment, known diagnoses of dementia
- Severe hearing loss or deafness
Data sourced from ClinicalTrials.gov (NCT03141242). 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.