N/A
N=75
Motivational Interview Intervention to Help Patients Formulate Their Goals for Medical Care in the Emergency Department
Emergency Service, Hospital · Motivational Interviewing · Advance Care Planning
Bottom Line
View on ClinicalTrials.gov: NCT03208530 ↗Enrolled (actual)
75
Serious AEs
0.0%
Results posted
Feb 2021
Primary outcome: Primary: Number of Patients Who Found the Intervention Acceptable and Provided Suggestions for Improvement — 48 Participants
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- Brief motivational interview intervention (Behavioral)
- Age
- Older Adult · 65+ yrs
- Sex
- All
- Sponsor
- Brigham and Women's Hospital
- Primary completion
- May 2019
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Number of Patients Who Found the Intervention Acceptable and Provided Suggestions for Improvement |
48 | — |
| SECONDARY Acceptability of the Intervention by Administering Clinicians. |
7 | — |
| SECONDARY Patient's Quality of Life |
3.69; 3.72; 3.70; 3.00; 4.00; 4.40 | — |
| SECONDARY Advance Care Planning Engagement Behavior |
3.8; 4.3 | — |
| SECONDARY Patient Empowerment |
— | — |
| SECONDARY Patient Distress |
0.66; 0.70; 0.86; 0.33 | — |
Summary
Test the acceptability and feasibility of a brief motivational interview intervention to facilitate advance care planning (ACP) conversations for older adults with serious co-morbid illness being discharged from the emergency department (ED). The investigators will interview the participants to understand their perception of the intervention and collect patient-reported outcomes data after leaving the ED.
Eligibility Criteria
Inclusion Criteria
- ≥65 years of age
- English-speaking
- Capacity to consent
- AND ≥1 Serious illness (New York Heart Association stage 3 or 4 heart failure, oxygen-dependent chronic obstructive lung disease, chronic kidney disease on dialysis, and metastatic cancer.) OR determined by the emergency department provider that the patient has a high likelihood of death in the next 12 months ("I would not be surprised if this patient died in the next 12 months.").
Exclusion Criteria
- Acute physical or emotional distress
- Determined by emergency department provider not to be appropriate
- Clearly documented goals for medical care already exists (e.g. medical order for life sustaining treatment - MOLST).
- Already enrolled in this study
Data sourced from ClinicalTrials.gov (NCT03208530). 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.