N/A
N=759
Integrated Multidisciplinary Patient and Family Advance Care Planning Trial
Advance Care Planning
Bottom Line
View on ClinicalTrials.gov: NCT03609658 ↗Enrolled (actual)
759
Serious AEs
0.0%
Results posted
Aug 2021
Primary outcome: Primary: Number of Patient's Documented Advance Care Planning Discussion- Nurse Navigator — 134; 0 Discussions
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- Nurse Navigator Pathway (Behavioral); Usual Care (Behavioral)
- Age
- Older Adult · 65+ yrs
- Sex
- All
- Sponsor
- Wake Forest University Health Sciences
- Primary completion
- Dec 2019
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Number of Patient's Documented Advance Care Planning Discussion- Nurse Navigator |
134; 0 | — |
| PRIMARY Number of Patient's Documented Advance Care Planning Discussions - Provider |
160; 14 | — |
| PRIMARY Quality of Advance Care Planning Discussion - Nurse Navigator |
— | — |
| PRIMARY Quality of Advance Care Planning Discussion - Provider |
— | — |
| PRIMARY Quality of Advance Care Planning Discussion From the Patient's Perspective |
10.2; 7.9 | — |
| SECONDARY Advance Care Planning Billing Code Usage |
96; 5 | — |
| SECONDARY Number of Designated Surrogate Decision Makers |
241; 132 | — |
| SECONDARY Advance Directive Completion |
92; 38 | — |
Summary
The purpose of this study is to compare ways to engage sick patients and their family members in Advance Care Planning (ACP) discussions. Two pathways will be tested, discussions using a Nurse Navigator led pathway versus usual care.
Eligibility Criteria
Inclusion Criteria
- Aged 65 or older patient within the Wake Forest/Cornerstone ACO
- Have seen their primary care provider within the Wake Forest/Cornerstone network in the past 12 months
- English speaking
- No documented Advance Directive in the EHR
- Impairments in either physical function, cognition, and/or frailty
Exclusion Criteria
- No available proxy (e.g. in setting of cognitive impairment)
- Severe/advanced dementia
- Moderate to severe hearing loss
- Non-English speaking
- No phone number available for patient
Data sourced from ClinicalTrials.gov (NCT03609658). 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.