Clinical Trial Search

Primary: Hospital Transfers — 1.2; 1.3 number of hospital transfers — p=0.3313

Primary: Number of Patient's Documented Advance Care Planning Discussion- Nurse Navigator — 134; 0 Discussions

Primary: Advance Care Planning Engagement — 4.08; 4.34 score on a scale — p=0.0014

Primary: Number of Participants With Advance Care Planning Documentation — 0; 1163; 349; 901 Participants — p=<0.05

Primary: Number of Eligible Participants Enrolled in the Study — 50 Participants

Primary: Identification of a Goals of Care Conversation in the Electronic Health Record (EHR) During the Index Hospitalization — 3744; 2396 Participants

Primary: Advance Care Planning Values/Beliefs — 24.9; 26.3 Score on a scale

Primary: Do-Not-Resuscitate — 144; 136 Participants

Primary: Presence of Medical Decision-maker Documentation in the EHR — 41; 38; 51; 40 participants

Primary: Number of Patients Who Found the Intervention Acceptable and Provided Suggestions for Improvement — 48 Participants

Primary: Increased Concordance Rate in Stated Goals of Care (Life-prolonging Medical Care, Selective Medical Care, or Comfort-focused Care) — 20; 15; 5; 10 Participants

Primary: Number of Patients 65 and Older With New Documentation of Any Advance Directive in the Electronic Health Record (EHR) — 2190; 2130; 255; 409 Participants

Primary: Number of Patient/Care Partner Agreeing to Participate — 152 Participants

Primary: Kidney Disease Quality — 75.4; 78.3; 78.4; 73.4 score on a scale

Primary: Change in Readiness to Engage in ACP (ACP Engagement Scale) — 1.92; 1.54; 2.77; 2.00 units on a scale

Primary: Feasibility (Number/Proportion of Participants Who Completed the Intervention) — 5 Participants

Primary: Number of Participants Who Completed Four ACP Activities: Communication With Loved Ones About Quality Versus Quantity of Life, Completion of a Living Will, Assignment of…

Primary: Measured ACP Content in the Presurgical Consent Visit — 6; 5; 10; 8 Recordings

Primary: Adapted Decision Making Confidence Scale — 4.8; 4.7; 3.7; 5 score on a scale

Primary: New Advance Care Planning Documentation in the Medical Record at 9 Months — 35; 25 percentage of participants

Primary: Change in Advance Care Planning (ACP) Engagement With Clinicians at One Month — 2.84; 2.87; 3.37; 3.32 score on a scale — p=0.5835

Primary: Retention Rate — 38; 3 Participants

Primary: New Advance Care Planning Documentation in the Medical Record at 15 Months — 83; 58 Participants

Primary: Feasibility - Retention Rate — 19; 6; 10 Participants

Primary: Change in Generalized Anxiety Disorder- 7 — 7.73; 8.81; 8.42; 7.06 score on a scale

Primary: Function Assessment of Chronic Illness Therapy-General (FACT-G) — 59.0; 54.0 score on a scale

Primary: Needs; Existential Concerns; Symptoms; and Therapeutic Interaction (NEST) Scale Total Score — 28.5; 29.3 score on a scale — p=1.00

Primary: Documented Decisions to Forgo Hospitalization — 133; 119 Participants

Primary: Dyad Congruence With Goals-of-Care Tool — 9; 4; 11; 24 Participants

Primary: Planning Behavior Score at 1-month — 16.97; 16.80; 17.19; 15.88 units on a scale — p=0.0054