Implementing Advance Care Planning Conversation Tools in Family Practice

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

80 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-06-01

Study Completion Date

2020-10-30

Brief Summary

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This study evaluates the use of advance care planning conversation tools with patients attending their family doctor's office. Patients complete tools about their values and wishes, and a health care provider uses a structured discussion tool to talk about the patient's health condition and future wishes. The patient's family member/substitute decision-maker is encouraged to attend and be part of the discussions.

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Detailed Description

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Structured tools are helpful for advance care planning. Tools have been developed to help with advance care planning because it is a process which has multiple steps and people involved. This study will help health care teams in primary care learn to use the tools with frail or older seriously ill patients and will evaluate the perceptions of patients, family members and health care providers, as well as the impact of having the discussions on subsequent health care interactions the patient has.

Patients complete tools about their values and wishes, and a health care provider uses a structured discussion tool to talk about the patient's health condition and future wishes. The patient's family member/substitute decision-maker is encouraged to attend and be part of the discussions.

Conditions

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Frail Elderly Syndrome Chronic Disease

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Single group before-after

Primary Study Purpose

OTHER

Blinding Strategy

NONE

Study Groups

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Advance care planning tools

Advance care planning education and structured conversation using tools

Group Type EXPERIMENTAL

Advance care planning tools

Intervention Type BEHAVIORAL

Structured conversations between patients/substitute decision-maker and clinician based on education about advance care planning using locally relevant booklet/website, values clarification tool for patient engagement, clinician use of the Serious Illness Conversation Guide

Interventions

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Advance care planning tools

Structured conversations between patients/substitute decision-maker and clinician based on education about advance care planning using locally relevant booklet/website, values clarification tool for patient engagement, clinician use of the Serious Illness Conversation Guide

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* age 60 or older
* chronic condition that may reduce life expectancy as per physician's clinical judgement
* able to communicate verbally in English and read English

Exclusion Criteria

* unable to communicate verbally in English
* unable to read English
* cognitively unable to give informed consent (e.g. memory problems) as judged by referring physician or research assistant

Minimum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No