Advance Care Planning GuideTailored for Primary Care Patients

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

Total Enrollment

419 participants

Study Classification

OBSERVATIONAL

Study Start Date

2017-04-30

Study Completion Date

2018-12-15

Brief Summary

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this project seeks to: validate results of ACP framework pilot study in a larger randomized controlled trial (rates and quality of ACP documentation) prior to using participatory design to develop an Electronic Health Record (EHR)-tethered patient portal delivered ACP communication guide, tailored for use in busy primary care settings, incorporating patients, caregivers, and primary care providers

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Detailed Description

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Conditions

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Advance Care Planning Chronic Disease Communication Research

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Intervention

The investigators seek to conduct a pragmatic trial including 2 sister clinical sites to test an innovation using a patient portal framework for Advance Care Planning. The intervention site implemented the intervention (secure patient portal delivered pre-visit planning framework for Advance Care Planning communication). The presence of ACP and the quality of documentation will be assessed through post-intervention chart review. Practice level enrollment was sought for the trial, and the framework will be delivered to all patients during a period of roll out. About 250 patients will receive the intervention.

Patient Centered Medical Home Based Electronic Framework for Advance Care Planning

Intervention Type OTHER

The intervention tested a pre-visit ACP workflow centered around a framework sent via secure Electronic Health Record (EHR)-linked patient portal in a real world clinical setting. The primary objectives were to determine its impact on frequency and quality of ACP documentation.

control

The control site delivered usual care during the same period of roll out.

No interventions assigned to this group

Interventions

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Patient Centered Medical Home Based Electronic Framework for Advance Care Planning

The intervention tested a pre-visit ACP workflow centered around a framework sent via secure Electronic Health Record (EHR)-linked patient portal in a real world clinical setting. The primary objectives were to determine its impact on frequency and quality of ACP documentation.

Intervention Type OTHER

Other Intervention Names

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Secure patient portal delivered pre-visit planning for advance care planning

Eligibility Criteria

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Inclusion Criteria

* must have an activated patient portal account over 50 years of age scheduled for a well visit appointment or chronic visit follow up English speaking