Advance Care Planning for Older Latinos With Chronic Illness

NCT ID: NCT06081660

Last Updated: 2023-10-13

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 24 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2022-09-14
• Study Completion Date: 2023-04-16

Brief Summary

The goal of this study is to test the feasibility of a randomized controlled trial to learn about implementation of an intervention model, Advance Care Planning I Plan (ACP-I Plan), among older Latinos with chronic illnesses in community settings.

Detailed Description

The goal of this study is to test the feasibility of a randomized controlled trial to learn about implementation of an intervention model, Advance Care Planning I Plan (ACP-I Plan), among older Latinos with chronic illnesses in community settings.

The questions of this study seek to explore implementation of the intervention model:

1. To evaluate feasibility, acceptability, and preliminary impact of ACP-I Plan to improve AD documentation and increase engagement in ACP communication with family and providers among older Latinos with chronic diseases (cancers and non-cancers); and

2. To evaluate implementation of ACP-I Plan in a community setting and examine further need for adaption.

Participants will be randomized into two groups:

1. ACP education consisting of

• a brief social work screening,
• an educational pamphlet,
• advance directive forms (in English and Spanish), and
• community resource materials (i.e., handout); and

2. ACP education plus counseling consisting of

• motivational interviewing
• decisional support, and
• patient navigation to address barriers We anticipate that ACP-I Plan will be feasibly and acceptable. Participants who receive ACP-I Plan will show 1) greater likelihood of documenting an AD, 2) greater importance of and concern for engaging in ACP communication with family members and providers, and 3) reduced distress at 4-week post intervention.

Conditions

Patient Engagement; End of Life; Chronic Disease; Communication

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: FACTORIAL
• Primary Study Purpose: HEALTH_SERVICES_RESEARCH
• Blinding Strategy: NONE

Study Groups

ACP education

ACP education consisting of

• a brief social work screening,
• an educational pamphlet,
• advance directive forms (in English and Spanish), and
• community resource materials (i.e., handout)

Group Type: ACTIVE_COMPARATOR

ACP-I Plan

Intervention Type: BEHAVIORAL

ACP-I Plan consisting of education, counseling, decisional support, and patient navigation

ACP education plus counseling

ACP education plus counseling consisting of

• a brief social work screening,
• an educational pamphlet,
• advance directive forms (in English and Spanish), and
• community resource materials (i.e., handout);
• motivational interviewing
• decisional support, and
• patient navigation to address barriers

Group Type: EXPERIMENTAL

ACP-I Plan

Intervention Type: BEHAVIORAL

ACP-I Plan consisting of education, counseling, decisional support, and patient navigation

Interventions

ACP-I Plan

ACP-I Plan consisting of education, counseling, decisional support, and patient navigation

Intervention Type: BEHAVIORAL

Eligibility Criteria

Inclusion Criteria

• 50 years old or older
• Latino/Latina or Hispanic?
• Have 1 or more chronic health conditions

Exclusion Criteria

• Schizophrenia
• Schizoaffective Disorder
• Dementia
• Alzheimer's disease

• Minimum Eligible Age: 50 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

San Diego State University

OTHER

Sponsor Role: lead

Responsible Party

Frances Nedjat-Haiem

Associate Professor

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Ayala, PhD

Role: PRINCIPAL_INVESTIGATOR

San Diego State University

Locations

San Diego State University

San Diego, California, United States

Countries

United States

Other Identifiers

HS-2020-0175

Identifier Type: -

Identifier Source: org_study_id