Underutilization of Hospice Care in Older Black Adults

NCT ID: NCT06408090

Last Updated: 2024-05-09

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

ACTIVE_NOT_RECRUITING

Clinical Phase

NA

Total Enrollment

400 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-06-02

Study Completion Date

2026-06-01

Brief Summary

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This study will sample older Black adults to test their knowledge and opinions of hospice.

Detailed Description

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Short stays in hospice strain the Medicare system. Black adults over age 65 are one of the fastest growing groups in the US. Despite greater disease burden than their White peers, older Black adults are less likely to enroll in hospice. Misconceptions about hospice and mistrust may contribute to this disparity. The research will seek to understand older Black adults' decision-making processes around hospice. The PtDA is a tool to assist in this decision-making process. The influence of this tool will be measured as well. The sample of older Black adults will represent the national population. The research will explore various subgroups, which previous research has been unable to address. This study will use four validated survey batteries. About 200 of the 400 participants will also review the decision aid. These adults will complete a second survey. About 20 of these adults will also complete an interview about the decision aid. Through the surveys and interviews, this research will explore barriers to hospice usage for older Black adults.

Conditions

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Hospice Care Decision Aid Decision-Making Aging Knowledge Attitude

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Intervention

200 participants reviewed the PtDA decision tool for education on hospice care and subsequently completed a second survey which was identical to the first.

Group Type EXPERIMENTAL

IDECIDE-HOSPICE

Intervention Type OTHER

12-pg educational booklet detailing information about hospice including what hospice is, why someone would use hospice, who pays for hospice, and where hospice services are delivered

Interview

20 of the 200 Intervention participants will complete an interview using qualitative methods surrounding the topic of hospice care and the PtDA.

Group Type OTHER

IDECIDE-HOSPICE

Intervention Type OTHER

12-pg educational booklet detailing information about hospice including what hospice is, why someone would use hospice, who pays for hospice, and where hospice services are delivered

Control

200 of the 400 participants completed two identical surveys one month apart but did NOT review the PtDA decision tool prior to completing the second survey timepoint. Instead, these participants reviewed an 8-page attention control activity booklet. These participants are used as a control group in assessing any change in knowledge or opinions of hospice after the intervention group reviewed the PtDA.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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IDECIDE-HOSPICE

12-pg educational booklet detailing information about hospice including what hospice is, why someone would use hospice, who pays for hospice, and where hospice services are delivered

Intervention Type OTHER

Other Intervention Names

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PtDA

Eligibility Criteria

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Inclusion Criteria

* Identifies as Black or African American
* Can read and write English

Exclusion Criteria

* Unable to read/write English
* Have a cognitive impairment that prevents them from providing informed consent
Minimum Eligible Age

65 Years

Maximum Eligible Age

99 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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University of Colorado, Denver

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Channing E Tate, PhD, MPH

Role: PRINCIPAL_INVESTIGATOR

University of Colorado School of Medicine

Locations

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University of Colorado Denver | Anschutz Medical Campus

Aurora, Colorado, United States

Site Status

Countries

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United States

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Document Type: Informed Consent Form

View Document

Other Identifiers

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23-0899

Identifier Type: -

Identifier Source: org_study_id

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