Covid19 Clinical Trial
— ACP-COVIDOfficial title:
Advance Care Planning: Communicating With Outpatients for Vital Informed Decisions
Verified date | June 2022 |
Source | Dana-Farber Cancer Institute |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Observational |
This Pre-Post, open-cohort design, pragmatic trial with 150 clinicians and will evaluate the effectiveness of the use of telehealth Advanced Care Planning (ACP) Program by comparing ACP documentation among 13,000 patients over 65
Status | Completed |
Enrollment | 42019 |
Est. completion date | December 31, 2021 |
Est. primary completion date | December 31, 2021 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | 65 Years and older |
Eligibility | Inclusion Criteria: - Clinic Eligibility: Clinics affiliated with Northwell Health may be included in the study. - Clinician, Staff Eligibility: Any staff member identified by the site-PIs are affiliated with Northwell Health. - Patient Eligibility: To be eligible for this study, individuals must be aged 65 or over, affiliated with the Northwell Health clinic. For each of the three periods of the study, those patients over the age of 65 who are engaged (e.g., seen in person, telehealth, etc.) with the clinic during that time period will be included in that time period Exclusion Criteria: - Individuals who are not yet adults (infants, children, teenagers) - Pregnant women - Prisoners |
Country | Name | City | State |
---|---|---|---|
United States | Northwell Health | New Hyde Park | New York |
Lead Sponsor | Collaborator |
---|---|
Dana-Farber Cancer Institute | National Institute on Aging (NIA) |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Rate for Advanced Care Planning (ACP) documentation | This study tests the effects of an ACP Program that trains clinicians and provides patients with a video decision aid on rates of ACP among 13,000 patients at risk, or with, COVID-19. All patients over 65 engaged with the enrolled clinics over the course of each time period in each of the three study periods will be included in the analysis. Rates of ACP are determined by natural language processing data extraction of electronic health records. Generalized linear mixed models will be used to compare outcomes between intervention and control periods. | 2 Years | |
Secondary | Rate of orders for resuscitation preferences | Same methodology as Primary Outcome | 2 years | |
Secondary | Rate of palliative care consultation | Same methodology as Primary Outcome | 2 years | |
Secondary | Rate of referral to hospice | Same methodology as Primary Outcome | 2 years | |
Secondary | Advanced Care Planning (ACP) documentation rates among under-represented minority groups. | The analysis will use a difference in differences approach comparing the changes from the control period to the intervention period between White and non-White racial minority and between non-Medicaid and Medicaid patients. | 2 Years |
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