Advance Care Planning Clinical Trial
Official title:
Using an End-of-life Conversation Game to Engage Underserved Communities in Advance Care Planning
Verified date | October 2019 |
Source | Milton S. Hershey Medical Center |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
This national project will provide an effective, evidence-based intervention for advance care planning (ACP) to 50 underserved US communities, those with poor access to healthcare systems due to economic, cultural or other barriers. The project will also examine 15 of the 50 communities to learn about the unique needs of African American communities in regards to ACP and to assess the intervention with this population. The team includes the Hospice Foundation of America and a university-based research team from Penn State Milton S. Hershey Medical Center.
Status | Completed |
Enrollment | 1122 |
Est. completion date | September 15, 2019 |
Est. primary completion date | September 15, 2019 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | 18 Years and older |
Eligibility |
Inclusion Criteria: 1. Are over the age of 18 2. Attend a community Game Day event hosted as part of the Hospice Foundation of America community outreach "Hello Project" Exclusion Criteria: 1. Do not speak English 2. Have significant difficulties with hearing or speaking difficulties by self-report 3. Do not provide informed consent |
Country | Name | City | State |
---|---|---|---|
United States | Penn State Hershey College of Medicine | Hershey | Pennsylvania |
Lead Sponsor | Collaborator |
---|---|
Milton S. Hershey Medical Center | Hospice Foundation of America, John and Wauna Harman Foundation |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Rate of ACP Behaviors | This phone questionnaire assesses whether participants went on to perform various behaviors related to advance care planning. | 9 months post intervention | |
Secondary | Change in ACP Engagement Survey scores | This validated questionnaire measure assesses engagement in various ACP behaviors and/or readiness to perform ACP behaviors. Items are scored on a 5 point Likert scale (1-5, with 5 indicating highest readiness to perform ACP). Items are averaged for a final score ranging 1-5. | Baseline (Day 0); immediately post-intervention (Day 0); 3-9 months post intervention | |
Secondary | Conversation satisfaction questionnaire | Measures participants' satisfaction with the conversation. There are 5 items in the measure, each item is scored on a 1-7 scale with 1 being lowest conversation satisfaction. The items are averaged for the final score ranging 1-7 with 7 indicating the highest conversation satisfaction. | Immediately post-intervention (Day 0) | |
Secondary | ACP Values/Beliefs Questionnaire | Measure participants' attitudes about ACP. This a 8-item questionnaire. Scores are calculated by summative responses and the total score ranges from 7-49 with 7 being the least amount of skepticism (a better outcome). | immediately post-intervention (Day 0) | |
Secondary | Conversation Realism Questionnaire | The Conversation Realism survey is an 8-item questionnaire that measures how realistic players felt the game conversation was. Each question is measured with a 7- point Likert scale, with "1" being the least realistic and "7" being the most realistic (better outcome) conversation. | immediately post-intervention (Day 0) | |
Secondary | Net Promoter Score | The Net Promoter Score is a widely single-question (How likely are you to recommend Hello to friends and family?) used to measure participants' game experience on a 10-point scale. It is measured in two ways: (1) raw score is measured on a 10-point scale with 0 being "not likely at all" to 10 (better outcome) being "extremely likely" (2) calculated score = 10-point scale is broken down as follows: detractor score (0-6); passive score (7-8); promoter score (9-10). Passive scores are ignored. The calculated score is: (total number of promoters) - (total number of detractors) / (total number of responses) = score ranging from - 100 to +100 with +100 being the best (better outcome). | immediately post-intervention (0) | |
Secondary | Hello Game Assessment - Qualitative focus group interview | Group discussions held to collect feedback and opinions about playing the conversation game. Data collected is qualitative. | immediately post-intervention (Day 0) | |
Secondary | ACP Needs Assessment - Qualitative focus group interview | Qualitative focus groups will explore the needs of diverse African American populations with regards to ACP and end-of-life planning | immediately post-intervention (Day 0) |
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