Chronic Disease Clinical Trial
Official title:
Promoting Healthcare Planning as a Healthy Behavior (STAMP VA)
The purpose of this study is to figure out the best way to help veterans do advance care planning. This study will examine the effects of two theory based behavior interventions by randomizing veteran into 4 groups to see which veterans will complete the 4 step process of advance care planning.
Purpose: The purpose of this study is to examine the effects of two theory-based behavior
interventions on engagement of Veterans in advance care planning (ACP) by means of the
following specific aim:
Primary Aim: To conduct a randomized controlled trial examining the effects of: a) usual
care; b) computer-tailored intervention (CTI); c) motivational enhancement therapy (MET); d)
CTI + MET on the proportion of middle-age and older Veterans receiving primary care at the VA
who complete the process of ACP, defined as completing a total of 4 key ACP behaviors,
including selecting a health care proxy, communicating with the proxy about goals of care,
communicating with the clinician about goals of care, and documenting proxy selection and
goals.
Primary Hypothesis: The proportion of Veterans completing ACP will be higher among those in
each of the intervention groups compared to Veterans receiving usual care.
All of 4 groups will receive their assessments and, if, their interventions, by telephone
and/or mail. The veterans will from the VA Connecticut Healthcare System. Participants will
be identified through a data query of the Regional Data Warehouse who have had a primary care
visit in the past 12 months. We will then be able to oversample female and minority Veterans.
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