Chronic Illness Clinical Trial
Official title:
A Randomized Trial of ACP/GCD Care Pathway in Primary Care in Alberta
Verified date | June 2019 |
Source | McMaster University |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
Sometimes people with health conditions become ill suddenly and can no longer speak for themselves and another person (such as a family member) will make health care decisions for them. This means it is important for people to think about their wishes and tell others about them. This is called advance care planning. When people have done advance care planning, if they become very sick and cannot speak for themselves they are more likely to get the kind of health care they want and it is easier for the people who make decisions for them. In Alberta, there is a form in the health care system that is used to indicate a person's wishes if participants are unable to speak for themselves. There are tools such as brochures, questionnaires, and videos that can help participants learn about advance care planning and serious illness conversations. This research is being done to study whether using tools for advance care planning will help improve goals of care designation completion rates in such a way that they better reflect patient values. In this project, we aim to determine the efficacy of tools to increase the quality and quantity of advance care planning (ACP) and Goals of Care Determinations (GCD) in primary care settings in Alberta.
Status | Completed |
Enrollment | 120 |
Est. completion date | December 31, 2018 |
Est. primary completion date | September 26, 2018 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | 65 Years and older |
Eligibility |
Inclusion Criteria: - age 65 years or older - have at least one chronic condition that may be life-limiting Exclusion Criteria: - Unable to communicate with an English-speaking research coordinator |
Country | Name | City | State |
---|---|---|---|
Canada | Chinook Primary Care Network | Lethbridge | Alberta |
Canada | Family Medical Centre | Lethbridge | Alberta |
Lead Sponsor | Collaborator |
---|---|
McMaster University | Queen's University |
Canada,
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* Note: There are 21 references in all — Click here to view all references
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Presence of a completed goals of care designation form in the patient chart | In Alberta there is a form in the health care system that is used to indicate a person's wishes if they are unable to speak for themselves. The form is called a "Goal of Care Designation" form and is part of a package called the 'Greensleeve'. Alberta Health Services requires that all patients in primary care and in hospital have a green sleeve and goal of care designation (RMC classification: R=resuscitative; M=medical; C=comfort care). | 8-12 weeks | |
Secondary | Agreement between patient's self-reported values and preferences for life sustaining treatment, and what is documented in the form in the chart | Dichotomous variable of whether there is concordance between what the patient reports and what is in their chart (difference between groups) | 8-12 weeks | |
Secondary | Physician rating of decisional conflict | The decisional conflict scale (DCS) measures personal perceptions of uncertainty in choosing options;modifiable factors contributing to uncertainty such as feeling uninformed, unclear about personal values and unsupported in decision making; and effective decision making. The outcome is the agreement between patient's self-reported preference for life sustaining treatment and decisional conflict using a 5-item decisional conflict scale pre- and post-intervention. Each item is scored 0 to 4 (0=Yes; 1=Probably Yes; 2=Unsure; 3=Probably No; 4=No) | 8-12 weeks | |
Secondary | Patient-reported satisfaction with the intervention | Do patients who participate in an ACP educational intervention experience greater satisfaction with decision-making than patients who get usual care? | 8-12 weeks |
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