ACP Video Intervention for Patients With Life-Limiting Illness

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age21+
SponsorMassachusetts General Hospital

About this trial

The goal of this research is to increase patients' knowledge about advance care planning (ACP) discussions and hospice care for patients with serious illness receiving home-based care.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Aged 21 or over

Have a one-year prognosis or less as determined by Clover Health's validated algorithm

Speak either English or one of the other 25 languages in which the video intervention is available

Disqualifiers

Visually impaired beyond 20/200 corrected

Acute psychiatric illness or other comorbid condition that impairs cognitive ability to participate in advance care planning discussion as determined by the primary House Call Provider.

Trial design

Design model

Parallel

Treatments tested in this trial

  • Home ACP Video

    Behavioral

    A video focused on Advance Care Planning and Hospice for patients with serious illness

Treatment groups

500 Participants
are divided into 2 treatment groups
Group A: Usual CareNo intervention 0 interventions
Group B: Video interventionExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Hospice utilization

Compare the use of hospice (yes vs. no) between the study groups

Time frame
up to one year follow-up or death

Secondary outcomes

1

Hospice length of stay

Compare hospice length-of-stay between the study groups

Time frame
up to one year follow-up or death
2

Rates of documented resuscitation preferences in the Electronic Health Record

Compare documented resuscitation preferences in the Electronic Health Record between the two groups

Time frame
up to one year follow-up or death
3

Rates of Advance Care Planning documentation in the Electronic Health Record

Compare advance care planning documentation in the Electronic Health Record between the two groups

Time frame
up to one year follow-up or death
4

Patient knowledge about Advance Care Planning

Compare patient's knowledge about advance care planning using a 5-item knowledge questionnaire (range 0-5), higher score indicate more knowledge

Time frame
Up to two days following the intervention visit

Other outcomes

1

Cost of care in the last year of life

Compare cost of care in the last year of life between the study groups

Time frame
1 year

Sponsors and contacts

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