Improving Primary Care Clinician's Advance Care Planning Alzheimer's Disease and Related Dementias
Official Summary
This study will test the Dementia Advance Care Planning (AD ACP) Toolkit intervention to usual care in facilitating goals of care (GOC) discussions between People Living with Dementia (PLwD) and primary care team members over an 18-month period. The primary outcome is to assess the frequency and quality of GOC discussions with PLwD. Secondary outcomes include the identification of preferred surrogates, assessment of decisional capacity, and the completion of portable ACP orders. This randomized clinical trial aims to determine if the AD ACP Toolkit can enhance ACP practices and improve care planning outcomes for PLwD compared to the standard care approach.
Study Design
- Study Type: INTERVENTIONAL
- Allocation: RANDOMIZED
- Model: PARALLEL
- Masking: DOUBLE
- Enrollment: 120 participants
Interventions
- BEHAVIORAL: Primary Care Team Advance Care Planning With People with Alzheimer's Disease or a Related Dementia Training — Included in arm/group descriptions
- BEHAVIORAL: Care as Usual — Included in arm/group descriptions
Primary Outcomes
- Goals of Care Discussions (18 months)
Secondary Outcomes
- Surrogate Decision-Maker (18 months)
- Decision-Making Capacity (18 months)
- Portable Advance Care Planning (ACP) Orders (18 months)
- Prognosis Discussion (18 months)
- Hospital Transfers (30 months)
Trial Locations
- University of North Carolina, Chapel Hill, Chapel Hill, North Carolina, United States
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AI-generated analysis for educational purposes only. This is not medical advice. Discuss clinical trial participation with your doctor. Data sourced from ClinicalTrials.gov.