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Behavioral Intervention

Online Advance Care Planning Tool for Cognitive Impairment (Portal-Voice Trial)

N/A

Recruiting

Led By Jennifer Gabbard, MD

Research Sponsored by Wake Forest University Health Sciences

Eligibility Criteria Checklist

Specific guidelines that determine who can or cannot participate in a clinical trial

Must have

Age 65 years old and older

Have an active patient portal account

Must not have

Lacks decisional capacity as deemed by PCP

Timeline

Screening 3 weeks

Treatment Varies

Follow Up 6 months during the implementation period and up to 6 months post the implementation period

Awards & highlights

No Placebo-Only Group

Summary

This trial aims to see if using an online tool can help improve discussions and documentation of advance care planning in people with memory problems during their regular doctor visits.

Who is the study for?

This trial is for community-dwelling adults with cognitive impairment who are under outpatient primary care. The study aims to include those who may benefit from improved discussions and documentation of their future healthcare preferences.

What is being tested?

The study is testing ACPVoice, a tool designed for advance care planning (ACP), against the standard of care in ACP. It will evaluate how well ACPVoice facilitates conversations and decision-making about future healthcare needs.

What are the potential side effects?

Since this trial involves an advance care planning tool rather than a medical treatment, traditional physical side effects are not expected. Participants may experience emotional or psychological responses when discussing sensitive end-of-life decisions.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below

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I am 65 years old or older.

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I have an active account on my healthcare provider's patient portal.

Exclusion Criteria

You may be eligible for the trial if you check “No” for criteria below:

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My primary care doctor thinks I'm unable to make my own medical decisions.

Timeline

Screening ~ 3 weeks3 visits

Treatment ~ Varies

Follow Up ~ 6 months during the implementation period and up to 6 months post the implementation period

Screening ~ 3 weeks

Treatment ~ Varies

Follow Up ~6 months during the implementation period and up to 6 months post the implementation period

This trial's timeline: 3 weeks for screening, Varies for treatment, and 6 months during the implementation period and up to 6 months post the implementation period for reporting.

Treatment Details

Study Objectives

Study objectives can provide a clearer picture of what you can expect from a treatment.

Primary study objectives

Intervention Completion

Reach/Engagement

Secondary study objectives

Advance Care Planning Billing Code Usage

Advance Care Planning Documentation Rates by Primary Care Providers

Documented Designated Surrogate Decision Maker

Other study objectives

Barrier to Adoption

Digital Health Literacy

Feeling Heard and Understood

+5 more

Awards & Highlights

No Placebo-Only Group

All patients enrolled in this study will receive some form of active treatment.

Trial Design

2Treatment groups

Experimental Treatment

Active Control

Group I: ACPVoice InterventionExperimental Treatment1 Intervention

Community-dwelling persons living with cognitive impairment aged 65 and older with known or probable mild cognitive impairment or dementia or elevated eRADAR score (with decision-making capacity), who are affiliated with the Atrium-Wake Forest Baptist Health , have a primary care physician at one of the participating sites, and have an active patient portal account.

Group II: Standard of CareActive Control1 Intervention

Community-dwelling persons living with cognitive impairment aged 65 and older with known or probable mild cognitive impairment or dementia or elevated eRADAR score (with decision-making capacity), who are affiliated with the Atrium-Wake Forest Baptist Health, have a primary care physician within the Atrium-Wake Forest Baptist Health Network, and have an active patient portal account.

0 / 3Eligibility criteria met