Sharing and Talking About my Preferences
NCT03103828 · Status: UNKNOWN · Phase: NA · Type: INTERVENTIONAL · Enrollment: 484
Last updated 2020-01-09
Summary
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.
Conditions
Interventions
- BEHAVIORAL
-
Computer-Tailored Intervention
CTI will receive telephone contact at three time points: baseline, two, and four months. Each contact consists of an integrated assessment and intervention feedback report, using an expert system. Participants are assessed for four different behaviors that together represent complete ACP engagement: communication with loved ones about views on quality of life versus quantity of life, communication with clinicians about views on quality of life versus quantity of life, assignment of a health care surrogate, and completion of a living will. The system takes the results of the assessment and results in an individualized feedback report.
- BEHAVIORAL
-
Motivational Interviewing
MET will receive telephone contact at three time points: baseline, two, and four months. They will undergo the assessment as described above receive and they will receive a second a telephone contact within two weeks of the assessment, which will consist of an MET session. If the surrogate has been enrolled in the study, the MET will be conducted with both the Veteran and the surrogate in a dyadic telephone interview. The goal of the interview is to strengthen commitment to engage in ACP and promote self-efficacy. The interviewer will also help the Veteran to reflect on the pros and cons of ACP engagement as elicited in the assessment process, to understand how to build on ACP behaviors already engaged in, and, if appropriate, to help the Veteran create a change plan for further ACP engagement.
- BEHAVIORAL
-
Motivational Enhancement Therapy
Participants assigned to CTI+MET will receive the CTI intervention at baseline, two months, and four months as described above. with a follow-up MET session as described above occurring within two weeks of each contact.
Sponsors & Collaborators
-
VA Connecticut Healthcare System
lead FED
Principal Investigators
-
Terri Fried, MD · VAConnecticut Healthcare System
Study Design
- Allocation
- RANDOMIZED
- Purpose
- HEALTH_SERVICES_RESEARCH
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 55 Years
- Sex
- ALL
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2017-10-02
- Primary Completion
- 2021-03-31
- Completion
- 2021-03-31
Countries
- United States
Study Locations
More Related Trials
-
The Effect of Active Choice on Nurse Visit Participation
NCT01250392 ·Status: COMPLETED ·Phase: NA
-
Evaluating the Effectiveness of a Computerized Medication Adherence System at Reducing Cardiovascular Disease Risk Factors
NCT00796172 ·Status: COMPLETED ·Phase: PHASE2
-
Personalized Experiences to Inform Improved Communication for Patients With Life Limiting Illness
NCT04118569 ·Status: COMPLETED ·Phase: NA
-
CKD Awareness, Referrals, Education, and Support Intervention for Early-Stage CKD
NCT07210710 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
MI-CBT Adherence Program for Lifestyle Interventions in Older Adults
NCT04817176 ·Status: COMPLETED ·Phase: NA
-
Improving Advance Care Planning by Preparing Diverse Seniors for Decision Making
NCT01990235 ·Status: COMPLETED ·Phase: NA
-
Using Behavioral Economics to Enhance Appointment Reminders and Reduce Missed Visits
NCT03850431 ·Status: COMPLETED ·Phase: NA
-
Investigating Fear Of Recurrence as a Modifiable Mechanism of Behavior Change
NCT03853213 ·Status: COMPLETED ·Phase: NA
-
Using Feedback Reports to Improve Medication Adherence
NCT02480530 ·Status: COMPLETED ·Phase: NA
-
Shared Decision-making: Effects on Cardiac Risk Factor Modification Behavior
NCT00714935 ·Status: COMPLETED ·Phase: NA
-
Effective Communication to Improve Decision Making About Health Care Plans
NCT01986790 ·Status: COMPLETED ·Phase: NA
-
Translating Research: Patient Decision Support/Coaching
NCT00416026 ·Status: COMPLETED ·Phase: NA
-
Intervention to Improve Medication Adherence in Cardiovascular Patients
NCT01449695 ·Status: COMPLETED ·Phase: NA
-
SHARE: Sharing Healthcare Wishes in Primary Care
NCT04593472 ·Status: COMPLETED ·Phase: NA
-
Impact of Health Literacy on Outcomes and Effectiveness of Shared Decision Making Programs in Patients With Chronic Diseases
NCT01083862 ·Status: COMPLETED ·Phase: NA
-
Improving Communication for Primary Care Patients
NCT04819191 ·Status: COMPLETED ·Phase: NA
-
Personalized Patient Data and Behavioral Nudges to Improve Adherence to Chronic Cardiovascular Medications
NCT03973931 ·Status: COMPLETED ·Phase: NA
-
A Text Message Intervention to Promote Health Behaviors in Cardiac Risk Conditions
NCT04382521 ·Status: COMPLETED ·Phase: NA
-
Tailored Communication to Reduce Cardiovascular Risk
NCT01286311 ·Status: COMPLETED ·Phase: NA
-
Goals of Care Conversations Study
NCT05001009 ·Status: ENROLLING_BY_INVITATION ·Phase: NA
-
A Randomized Trial of Patient Financial Incentives to Reduce CVD Risk
NCT02035826 ·Status: COMPLETED ·Phase: NA
-
Motivational Interview Intervention to Help Patients Formulate Their Goals for Medical Care in the Emergency Department
NCT03208530 ·Status: COMPLETED ·Phase: NA
-
Using Nudges to Implement Comparative Effectiveness
NCT01575171 ·Status: COMPLETED
-
Testing a Video Decision Support Tool to Supplement Goals-of-Care Discussions
NCT01391429 ·Status: COMPLETED ·Phase: NA
-
Oral Health Education Interventions Among Seniors
NCT03301714 ·Status: COMPLETED ·Phase: NA