POST Facilitation for Community Dwelling Older Adults (POST-RCT)

Summary

We propose to study the effects of Physician Orders for Scope of Treatment (POST) Facilitation in a randomized controlled trial in a population of community dwelling older adults who qualify for POLST facilitation, including those with normal cognition and those with Alzheimer's Disease and Related Disorders.

Conditions

• Anxiety
• Depression
• Post Traumatic Stress Disorder
• Satisfaction

Interventions

BEHAVIORAL

POST Facilitation

Advanced steps is initiated as a component of quality end-of-life care for frail elders and those whose death in the next 12 months would not be unexpected. The AS planning conversation is focused on goals of care to make timely, proactive, and specific end-of-life decisions. Ideally, these decisions are converted into medical orders that can be followed throughout the continuum of care. The Physician Orders for Life-Sustaining Treatment (POLST) program is the nationally recognized model for this stage of planning.

BEHAVIORAL

Home Safety Evaluation

Nurse evaluation and education on how to improve safety at home for community dwelling older adults (examples of education and evaluation includes fall risks, fire and carbon monoxide (CO) detectors, transferring safety (e.g. in and out of the tub, bed, etc.) and others.

Sponsors & Collaborators

• National Institute on Aging (NIA)

  collaborator NIH

• National Institutes of Health (NIH)

  collaborator NIH

• Regenstrief Institute, Inc.

  collaborator OTHER

• Indiana University Health

  collaborator OTHER

• Eskenazi Health

  collaborator OTHER

• Respecting Choices

  collaborator UNKNOWN

• Indiana University

  lead OTHER

Principal Investigators

• Alexia M Torke, MD, MS · Regenstrief Institute, Indiana University

Study Design

Allocation

RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

SINGLE

Model

PARALLEL

Eligibility

Min Age

65 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2020-05-11

Primary Completion

2025-07-29

Completion

2025-07-29

Countries

• United States

Study Locations