Preparing Spanish-speaking Older Adults for Advance Care Planning and Medical Decision Making (PREPARE)

Completed · Not applicable

Conditions studied: Chronic Disease

In brief

In partnership with patients, caregivers, advocacy groups and clinicians, the investigators plan to: Aim 1: Adapt and refine PREPARE in Spanish through cognitive interviews with Spanish-speaking Latinos and stakeholders. Aim 2: Conduct a randomized clinical trial (RCT) to compare the efficacy of PREPARE plus a previously-tested, easy-to-read- AD (intervention) versus the AD alone (control) to: 2a. Engage older Spanish-speaking Latinos in multiple ACP behaviors (i.e., identify and discuss wishes with surrogates and clinicians and complete ADs) measured by self-report, chart review, surrogate reports, and 2b. Direct observation. 2c. Improve self-efficacy and satisfaction with medical decision making. 2d. Determine whether PREPARE efficacy varies by literacy, decision control preferences, and clinician-patient language concordance. Aim 3: Disseminate PREPARE with input from patients, surrogates, and stakeholders.

Key facts

Study ID

NCT02072941

Run by

University of California, San Francisco

People needed

445

Starts

2014-09-01

Expected to finish

2017-03-01

Last updated by the study team

2019-07-11

Who can join

Age: 55 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Spanish-speaking adults ≥ 55 years of age
• ≥ 2 chronic illnesses determined by ICD-9 codes
• ≥ 2 visits with an outpatient primary care clinician at San Francisco General hospital in the past year
• ≥ 2 additional outpatient/inpatient visits to San Francisco General Hospital in the past year

You may not qualify if…

• Deaf, blind, demented or psychotic as determined by ICD-9 codes
• Too mentally or physically ill to participate as determined by their clinicians
• Moderate or severe cognitive impairment as determined by the Short Portable Mental Status Questionnaire (SPMSQ), and mild cognitive impairment by the SPMSQ plus an abnormal Mini-Cog (scores minimally affected by education/ethnicity)
• Self-reported poor vision and inability to see the words on a newspaper
• Lack of a telephone (for follow-up)
• Traveling or moving out of the area for ≥3 months during the study follow-up period.

Where it is running

• San Francisco General Hospital and Trauma Center — San Francisco, California, United States

Full record on ClinicalTrials.gov

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