Pragmatic Trial of Video Education in Nursing Homes
Completed · Not applicable
Conditions studied: Alzheimer Disease, Dementia, Heart Failure, Pulmonary Disease, Chronic Obstructive
In brief
This is a pragmatic cluster-randomized control trial (RCT) of an Advance Care Planning (ACP) Video Program for nursing home (NH) patients ≥ 65 years old who are cared for in 360 NH facilities (intervention arm n=119; control arm n=241) within two NH health care systems: Genesis HealthCare and PruittHealth. The intervention NH facilities will implement the ACP Video Program, while the control NH facilities will follow their usual ACP procedures. The trial will evaluate the effectiveness of the ACP Video Program by comparing hospitalizations, advance directives, and hospice use in the intervention vs. control NHs.
Key facts
- Study ID
- NCT02612688
- Run by
- Brown University
- People needed
- 197692
- Starts
- 2016-03-01
- Expected to finish
- 2019-05-31
- Last updated by the study team
- 2020-10-12
Who can join
Age: 65 and older. Sex: any. Healthy volunteers: not accepted.
You may qualify if…
- Facilities are within Genesis HealthCare or PruittHealth health care systems
- Facilities have facility identifiers that indicate that they are Medicare/Medicaid-certified nursing facilities in the U.S.
- Facilities serve both short and long-stay patients
- Facilities have >50 beds
- Facilities have an electronic medical records system
- Facilities had at least 20 admissions and 20 annual Minimum Data Set (MDS) assessments (regardless of whether they were discharged alive) in 2013
You may not qualify if…
- Facilities excluded per corporate leaders in health care system because of recent turnover in NH administrator or Director of Nursing
- Facilities excluded per corporate leaders in health care system because of recent bad state or federal quality assurance survey (e.g. restriction on admissions, levied large civil monetary penalty, etc.)
- Facilities excluded per corporate leaders in health care system because of current new initiatives/competing demands
Where it is running
- PruittHealth — Norcross, Georgia, United States
- Genesis HealthCare — Kennett Square, Pennsylvania, United States
Full record on ClinicalTrials.gov
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