UC Health Care Planning Study
Completed · Not applicable
Conditions studied: Advance Care Planning, Advance Directives, Advanced Cancer
In brief
Using a cluster randomized design at the clinic level, this project will implement and test three real-world, scalable advance care planning interventions among primary care clinics across three University of California health systems. Seriously ill patients identified using data from the electronic health record will receive (1) an advance directive with targeted messaging, (2) intervention 1 plus prompting to engage with the Prepare For Your Care website, or (3) intervention 2 plus engagement from a clinic-based facilitator. A Research cohort of patients will provide complete surveys at baseline, 12 and 24 months. The main outcomes are advance directive completion among the population cohort and goal concordant care among the Research cohort at 12 months.
Key facts
- Study ID
- NCT04012749
- Run by
- University of California, Los Angeles
- People needed
- 8707
- Starts
- 2019-10-25
- Expected to finish
- 2024-09-15
- Last updated by the study team
- 2025-05-13
Who can join
Age: 18 and older. Sex: any. Healthy volunteers: not accepted.
You may qualify if…
- At least 2 visits to a primary care clinic in the health system in the past 12 months
- Serious illness according to an algorithm using electronic health record data including patients with: advanced cancer, advanced heart failure, advanced chronic obstructive pulmonary disease, decompensated liver disease, end stage renal disease, amyotrophic lateral sclerosis, or was a vulnerable elder with a serious illness
- Exclusion Criteria: None.
- Research cohort: Derived from the population cohort plus:
- Inclusion Criteria
- Speak English or Spanish
- Provide informed consent
You may not qualify if…
- Too cognitively impaired to provide informed consent
- Primary care physician identifies that survey may be harmful
Where it is running
- University of California, Irvine — Irvine, California, United States
- University of California at Los Angeles — Los Angeles, California, United States
- University of California at San Francisco — San Francisco, California, United States
Full record on ClinicalTrials.gov
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