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

Completed · Not applicable

Conditions studied: Anxiety, Depression, Post Traumatic Stress Disorder, Satisfaction

In brief

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.

Key facts

Study ID

NCT04070183

Run by

Indiana University

People needed

389

Starts

2020-05-11

Expected to finish

2025-07-29

Last updated by the study team

2025-11-26

Who can join

Age: 65 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Patients:
• 65 or older
• have decision making capacity OR a qualified surrogate decision maker
• must meet one of the following index scores:
• Gagne Mortality Index score of 7 or greater (30% mortality risk)
• Medicare Criteria for Hospice Admission: Functional Assessment Staging Tool (FAST) Index (Advanced Alzheimer's disease and related dementia) 7c or higher plus one or more comorbid conditions.
• Seattle Heart Failure Model (congestive heart failure): score conferring a one-year mortality risk of 30% or greater
• Eastern Cooperative Oncology Group (ECOG) performance status (metastatic cancer): Patients with an impaired performance score (greater than zero)
• Liu Comorbidity Index (End Stage Renal Disease): Patients with a score of 10 or greater
• blood results (B), age (A), respiratory variables (airflow obstruction, exacerbations, smoking) (R) and comorbidities (C) (BARC) Index for chronic obstructive pulmonary disease (COPD): high risk group
• Model for End Stage Liver Disease (MELD) Index
• must be able to pass consent verification
• must not be enrolled in hospice
• must not have an acute illness
• must give patient's provider opportunity to review the "surprise question" (e.g. would you be surprised if the patient died in the next year) to confirm anticipated mortality within the next year (14 days to respond)
• must not have a POST form on file.

You may not qualify if…

• lack of a patient or surrogate decision maker who can participate in POLST facilitation (for non-decisional patients a health care representative (HCR) or designated power of attorney for health care (DPOA-HC) must enroll with them)
• patients who are already enrolled in hospice
• patients or surrogates who cannot pass consent verification
• patients or surrogates who do not speak English
• patients with a POST form on file
• patients who are not community-dwelling

Where it is running

• Eskenazi Health — Indianapolis, Indiana, United States
• IU Health Methodist Hospital — Indianapolis, Indiana, United States
• IU Health University Hospital — Indianapolis, Indiana, United States

Full record on ClinicalTrials.gov

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