SHARE: Sharing Healthcare Wishes in Primary Care

Completed · Not applicable

Conditions studied: Cognitive Impairment

In brief

This study evaluates the efficacy of Sharing Healthcare Wishes in Primary Care (SHARE), a two-group randomized trial at up to 9 primary care practices in which 124 dyads receive a control protocol of minimally enhanced usual care and 124 dyads receive the SHARE protocol. This study tests the efficacy of SHARE on quality of communication (primary outcome) and advance care planning processes (secondary outcomes) at 6 months among primary care patients with cognitive impairment (mild-severe) and family caregiver dyads. For patients who die while enrolled in the study by 24 months, this study examines the quality of end-of-life care and bereaved family caregiver experiences with medical decision-making (secondary outcomes).

Key facts

Study ID: NCT04593472
Run by: Johns Hopkins University
People needed: 273
Starts: 2020-10-21
Expected to finish: 2025-02-26
Last updated by the study team: 2026-05-14

Who can join

Age: 80 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

Patient: 80 years or older, English speaking, able to provide informed consent themselves or through their legally authorized representative, identify a family member or friend who plays an active role in care coordination or accompanies them to primary care visits, not planning to move out of state within the next year, and cognitive impairment (mild-severe) on the basis of one or more incorrect answers or not being able to respond to a validated 6-item telephone screening instrument.
Family/Friend: 18 years and older, English speaking, hear well enough to communicate by telephone, not planning to move out of the state within the next year, do not report having a life-threatening illness and are a family member or unpaid friend who attends at least some medical visits of an eligible person with cognitive impairment, do not screen positive as having cognitive impairment on the basis of fewer than two incorrect answers on the 6-item telephone screening instrument.

You may not qualify if…

Patient: less than 80 years old, non-English speaking, do not help with care coordination or attend primary care visits with a family member/friend, no willing/able legal guardian or representative to provide written informed consent for those who do not have capacity, plan to move out of state within the next year, or do not have cognitive impairment on the basis of all correct answers on the 6-item telephone screening instrument.
Family/Friend: less than 18 years old, non-English speaking, do not help with care coordination or attend at least some medical visits of an eligible patient, do not hear well enough to communicate by telephone, report having a life-threatening illness, plan to move out of state within the next year, are a non-family member who is paid for their services, or has cognitive impairment on the basis of two or more incorrect answers on the 6-item telephone screening instrument.

Where it is running

Johns Hopkins Community Physicians - Remington — Baltimore, Maryland, United States
MedStar Union Memorial Hospital — Baltimore, Maryland, United States
Beacham Center — Baltimore, Maryland, United States
Medstar Harbor Hospital — Baltimore, Maryland, United States
Johns Hopkins Community Physicians - Greater Dundalk — Dundalk, Maryland, United States
Medstar CSA Collington and House call Program — Mitchellville, Maryland, United States
Johns Hopkins Community Physicians - White Marsh — Nottingham, Maryland, United States
Medstar CSA Montgomery County — Olney, Maryland, United States
MedStar Health at Leisure World Boulevard — Silver Spring, Maryland, United States

Full record on ClinicalTrials.gov

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