Improving Communication for Primary Care Patients

Completed · Not applicable

Conditions studied: Advance Care Planning, Dementia

In brief

This is a pragmatic trial of SHARING Choices. Components of SHARING Choices include: 1. A letter from the clinic introducing an initiative to prepare persons and families for Advance Care Planning (ACP); 2. Access to a facilitator trained to lead ACP discussions; 3. Patient-family agenda-setting to align perspectives about the role of family and stimulate discussion about ACP; 4. Facilitated registration to the patient portal (for patient and family) as desired; 5. Education \& resources about Alzheimer's Disease and Related Dementias (ADRD) for clinic staff.

Key facts

Study ID

NCT04819191

Run by

Johns Hopkins University

People needed

64915

Starts

2021-03-01

Expected to finish

2023-11-20

Last updated by the study team

2025-03-03

Who can join

Age: 65 and older. Sex: any. Healthy volunteers: accepted.

You may qualify if…

• Practices included in this trial are:
• Affiliated with Johns Hopkins Community Physicians (JHCP) or MedStar Health;
• A primary care practice, defined as adult internal medicine, family medicine, or geriatric medicine;
• Have 2 or more practicing clinicians; and
• Have more than 500 patients aged 65 and over currently receiving care.
• Patients included in this trial are:
• Age 65 and older, and
• Established patient of primary care clinician at participating practice (>1 prior visit at the clinic). There will be no formal enrollment of participants into this pragmatic trial as this is a clinic-level initiative that will be available and offered to all eligible patients at clinics randomized to the intervention.

You may not qualify if…

• Primary care practices affiliated with Johns Hopkins Community Physicians (JHCP) or MedStar Health that are:
• Not a primary care practice, defined as adult internal medicine, family medicine, or geriatric medicine;
• Have fewer than 2 practicing clinicians; and
• Have fewer than 500 patients aged 65 and over currently receiving care.
• Patients under the care of primary care practices affiliated with Johns Hopkins Community Physicians (JHCP) or MedStar Health that are:
• Less than 65 years of age, or
• Not established patients.

Where it is running

• MedStar Georgetown University Hospital General Internal Medicine — Washington D.C., District of Columbia, United States
• MedStar Medical Group at MedStar Washington Hospital Center — Washington D.C., District of Columbia, United States
• MedStar Washington Hospital Center Physician Group LLC — Washington D.C., District of Columbia, United States
• MedStar Medical Group at New Mexico Avenue — Washington D.C., District of Columbia, United States
• MedStar Medical Group at Lafayette Centre — Washington D.C., District of Columbia, United States
• MedStar Greater Annapolis Medical Group — Annapolis, Maryland, United States
• Johns Hopkins Community Physicians - Remington — Baltimore, Maryland, United States
• MedStar Union Memorial Adult Medicine Specialists at 33rd St. — Baltimore, Maryland, United States
• Johns Hopkins Bayview Medical Center — Baltimore, Maryland, United States
• Johns Hopkins Community Physicians - Canton Crossing — Baltimore, Maryland, United States
• MedStar Medical Group at Wilkens Center — Baltimore, Maryland, United States
• MedStar Health at Federal Hill — Baltimore, Maryland, United States
• MedStar Medical Group at North Parkville Health Center — Baltimore, Maryland, United States
• Family Health Center at MedStar Franklin Square Medical Center — Baltimore, Maryland, United States
• MedStar Medical Group at Ridge Road — Baltimore, Maryland, United States
• The Primary Care Center at MedStar Franklin Square Medical Center — Baltimore, Maryland, United States
• MedStar Good Samaritan Hospital Medical Faculty Practice — Baltimore, Maryland, United States
• The Center for Successful Aging at MedStar Good Samaritan Hospital — Baltimore, Maryland, United States
• MedStar Medical Group at Old Emmorton Rd — Bel Air, Maryland, United States
• Johns Hopkins Community Physicians - Water's Edge — Belcamp, Maryland, United States
• Johns Hopkins Community Physicians - Downtown Bethesda — Bethesda, Maryland, United States
• MedStar Medical Group at Bethesda — Bethesda, Maryland, United States
• Johns Hopkins Community Physicians - Bowie — Bowie, Maryland, United States
• MedStar Medical Group at MedStar Health at Brandywine — Brandywine, Maryland, United States
• Johns Hopkins Community Physicians - I Street — Washington D.C., District of Columbia, United States

Full record on ClinicalTrials.gov

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