Effectiveness of Engaging in Advance Care Planning Talks (ENACT) Group Visits in Primary Care for Older Adults With and Without Alzheimer's Disease
Running, not enrolling · Not applicable
Conditions studied: Advance Care Planning, Primary Health Care
In brief
The main goal of the ENACT (ENgaging in Advance Care planning Talks) Group Visit intervention is to integrate a patient-centered advance care planning process into primary care, ultimately helping patients to receive medical care that is aligned with their values. The ENACT Group Visit intervention involves two group discussions about advance care planning with 8-10 patients who meet for 2-hour sessions, one month apart, facilitated by a geriatrician and a social worker. This study will compare the ENACT Group Visit intervention to mailed advance care planning materials.
Key facts
- Study ID
- NCT05421728
- Run by
- University of Colorado, Denver
- People needed
- 516
- Starts
- 2022-07-26
- Expected to finish
- 2027-05-01
- Last updated by the study team
- 2025-09-26
Who can join
Age: 18 and older. Sex: any. Healthy volunteers: accepted.
You may qualify if…
- 70 or older
- At least one clinic visit in past year
- No advanced care planning (ACP) document in electronic health record based on a clinic-level, population-based report
- Preferred language English for UCHealth clinics or preferred language English or Spanish for Denver Health clinic
You may not qualify if…
- Inability to demonstrate informed consent
- Does not have ready access to a telephone
- Inability to travel to clinic
- Moving out of area in 6 months
- Inability to participate in group visits due to hearing impairment as determined by clinic and/or study staff
- A household member (same address) is already enrolled
- Caregivers
- Inclusion Criteria:
- Age 18 and older
- Preferred language English for UCHealth clinics or preferred language English or Spanish for Denver Health clinic
- Patient with potential cognitive impairment consented to participate in study
- Exclusion Criteria:
- Does not have ready access to a telephone
- Inability to travel to clinic
- Moving out of area in 6 months
- Inability to participate in group visits due to hearing impairment as determined by clinic and/or study staff
- Clinic Stakeholders
- Inclusion Criteria:
- Work as a multidisciplinary team member at a participating primary care clinic in the study
- English speaking as a preferred language
- Invited to participate in interviews or focus groups after the ENACT Group Visits intervention
- Exclusion Criteria:
- Inability to provide informed consent
Where it is running
- UCHealth — Aurora, Colorado, United States
- UC Health Boulder Family Medicine — Boulder, Colorado, United States
- Denver Health Westside Clinic — Denver, Colorado, United States
- UC Health Lowry Internal Medicine — Denver, Colorado, United States
- UC Health AF Williams Family Medicine — Denver, Colorado, United States
- UC Health Lone Tree Seniors — Lone Tree, Colorado, United States
- UC Health Lone Tree Primary Care — Lonetree, Colorado, United States
- UC Health Westminster Primary Care — Westminster, Colorado, United States
Full record on ClinicalTrials.gov
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