CompletedNot Applicable

Preparing Spanish-speaking Older Adults for Advance Care Planning and Medical Decision Making (PREPARE)

United States445 participantsStarted 2014-09

Plain-language summary

In partnership with patients, caregivers, advocacy groups and clinicians, the investigators plan to: Aim 1: Adapt and refine PREPARE in Spanish through cognitive interviews with Spanish-speaking Latinos and stakeholders. Aim 2: Conduct a randomized clinical trial (RCT) to compare the efficacy of PREPARE plus a previously-tested, easy-to-read- AD (intervention) versus the AD alone (control) to: 2a. Engage older Spanish-speaking Latinos in multiple ACP behaviors (i.e., identify and discuss wishes with surrogates and clinicians and complete ADs) measured by self-report, chart review, surrogate reports, and 2b. Direct observation. 2c. Improve self-efficacy and satisfaction with medical decision making. 2d. Determine whether PREPARE efficacy varies by literacy, decision control preferences, and clinician-patient language concordance. Aim 3: Disseminate PREPARE with input from patients, surrogates, and stakeholders.

Who can participate

Age range55 Years

SexALL

See this in plain English?

AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.

Inclusion Criteria: * Spanish-speaking adults ≥ 55 years of age * ≥ 2 chronic illnesses determined by ICD-9 codes * ≥ 2 visits with an outpatient primary care clinician at San Francisco General hospital in the past year * ≥ 2 additional outpatient/inpatient visits to San Francisco General Hospital in the past year Exclusion Criteria: * Deaf, blind, demented or psychotic as determined by ICD-9 codes * Too mentally or physically ill to participate as determined by their clinicians * Moderate or severe cognitive impairment as determined by the Short Portable Mental Status Questionnaire (SPMSQ), and mild cognitive impairment by the SPMSQ plus an abnormal Mini-Cog (scores minimally affected by education/ethnicity) * Self-reported poor vision and inability to see the words on a newspaper * Lack of a telephone (for follow-up) * Traveling or moving out of the area for ≥3 months during the study follow-up period.

What they're measuring

New Advance Care Planning Documentation in the Medical Record at 15 Months

Timeframe: 15 months after study enrollment

Trial details

NCT IDNCT02072941

SponsorUniversity of California, San Francisco

Sponsor typeOTHER

Study typeINTERVENTIONAL

Primary completion2017-03

Results submitted2018-04-02