CompletedNot Applicable

Advance Care Planning in the Emergency Department

United States141 participantsStarted 2022-03-01

Plain-language summary

This is a two-armed, parallel-design, pre-/post-intervention assessment study. The investigators will conduct a randomized controlled trial for ED GOAL on a cohort of 120 older adults with serious illness to collect patient-centered outcomes and determine preliminary efficacy on increasing advance care planning engagement (self-reported and/or in the electronic medical record) one month after leaving the emergency department. The investigators will also conduct qualitative interviews with participants of ED GOAL.

Who can participate

Age range18 Years

SexALL

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Inclusion criteria

✓. ≥50 years of age AND ≥1 Serious illness\* OR ED clinician would not be surprised if patient died in the next 12 months (a validated prognostic sign)
✓. English-speaking
✓. Capacity to consent
✓. Patient with mild cognitive impairment or mild dementia with capacity to consent (requires a caregiver/study partner to enroll)
✓. Caregiver of patient with moderate/severe dementia with capacity to consent

Exclusion criteria

✕. Acute physical or emotional distress
✕. Determined by treating or study clinician not to be appropriate
✕. Clearly documented goals for medical care\*\* (Unless the treating or study clinician recommends that the intervention is clinically indicated)
✕. Delirium (assessed using 3D-CAM)
✕. Already enrolled in this study
✕. Unable/unwilling to schedule the follow-ups on the calendar
✕. Receive both the outpatient care for serious illness and primary care outside of the Mass General Brigham health system

What they're measuring

Change in Advance Care Planning (ACP) Engagement With Clinicians at One Month

Timeframe: Change from baseline ACP engagement at one month

Trial details

NCT IDNCT05209880

SponsorBrigham and Women's Hospital

Sponsor typeOTHER

Study typeINTERVENTIONAL

Primary completion2023-12-31

Results submitted2025-04-17

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