Decentrialz logo
  • HIPAA Compliant
  • ISO 27001 Certified
Find Trials
About UsContact
Become a Volunteer+1 877 705 1914

Status:

COMPLETED

POST Facilitation for Community Dwelling Older Adults (POST-RCT)

Lead Sponsor:

Indiana University

Collaborating Sponsors:

National Institute on Aging (NIA)

National Institutes of Health (NIH)

Conditions:

Anxiety

Depression

Eligibility:

All Genders

65+ years

Phase:

NA

Brief Summary

We propose to study the effects of Physician Orders for Scope of Treatment (POST) Facilitation in a randomized controlled trial in a population of community dwelling older adults who qualify for POLST...

Detailed Description

The POLST paradigm, which stands for Physician Orders for Life Sustaining Treatment, was developed to address inconsistencies between care received and patient and family wishes for treatment, with an...

Eligibility Criteria

Inclusion

  • Inclusion Criteria:
  • Patients:
  • 65 or older
  • have decision making capacity OR a qualified surrogate decision maker
  • must meet one of the following index scores:
  • Gagne Mortality Index score of 7 or greater (30% mortality risk)
  • Medicare Criteria for Hospice Admission: Functional Assessment Staging Tool (FAST) Index (Advanced Alzheimer's disease and related dementia) 7c or higher plus one or more comorbid conditions.
  • Seattle Heart Failure Model (congestive heart failure): score conferring a one-year mortality risk of 30% or greater
  • Eastern Cooperative Oncology Group (ECOG) performance status (metastatic cancer): Patients with an impaired performance score (greater than zero)
  • Liu Comorbidity Index (End Stage Renal Disease): Patients with a score of 10 or greater
  • blood results (B), age (A), respiratory variables (airflow obstruction, exacerbations, smoking) (R) and comorbidities (C) (BARC) Index for chronic obstructive pulmonary disease (COPD): high risk group
  • Model for End Stage Liver Disease (MELD) Index
  • must be able to pass consent verification
  • must not be enrolled in hospice
  • must not have an acute illness
  • must give patient's provider opportunity to review the "surprise question" (e.g. would you be surprised if the patient died in the next year) to confirm anticipated mortality within the next year (14 days to respond)
  • must not have a POST form on file.
  • Exclusion criteria:
  • lack of a patient or surrogate decision maker who can participate in POLST facilitation (for non-decisional patients a health care representative (HCR) or designated power of attorney for health care (DPOA-HC) must enroll with them)
  • patients who are already enrolled in hospice
  • patients or surrogates who cannot pass consent verification
  • patients or surrogates who do not speak English
  • patients with a POST form on file
  • patients who are not community-dwelling

Exclusion

    Key Trial Info

    Start Date :

    May 11 2020

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ACTUAL

    End Date :

    July 29 2025

    Estimated Enrollment :

    389 Patients enrolled

    Trial Details

    Trial ID

    NCT04070183

    Start Date

    May 11 2020

    End Date

    July 29 2025

    Last Update

    November 26 2025

    Active Locations (3)

    Enter a location and click search to find clinical trials sorted by distance.

    Page 1 of 1 (3 locations)

    1

    Eskenazi Health

    Indianapolis, Indiana, United States, 46202

    2

    IU Health Methodist Hospital

    Indianapolis, Indiana, United States, 46202

    3

    IU Health University Hospital

    Indianapolis, Indiana, United States, 46202