Status:
COMPLETED
Advance Care Planning (ACP) in Primary Care for Dementia
Lead Sponsor:
Oregon Health and Science University
Collaborating Sponsors:
University of Colorado, Denver
Conditions:
Dementia
Advance Care Planning
Eligibility:
All Genders
18-105 years
Phase:
NA
Brief Summary
ADVANCE-PC: Aligning Dementia \& adVANce Care planning Education in Primary Care, is a communications and implementation support intervention that builds on existing ACP programs, understanding of dem...
Detailed Description
Aim 1: To assess the feasibility, acceptability, and content utility of the ECHO program among the clinicians in the participating primary care clinics. Data will be collected to assess successful pro...
Eligibility Criteria
Inclusion
- Clinic Level
- The program will be offered to six primary care clinics. Each must meet the following criteria:
- Be a member in a practice-based research network (PBRN) within the Meta-network Learning and Research Center (Meta-LARC),
- Have a functional EHR,
- Have leadership that agrees to clinic participation, and
- Is willing to attempt to track and report the number of eligible patients (those with dementia seen in the clinic by program-trained clinicians) and the number of these patients and/or care partners that received ACP from these program-trained clinicians during a 5-month follow-up period.
- Clinician/Staff Level
- Within participating clinics, primary care clinicians and other staff must meet all the following inclusion criteria to participate in the training program and the research questionnaire/interview:
- Willing to participate in ECHO sessions,
- Willing to work on ACP implementation between sessions, and
- Be highly likely to have visits with at least 8 patients with dementia and/or their care partners in a 5-month follow-up period.
- Adults of any age and pregnant people will be allowed to participate. Primary care clinicians and staff will all be over 18 years old and there is no maximum age limit for participation. It is possible that a primary care clinician or staff member who participates may be pregnant. This research does not inquire about pregnancy status and there is no added risk to the fetus in including a pregnant person in professional training.
Exclusion
- Anyone meeting one or more of the exclusion criteria listed here will be excluded. We will exclude:
- Children and adolescents, as the target population is primary care clinicians, patient care team members, and primary care clinic staff;
- Clinicians who do not provide primary care;
- Primary care clinicians who do not care for patients with dementia; and
- Primary care clinics that do not have sufficient clinicians (6 clinicians or team members) or sufficient patients (at least 8 patients each) with dementia to meet the pilot test targets.
- There will be no systematic exclusion of participants based on age, gender or race, and/or ethnicity.
Key Trial Info
Start Date :
April 21 2022
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
November 9 2022
Estimated Enrollment :
17 Patients enrolled
Trial Details
Trial ID
NCT05322317
Start Date
April 21 2022
End Date
November 9 2022
Last Update
November 18 2022
Active Locations (1)
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1
Oregon Health & Science University
Portland, Oregon, United States, 97239