Brief English and Spanish Survey Detects Change in Response to Advance Care Planning Interventions.
Ying Shi, Deborah E Barnes, John Boscardin...
https://pubmed.ncbi.nlm.nih.gov/31539605Actively Recruiting
Phase Not Applicable
Age: 50Years +
All Genders
Healthy Volunteers
ID06239896
Empowering Formerly Homeless Older Adults to Engage in Advance Care Planning in Permanent Supportive Housing: An RCT
Led by University of California, San Francisco · Updated on 2025-11-20
650
Participants Needed
6
Research Sites
N/A
Total Duration
On this page
Sponsors
U
University of California, San Francisco
Lead Sponsor
N
National Institute on Aging (NIA)
Collaborating Sponsor
AI-Summary
What this Trial Is About
Researchers are evaluating adapted advance care planning (ACP) programs for formerly chronically homeless older adults living in permanent supportive housing (PSH). This study aims to address the low rates of ACP in this aging population, which faces accelerated aging, high mortality, and risk of having their end-of-life wishes unmet. The trial focuses on comparing different ways to deliver ACP and improving engagement among residents of PSH. The study tests two ways of delivering the PREPARE-PSH program, an evidence-based, easy-to-use online ACP program with videos and easy-to-read advance directive forms tailored for the PSH setting. Participants are randomly assigned by site to either a one-time 90-minute facilitated group session or a one-on-one ACP visit, both including viewing videos about choosing a medical decision maker and deciding what matters most in life. The program also provides workbooks and legal forms with PSH-specific content. Participants will be followed over time with surveys measuring their engagement in advance care planning at the start, 3 months, and 6 months after the sessions. Researchers will also conduct interviews and focus groups to understand factors influencing engagement and sustainability of the program. The total participation includes attending the session and completing follow-up assessments to evaluate ACP behaviors and preferences.
CONDITIONS
Brief Title
Advance Care Planning With Formerly Homeless Older Adults Residing in Permanent Supportive Housing
Who Can Participate
Age: 50Years +
All Genders
Healthy Volunteers
Eligibility Criteria
You may qualify if you...
- Formerly chronically homeless adults living in permanent supportive housing
- English speaking
- Age 50 years or older
You will not qualify if you...
- Non-English speaking
- Moderate-to-severe cognitive impairment
- Self-report being deaf or blind
- Unable to provide informed consent based on the teach back method
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
1
2
3
Your Study Journey
Screening
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Outpatient Treatment
Duration - Single session
Participants take part in a one-time 90-minute advance care planning (ACP) session either in a facilitated group or one-on-one setting. During this session, they view the PREPARE program videos and receive easy-to-read advance directive forms tailored for permanent supportive housing residents.
1 visit (in-person)
Long-term Monitoring
Duration - 6 months
Participants complete surveys and assessments of their ACP engagement and individual ACP behaviors at baseline, 3 months, and 6 months after the ACP session to monitor ongoing outcomes.
3 visits (at baseline, 3 months, and 6 months)
Trial Site Locations
Total: 6 locations
1
Abode Services
Fremont, California, United States, 94538
Actively Recruiting
2
Lifelong Medical Care
Oakland, California, United States, 94612
Actively Recruiting
3
Mercy Housing
San Francisco, California, United States, 94102
Actively Recruiting
4
Delivering Innovation in Supportive Housing (DISH)
San Francisco, California, United States, 94103
Actively Recruiting
5
Episcopal Community Services
San Francisco, California, United States, 94103
Actively Recruiting
6
HomeRise
San Francisco, California, United States, 94104
Actively Recruiting
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Research Team
L
Layan Kaileh, MSW
How is the study designed?
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
SUPPORTIVE_CARE
Number of Arms
2
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