Actively Recruiting

Phase Not Applicable
Age: 18Years - 99Years
All Genders
NCT06565169

Improving PCP Advance Care Planning for People With ADRD

Led by University of Pittsburgh · Updated on 2026-04-14

120

Participants Needed

1

Research Sites

167 weeks

Total Duration

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Sponsors

U

University of Pittsburgh

Lead Sponsor

U

University of North Carolina, Chapel Hill

Collaborating Sponsor

AI-Summary

What this Trial Is About

This study will test the Dementia Advance Care Planning (AD ACP) Toolkit intervention to usual care in facilitating goals of care (GOC) discussions between People Living with Dementia (PLwD) and primary care team members over an 18-month period. The primary outcome is to assess the frequency and quality of GOC discussions with PLwD. Secondary outcomes include the identification of preferred surrogates, assessment of decisional capacity, and the completion of portable ACP orders. This randomized clinical trial aims to determine if the AD ACP Toolkit can enhance ACP practices and improve care planning outcomes for PLwD compared to the standard care approach.

CONDITIONS

Official Title

Improving PCP Advance Care Planning for People With ADRD

Who Can Participate

Age: 18Years - 99Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Be a primary care team member (MD or advanced practice provider) at a UNC HEALTH primary care clinic with 60 or more people living with dementia encounters per year, who sees older adult patients, including associated nurses and social workers
  • Be a person living with dementia aged 65 years or older seen by a primary care team member (MD or APP) at either intervention or control sites during the 18-month intervention window
  • Have a confirmed diagnosis of Alzheimer's disease or a related dementia
  • Have a 50% or greater 5-year all-cause mortality risk to be eligible for healthcare utilization analysis
Not Eligible

You will not qualify if you...

  • Primary care team members who do not care for older adults, such as pediatricians or lactation nurses
  • Primary care team members employed at geriatric or dementia specialty clinics
  • Primary care team members without a primary care panel, such as those working only in urgent care
  • Patients who have not been seen by their primary care team within the past 18 months
  • Patients without a diagnosis of Alzheimer's disease or a related dementia

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 1 location

1

University of North Carolina, Chapel Hill

Chapel Hill, North Carolina, United States, 27599

Actively Recruiting

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Research Team

C

Christine E. Kistler, MD, MASc

CONTACT

J

Janelle J. Christensen, PhD, MPH

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

DOUBLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

SUPPORTIVE_CARE

Number of Arms

2

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