Actively Recruiting

Phase Not Applicable
Age: 40Years +
All Genders
NCT06538493

Jumpstarting Advance Care Planning With ANAI People

Led by Southcentral Foundation · Updated on 2025-07-01

400

Participants Needed

1

Research Sites

112 weeks

Total Duration

On this page

Sponsors

S

Southcentral Foundation

Lead Sponsor

U

University of Arkansas

Collaborating Sponsor

AI-Summary

What this Trial Is About

The older Alaska Native/American Indian (ANAI) population is increasing at twice the rate of the general population with a higher burden of serious illness. Older ANAI adults with serious illness are half as likely to have advance directives (AD), indicating a need for improved access to and utilization of advance care planning (ACP) to ensure that medical care aligns with the values, goals, and preferences of ANAI patients and their families throughout the illness trajectory. The major goals of this cluster randomized trial (CRT) are to (1) evaluate the comparative effectiveness of usual care and JUMPSTART- ANAI, a culturally tailored ACP communication intervention, for prompting patient-driven ACP conversations between ANAI adults and primary care providers and to (1) identify key factors to successfully implement the intervention in health systems serving ANAI adults with serious illness.

CONDITIONS

Official Title

Jumpstarting Advance Care Planning With ANAI People

Who Can Participate

Age: 40Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Alaska Native and/or American Indian
  • Age 40 or older
  • Empaneled to a Southcentral Foundation primary care provider
  • Diagnosed with at least 1 serious illness (e.g., cancer, COPD, kidney disease)
  • Has made 2 or more visits to primary care in last 12 months
  • No Advance Directive documented in electronic health record
Not Eligible

You will not qualify if you...

  • Cognitive impairment (2 or more errors) as assessed by the validated Short Portable Mental Status Questionnaire
  • Not able to complete 30-minute study visit by phone or in person

AI-Screening

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Trial Site Locations

Total: 1 location

1

Southcentral Foundation

Anchorage, Alaska, United States, 99508

Actively Recruiting

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Research Team

S

Shannon Medlock

CONTACT

J

John Trainor, PhD, MPH

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

HEALTH_SERVICES_RESEARCH

Number of Arms

3

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