ENgaging in Advance Care Planning Talks Group Visit Intervention for Cognitive Impairment

NCT03711396 | Completed Results DMC

• 1 other identifier: 18-1459
• Study Type: interventional
• Target: 26
• Locations: 1 country
• Sites: 2

Brief Summary

The Advance Care Planning Group Visit intervention is a new intervention that uses the strengths of group visits to promote advance care planning conversations and documentation. However, the Advance Care Planning Group Visit intervention was initially designed for individuals without cognitive impairment. This study will specifically investigate ways to adapt the Advance Care Planning Group Visit intervention for individuals with amnestic Mild Cognitive Impairment and their family care partners.

Conditions

Mild Cognitive Impairment

Keywords

Advance Care Planning

Outcome Measures

Primary Outcomes (1)

• Change in Readiness to Engage in ACP (ACP Engagement Scale)

  The Advance Care Planning (ACP) Engagement Scale will be used to assess readiness to engage in specific parts of the advance care planning process (i.e. signing official papers to name a medical decision maker; talking to the decision maker; talking to the doctor; signing official papers putting their wishes in writing). Items are rated on a Likert scale, with possible scores ranging from 1-5. Higher scores indicate a higher level of engagement with the advance care planning behavior and a better outcome.

  0, 3 months

Secondary Outcomes (1)

• Change in Readiness to Engage in ACP (ACP Engagement Score) - Care Partner Reported

  0, 3 months

Other Outcomes (1)

• Advance Care Planning Intervention Evaluation

  Following Session Participation, 15 minutes after completed

Study Arms (2)

Advance Care Planning Group Visits - amnestic Mild Cognitive Impairment

EXPERIMENTAL

Participants with amnestic Mild Cognitive Impairment will attend group visits to discuss advance care planning with their study partners. Group visits will last up to two hours and be help up to twice.

Behavioral: Advance Care Planning Group Visits

Advance Care Planning Group Visits - Care Partners

EXPERIMENTAL

Care partners of persons with amnestic Mild Cognitive Impairment will attend group visits, with the person with Mild Cognitive Impairment, to discuss advance care planning. Group visits will last up to two hours and be help up to twice.

Behavioral: Advance Care Planning Group Visits

Interventions

Advance Care Planning Group Visits BEHAVIORAL

Pilot test the Advance Care Planning Group Visit intervention adaptations, called ENgaging in Advance Care planning Talks Group Visit intervention (ENACT Memory Group Visits), to see if it is feasible, acceptable and improves the number of people with amnestic mild cognitive impairment who complete an advance directive (a legal form that describes someone's wishes for future medical care if they are unable to make their own decisions). It will also see how ready individuals are to participate in advance care planning. The overall goal is to improve opportunities for older adults with amnestic mild cognitive impairment to receive medical care that is consistent with their values, goals, and preferences.

Advance Care Planning Group Visits - Care Partners; Advance Care Planning Group Visits - amnestic Mild Cognitive Impairment

Eligibility Criteria

• Age: 65 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Older Adult (65+)

You may qualify if:

• diagnosis of amnestic mild cognitive impairment
• ability to provide consent
• have a study partner who has regular interaction with the patient

You may not qualify if:

• known prior diagnosis of deafness/hearing loss that would limit group discussion participation
• inability to travel to study location
• not having access to a phone for follow up
• not having an individual who is able to serve as a study partner to the patient
• normal cognitive screen based on SPMSQ

Sponsors & Collaborators

• University of Colorado, Denver: lead

Study Sites (2)

UCHealth

Aurora, Colorado, 80045, United States

Location

University of Colorado Anschutz Medical Campus

Aurora, Colorado, 80045, United States

Location

Related Publications (3)

• Lum HD, Jones J, Matlock DD, Glasgow RE, Lobo I, Levy CR, Schwartz RS, Sudore RL, Kutner JS. Advance Care Planning Meets Group Medical Visits: The Feasibility of Promoting Conversations. Ann Fam Med. 2016 Mar;14(2):125-32. doi: 10.1370/afm.1906.

  PMID: 26951587 BACKGROUND

• Lum HD, Sudore RL, Matlock DD, Juarez-Colunga E, Jones J, Nowels M, Schwartz RS, Kutner JS, Levy CR. A Group Visit Initiative Improves Advance Care Planning Documentation among Older Adults in Primary Care. J Am Board Fam Med. 2017 Jul-Aug;30(4):480-490. doi: 10.3122/jabfm.2017.04.170036.

  PMID: 28720629 BACKGROUND

• Lum HD, Dukes J, Daddato AE, Juarez-Colunga E, Shanbhag P, Kutner JS, Levy CR, Sudore RL. Effectiveness of Advance Care Planning Group Visits Among Older Adults in Primary Care. J Am Geriatr Soc. 2020 Oct;68(10):2382-2389. doi: 10.1111/jgs.16694. Epub 2020 Jul 29.

  PMID: 32726475 BACKGROUND

MeSH Terms

Conditions

Cognitive Dysfunction

Condition Hierarchy (Ancestors)

Cognition Disorders; Neurocognitive Disorders; Mental Disorders

Results Point of Contact

• Title: Dr. Hillary D. Lum
• Organization: University of Colorado School of Medicine

hillary.lum@cuanschutz.edu

303-724-1911

Publication Agreements

• PI is Sponsor Employee: Yes

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: We will conduct four n-of-1 group visit interventions for advance care planning.

Study Record Dates

• First Submitted: October 11, 2018
• First Posted: October 18, 2018
• Study Start: February 1, 2019
• Primary Completion: October 31, 2020
• Study Completion: January 15, 2021
• Last Updated: November 22, 2021
• Results First Posted: November 22, 2021

Record last verified: 2021-10

Data Sharing

• IPD Sharing: Will not share

Locations

US (2)