Culturally Tailoring an Advance Care Planning Intervention for American Indians

NCT05304117 | Completed Results DMC

• 2 other identifiers: 1685879-11R21NR019910-01
• Study Type: interventional
• Target: 155
• Locations: 1 country
• Sites: 1

Brief Summary

This project has three specific aims: (1) culturally tailor the content of the Make Your Wishes about You (MY WAY) ACP curriculum and guide for one American Indian tribe; (2) assess the feasibility of the culturally-tailored MY WAY ACP curriculum and patient education guide with the tribe; and (3) examine preliminary outcomes of the culturally-tailored MY WAY ACP curriculum and guide with 70 tribal members. Upon successful completion, it is expected that this project will develop a feasible culturally-tailored MY WAY that through a quasi-experimental waitlist design shows promise as an efficacious program with respect to self-efficacy, readiness, and ACP completion that increases facilitators and decreases barriers to ACP.

Conditions

Advance Care Planning

Keywords

American Indian; Advance Care Planning; Serious illness; end-of-life care

Outcome Measures

Primary Outcomes (3)

• Count of Self-Report of Advance Directive

  The proportion of participants who self-report advance directive completion.

  Cohort 1 Experimental: Baseline and Post-test (week 8); Cohort 2 Waitlist: Baseline 1 and Baseline 2 (3-6 months after baseline and immediately before intervention); Cohort 2 Experimental; Baseline 1 and post-test (5-8 months after 1st baseline)

• Average Advance Care Planning -Engagement Readiness

  The mean ACP Readiness scores range from 1-6, with higher scores indicating greater readiness.

  Cohort 1 Experimental: Baseline and Post-test (week 8); Cohort 2 Waitlist: Baseline 1 and Baseline 2 (3-6 months after baseline and immediately before intervention); Cohort 2 Experimental; Baseline 1 and post-test (5-8 months after 1st baseline)

• Average Advance Care Planning-Engagement Self-Efficacy

  The mean ACP Self-Efficacy scores range from 1-6, with higher scores indicating greater self-efficacy. not at all, a little, somewhat, fairly, extremely Higher scores indicate better outcomes.

  Cohort 1 Experimental: Baseline and Post-test (week 8); Cohort 2 Waitlist: Baseline 1 and Baseline 2 (3-6 months after baseline and immediately before intervention); Cohort 2 Experimental; Baseline 1 and post-test (5-8 months after 1st baseline)

Secondary Outcomes (2)

• Average Number of Barriers to Advance Care Planning

  Cohort 1 Experimental: Baseline and Post-test (week 8); Cohort 2 Waitlist: Baseline 1 and Baseline 2 (3-6 months after baseline and immediately before intervention); Cohort 2 Experimental; Baseline 1 and post-test (5-8 months after 1st baseline)

• Average Number of Facilitators for Advance Care Planning

  Cohort 1 Experimental: Baseline and Post-test (week 8); Cohort 2 Waitlist: Baseline 1 and Baseline 2 (3-6 months after baseline and immediately before intervention); Cohort 2 Experimental; Baseline 1 and post-test (5-8 months after 1st baseline)

Study Arms (2)

Advance Care Planning Experimental

EXPERIMENTAL

Community Information Session on advance care planning and private one-on-one Sharing Session about advance care planning.

Behavioral: Advance Care Planning

Advance Care Planning Waitlist

OTHER

Waitlist Group- Baseline control measures will be collected at consent and again 3-6 months later before attending a Community Information Session on advance care planning and an one-on-one Sharing Session about Advance Care Planning. Data will be collected again 8 weeks after the intervention.

Behavioral: Advance Care Planning

Interventions

Advance Care Planning BEHAVIORAL

Community Information Session and Private Sharing Session with trained social worker

Advance Care Planning Experimental; Advance Care Planning Waitlist

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• aged ≥18 years
• either enrolled member or spouse of enrolled member in tribal service area
• Member of another American Indian/Alaskan Native tribe
• English fluency
• Resides in the tribal service area.

You may not qualify if:

• Cognitively impaired

Sponsors & Collaborators

• Western Carolina University: lead
• Pacific Institute for Research and Evaluation: collaborator
• National Institute of Nursing Research (NINR): collaborator

Study Sites (1)

Western Carolina University

Asheville, North Carolina, 28723, United States

Location

Related Publications (2)

• Schweinhart A, Goins RT, Anderson E. Results of a Culturally Tailored Advance Care Planning Intervention for American Indian Peoples: A Quasi-Experimental Waitlist-Controlled Trial. Innov Aging. 2025 May 6;9(6):igaf041. doi: 10.1093/geroni/igaf041. eCollection 2025.

  PMID: 40520470 DERIVED

• Anderson E, Goins RT, Haozous EA, Schweinhart A. Testing a Culturally Tailored Advance Care Planning Intervention (MY WAY) for an American Indian Tribe: Protocol for a Quasi-Experimental Waitlist Control Design. JMIR Res Protoc. 2023 Dec 29;12:e50654. doi: 10.2196/50654.

  PMID: 38157237 DERIVED

MeSH Terms

Interventions

Advance Care Planning

Intervention Hierarchy (Ancestors)

Patient Care Planning; Comprehensive Health Care; Patient Care Management; Health Services Administration

Results Point of Contact

• Title: Dr. R Turner Goins
• Organization: Western Carolina University

rtgoins@wcu.edu

828.227.3515

Study Officials

• R T Goins, PhD

  Western Carolina University

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: No
• Restrictive Agreement: No

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor of Social Work

Study Record Dates

• First Submitted: February 4, 2022
• First Posted: March 31, 2022
• Study Start: February 4, 2022
• Primary Completion: January 30, 2023
• Study Completion: March 8, 2024
• Last Updated: July 3, 2025
• Results First Posted: July 3, 2025

Record last verified: 2025-06

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)