Jumpstarting Advance Care Planning With ANAI People

NCT06538493 | Recruiting DMC

• 1 other identifier: 5R01NR020491
• Study Type: interventional
• Target: 400
• Locations: 1 country
• Sites: 1

Brief Summary

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

Advance Care Planning

Outcome Measures

Primary Outcomes (1)

• Number of Participants with an Advance Directive in the Electronic Health Record (EHR)

  New advance directive scanned into EHR

  Baseline, 3 months, 6 months, 12 months

Study Arms (3)

Jumpstart 1

EXPERIMENTAL

Questionnaire on advance care planning experiences, preferences, and concerns

Behavioral: JUMPSTART-ANAI

Jumpstart 2

ACTIVE COMPARATOR

Questionnaire on advance care planning experiences, preferences, and concerns plus feedback form (patient and provider)

Behavioral: JUMPSTART-ANAI

Usual care

NO INTERVENTION

Interventions

JUMPSTART-ANAI BEHAVIORAL

Patient questionnaire about experiences, preferences, and concerns regarding ACP followed by feedback form with "tips" for initiating ACP conversation with provider at next clinical visit.

Jumpstart 1; Jumpstart 2

Eligibility Criteria

• Age: 40 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• 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 to primary care in last 12 months
• No Advance Directive documented in electronic health record

You may not qualify if:

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

Sponsors & Collaborators

• Southcentral Foundation: lead
• University of Arkansas: collaborator
• University of Washington: collaborator
• University of Colorado, Denver: collaborator
• Alaska Native Tribal Health Consortium: collaborator
• University of Alaska Fairbanks: collaborator

Study Sites (1)

Southcentral Foundation

Anchorage, Alaska, 99508, United States

RECRUITING

Study Officials

• Jennifer Shaw, PhD

  University of Alaska Fairbanks

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Shannon Medlock

CONTACT

(907)729-6322; smedlock@scf.cc

John Trainor, PhD, MPH

CONTACT

jtrainor@scf.cc

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: August 1, 2024
• First Posted: August 5, 2024
• Study Start: April 1, 2025
• Primary Completion (Estimated): December 30, 2026
• Study Completion (Estimated): May 30, 2027
• Last Updated: July 1, 2025

Record last verified: 2024-08

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)