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NCT Number: NCT04778761

ACP Video Intervention for Patients With Life-Limiting Illness

The goal of this research is to increase patients' knowledge about advance care planning (ACP) discussions and hospice care for patients with serious illness receiving home-based care.

Recruiting

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Key information

Conditions

Health Care Utilization Behavior End Stage Disease Health Behavior Patient Acceptance of Health Care Treatment Adherence and Compliance

Age range

21 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Clover Health

Jersey City, New Jersey, 07302, United States

Location status: Recruiting

Location contact

Kumar Dharmarajian, MD

CONTACT

About this study

ACP is a process that allows patients to communicate their wishes and preferences or medical care, when they are seriously ill, to their medical providers. The study investigators would like to assess whether a home-ACP video can improve patient-clinician communication about patients wishes for their medical care and lead to more patient-centered care.

This study is a randomized clinical trial of a Home-ACP intervention among 500 adult patients with serious illness receiving medical care at home with the Clover Health House Calls Program. Study participants will be assigned to one of two groups. In one group, participants will continue to receive usual care with their home-based care team. In the second group, participants will continue to receive their usual care with their home-based care team and also view an ACP video that helps them understand ACP and provides education about ACP and hospice care.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Aged 21 or over
  • Have a one-year prognosis or less as determined by Clover Health's validated algorithm
  • Speak either English or one of the other 25 languages in which the video intervention is available

Exclusion criteria

  • Visually impaired beyond 20/200 corrected
  • Acute psychiatric illness or other comorbid condition that impairs cognitive ability to participate in advance care planning discussion as determined by the primary House Call Provider.

Treatment and study plan

Home ACP Video

Behavioral

A video focused on Advance Care Planning and Hospice for patients with serious illness

Primary outcomes

  1. Hospice utilization

    Time frame: up to one year follow-up or death

    Compare the use of hospice (yes vs. no) between the study groups

Secondary outcomes

  1. Hospice length of stay

    Time frame: up to one year follow-up or death

    Compare hospice length-of-stay between the study groups

  2. Rates of documented resuscitation preferences in the Electronic Health Record

    Time frame: up to one year follow-up or death

    Compare documented resuscitation preferences in the Electronic Health Record between the two groups

  3. Rates of Advance Care Planning documentation in the Electronic Health Record

    Time frame: up to one year follow-up or death

    Compare advance care planning documentation in the Electronic Health Record between the two groups

  4. Patient knowledge about Advance Care Planning

    Time frame: Up to two days following the intervention visit

    Compare patient's knowledge about advance care planning using a 5-item knowledge questionnaire (range 0-5), higher score indicate more knowledge

  5. Patient reported confidence in care

    Time frame: up to two days following the intervention visit

    Compare patient's reported confidence in their medical care using a single Likert response question between the two study groups. Score range from 0-4. Higher scores indicate higher confidence in care

  6. Patient reported satisfaction with clinician communication

    Time frame: up to two days following the intervention visit

    Compare patient satisfaction with their communication with their clinician using the CAHPS subscale. Score range 0-20. Higher score indicate better satisfaction with communication

  7. Patient reported decisional satisfaction

    Time frame: up to two days following the intervention visit

    Compare patient reported decisional satisfaction between the study groups using the Satisfaction with Decision Scale. Scale range from 6-30. Higher scores indicate higher satisfaction with decision

  8. Patient reported decisional certainty

    Time frame: up to two days following the intervention visit

    Compare patient reported decisional certainty between the two groups using the Decision Conflict Scale. Score ranges from 0 to 100. Higher scores indicate higher decisional conflict

Other outcomes

  1. Cost of care in the last year of life

    Time frame: 1 year

    Compare cost of care in the last year of life between the study groups

Study contacts

Contact information is provided by the study sponsor or research team.

Areej El-Jawahri, MD

CONTACT

[email protected]

617-724-4000

Sponsors and collaborators

Lead sponsor

Massachusetts General Hospital

Other

Registry information

Official study title

Randomized Trial of a Home-Advance Care Planning Video Intervention for Patients With Life-Limiting Illness

Important dates

Study start
2021
Primary completion
2025
Study completion
2027
First posted
Mar 3, 2021
Registry last updated
Jan 20, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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