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OpenTrials
Completed

NCT Number: NCT03960476

Decision Making and Implementation of Aging-in-Place/Long Term Care Plans Among Older Adults

This study seeks to better understand how older adult aging-in-place/long term care decision making and implementation is impacted by age-related changes (e.g. cognition, health literacy, chronic conditions) and social influences (e.g. caregivers/supporters).

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Key information

Age range

55 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Northwestern University

Chicago, Illinois, 60611, United States

About this study

Subjects who are part of the National Institute on Aging (NIA)-funded LitCog study will be given access to PlanYourLifespan.org, a web-based decision-making and planning tool. Participants will be followed for up to 42 months to examine the mediating/moderating factors involved in decision-making, timing of decision implementation, and goal concordance. Findings have the potential to inform healthcare providers, caregivers, health/long term care insurers, area agencies on aging, and older adults nationally in supporting aging-in-place decisions and services use.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Current participant in the LitCog Trial [R01AG03611]
  • English-speaking
  • Community-dwelling
  • Currently use a computer or tablet with internet

Exclusion criteria

  • Previous participation in the Advanced Planning for Home Services study [IH-12-11-4259]

Treatment and study plan

PlanYourLifespan.org

Behavioral

The study intervention is a web-based planning tool, PlanYourLifespan.org

Primary outcomes

  1. Rate of Participant Long Term Care Planning for Alzheimer's Dementia/Memory Loss

    Time frame: Assessed at baseline and every 6 months, 36 months reported

    Participants were asked "If you developed Alzheimer's or memory loss and could no longer live independently in your home, have you decided what your living preferences (e.g. stay in own home, retirement/long term care community) would be?" Decision-making is measured as a binary ('yes', 'no') outcome at each time-point. Percentage given below is the % of participants who indicated "YES", that they have decided on their living preferences. All statistical analyses for this outcome reflect data at the 36 month assessment.

Secondary outcomes

  1. Rate of Participant Planning for In Home Care in the Event of Alzheimer's Disease/Memory Loss

    Time frame: assessed 0-36 months, month 36 reported

    Participants were asked "Have you already decided what your preferences would be if you developed Alzheimer's Disease or memory loss and needed caregiver help in your home?". Responses recorded as binary. Percentage below is percentage of participants who reported positively that they had a plan for the scenario. Frequencies here are given for 36 month timepoint.

  2. Rate of Participant Planning for Memory Care in the Event of Alzheimer's Disease/Memory Loss

    Time frame: Assessed at 0-36 months, month 36 reported

    Participants were asked "Have you decided what your long-term care preferences (e.g. where you would prefer to go if you needed to be in a nursing home or memory care), would be if you ever developed Alzheimer's Disease or memory loss? " Here, participants were specifically asked about "memory care" vs other types of care options. Responses recorded as binary. Percentage below is percentage of participants who reported positively ("Yes")that they had a plan for the scenario. Frequencies here are given for 36 month timepoint.

  3. Rate of Participant Planning for the Event of Hospitalization Requiring Rehabilitation Outside the Home

    Time frame: Assessed at 0-36 months, month 36 reported

    Participants were asked "Have you already decided what your preferences would be if you were hospitalized and needed post-hospitalization rehabilitation outside of the home? " Responses recorded as binary. Percentage below is percentage of participants who reported positively ("Yes") that they had a plan for the scenario. Frequencies here are given for 36 month timepoint.

  4. Rate of Participant Planning for the Event of Hospitalization Requiring In-home Care

    Time frame: Assessed at 0-36 months, month 36 reported

    Participants were asked "Have you already decided what your preferences would be if you were hospitalized and needed caregiver help in your home?" Responses recorded as binary. Percentage below is percentage of participants who reported positively ("Yes") that they had a plan for the scenario. Frequencies here are given for 36 month timepoint.

  5. Participant Decision Making Contemplation Rates- Alzheimer's Dementia/Memory Loss (ADML)

    Time frame: Assessed at 0-36 months, month 36 reported

    Participants were asked a panel of statements about contemplation for decision-making in the event of Alzheimer's Dementia/Memory Loss (ADML). Participants were shown a statement and asked to gauge how frequently they contemplated the possibility of the given scenario, ranging from "Never" to "A lot". Frequencies given for 36 month timepoint per primary outcome analysis. Each statement is prefixed by "How much have you thought about..."

  6. Participant Decision Making Contemplation Rates- Hospitalization

    Time frame: Assessed at 0-36 months, month 36 reported

    Participants were asked a panel of statements about contemplation for decision-making in the event of Hospitalization. Participants were shown a statement and asked to gauge how frequently they contemplated the possibility of the given scenario, ranging from "Never" to "A lot". Frequencies given for 36 month timepoint per primary outcome analysis. Each statement is prefixed by "How much have you thought about..."

  7. Participant Utilization of Long-term Care Services

    Time frame: 18 month assessment

    Participant utilization of long-term care services such as in-home caregivers as measured by the Resource Use Inventory. Frequencies below are for "yes" responses to individual items on the inventory. This Outcome measure was only collected at the 18 month assessment time point and was collected as part of the LitCog assessment battery. Frequencies below reflect all available data at the 18 month assessment.

  8. Previous Health Experiences- Self and Others

    Time frame: Baseline

    Participants were asked a panel of non-validated questions about their previous health experiences and their experiences with others. Panel was collected at Baseline assessment only.

  9. Event and Goal Concordance

    Time frame: Assessed at 0-36 months, month 36 reported

    Participants are assessed at each timepoint regarding hospitalization events, recent memory loss, and changes in lifestyle due to hospitalization and memory loss. Responses are binary (yes/no), with a N/A and "unsure/don't know" option. Questions are non-validated. Frequencies given here are from 36 Month timepoint.

Other outcomes

  1. Website Satisfaction Assessment

    Time frame: Baseline

    Participants assessed their satisfaction with the PlanYourLifespan.org website tool after use at Baseline. Participants ranked agreement with 8 statements regarding website utilization and satisfaction on a 1-5 point likert scale with values ranging from "strongly agree" to "strongly disagree".

Sponsors and collaborators

Lead sponsor

Northwestern University

Other

Collaborators

  • National Institute on Aging (NIA)

Registry information

Acronym: PYL

Important dates

Study start
2020
Primary completion
2024
Study completion
2026
First posted
May 23, 2019
Registry last updated
Apr 17, 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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