This study evaluates the use of advance care planning conversation tools with patients attending their family doctor's office. Patients complete tools about their values and wishes, and a health care provider uses a structured discussion tool to talk about the patient's health condition and future wishes. The patient's family member/substitute decision-maker is encouraged to attend and be part of the discussions.
Structured tools are helpful for advance care planning. Tools have been developed to help with advance care planning because it is a process which has multiple steps and people involved. This study will help health care teams in primary care learn to use the tools with frail or older seriously ill patients and will evaluate the perceptions of patients, family members and health care providers, as well as the impact of having the discussions on subsequent health care interactions the patient has. Patients complete tools about their values and wishes, and a health care provider uses a structured discussion tool to talk about the patient's health condition and future wishes. The patient's family member/substitute decision-maker is encouraged to attend and be part of the discussions.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
OTHER
Masking
NONE
Enrollment
80
Structured conversations between patients/substitute decision-maker and clinician based on education about advance care planning using locally relevant booklet/website, values clarification tool for patient engagement, clinician use of the Serious Illness Conversation Guide
Sunridge Family Medicine Teaching Centre
Calgary, Alberta, Canada
Safa Medical Clinic
Langley, British Columbia, Canada
New Westminster Family Practice
Vancouver, British Columbia, Canada
Vancouver General Hospital Gordon and Leslie Diamond Health Care Centre
Vancouver, British Columbia, Canada
Advance care planning engagement
Survey measuring domains of engagement in advance care planning
Time frame: 12 weeks
Advance care planning engagement-substitute decision maker
survey measuring substitute decision maker domains of engagement in advance care planning
Time frame: 12 weeks
Patient experience
survey of patient experience with intervention
Time frame: 12 weeks
Patient perceived impact on health care
qualitative interviews of patients asking perceived impact of intervention on later health care use
Time frame: 6-9 months
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.