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.
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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
SINGLE
Enrollment
500
A video focused on Advance Care Planning and Hospice for patients with serious illness
Clover Health
Jersey City, New Jersey, United States
RECRUITINGHospice utilization
Compare the use of hospice (yes vs. no) between the study groups
Time frame: up to one year follow-up or death
Hospice length of stay
Compare hospice length-of-stay between the study groups
Time frame: up to one year follow-up or death
Rates of documented resuscitation preferences in the Electronic Health Record
Compare documented resuscitation preferences in the Electronic Health Record between the two groups
Time frame: up to one year follow-up or death
Rates of Advance Care Planning documentation in the Electronic Health Record
Compare advance care planning documentation in the Electronic Health Record between the two groups
Time frame: up to one year follow-up or death
Patient knowledge about Advance Care Planning
Compare patient's knowledge about advance care planning using a 5-item knowledge questionnaire (range 0-5), higher score indicate more knowledge
Time frame: Up to two days following the intervention visit
Patient reported confidence in care
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
Time frame: up to two days following the intervention visit
Patient reported satisfaction with clinician communication
Compare patient satisfaction with their communication with their clinician using the CAHPS subscale. Score range 0-20. Higher score indicate better satisfaction with communication
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Time frame: up to two days following the intervention visit
Patient reported decisional satisfaction
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
Time frame: up to two days following the intervention visit
Patient reported decisional certainty
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
Time frame: up to two days following the intervention visit