I CAN DO Surgical ACP (Improving Completion, Accuracy, and Dissemination of Surgical Advanced Care Planning) Trial
University of California, San Francisco
Summary
The goal of the Advanced Care Planning (ACP) study is to encourage patients aged 65 or older who are referred for elective surgery to have advanced care planning.
Description
ACP is also a critical way to support older adults in participating actively with clinicians in making real-time, complex medical decisions so that the medical care they receive is aligned with their goals. Our team has designed and tested a theory-based, interactive ACP patient-facing technology solution (PREPARE) based on the new ACP paradigm of preparing people for communication and medical decision-making. The study team hypothesizes that by including PREPARE into the EHR-centric pre-surgery workflow for older adults and including automated patient reminders, easy-to-read materials, and, i…
Eligibility
- Age range
- 65+ years
- Sex
- All
- Healthy volunteers
- No
Inclusion Criteria: \- Older Adults (age 65+) referred for surgical evaluation Exclusion Criteria: 1. ACP on file within 3 years prior to surgery (UCSF and UCI) and 5 years (UMN) 2. Was previously randomized into intervention for a prior surgery during the 18-month study period
Interventions
- BehavioralLetter
Letter about ACP
- BehavioralAD
PREPARE advanced directive (AD)
- BehavioralPREPARE website
PREPARE website
- Behavioralreminders
reminders to complete the advance directive
- Behavioralhealthcare navigator
healthcare navigators provide assistance to complete the advance directive
Locations (3)
- University of California, IrvineIrvine, California
- University of California, San FranciscoSan Francisco, California
- University of MinnesotaMinneapolis, Minnesota