STAMP: Sharing and Talking About My Preferences

STAMP: Sharing and Talking About My Preferences

The purpose of this study is to examine the effect of an individually transtheoretical model (TTM) tailored intervention on the completion of advance care planning (ACP) behaviors.

This will be a randomized controlled trial examining the effect of an individually TTM-tailored intervention on the proportion of middle-age and older persons recruited from primary care practices who complete four ACP behaviors (completion of a living will, assignment of a health care proxy, and communication with loved ones and with their clinician about views on quality versus quantity of life) over six months, compared with usual care.

Inclusion Criteria:

• Participants will be community-dwelling persons with an upcoming primary care visit in the study's practice settings.

Exclusion Criteria:

• Severe hearing impairment, defined as being unable to participate in a telephone conversation.
• Severe visual impairment, defined as being unable to read large-print materials.
• Moderate to severe cognitive impairment, defined as either a diagnosis of dementia and/or short-term recall of <2/3 objects at 2 minutes.
• Primary language other than English.
• Having completed all of the four ACP behaviors that are the focus of this study.