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| ID | Type | Description | Link |
|---|---|---|---|
| 1R21AG059114-01 | U.S. NIH Grant/Contract | View source |
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| Name | Class |
|---|---|
| National Institute on Aging (NIA) | NIH |
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The goal of this project is to determine the feasibility and acceptability of a hospice decision aid among a diverse population of older adults at multiple stages of illness (Aim 1) and to determine the preliminary efficacy of the hospice decision aid on decision quality, hospice knowledge, and values-concordance (Aim 2). By testing the feasibility, acceptability, and preliminary efficacy of a novel hospice Patient Decision Aid (PTDa) in a diverse population of older adults, additionally the study will simultaneously explore barriers to PtDA implementation in both an outpatient primary care and inpatient palliative care setting. The study will also gather sufficient pilot data to support a subsequent effectiveness/implementation trial and thus address the absence of quality of SDM interventions for end-of-life care decision-making.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Control | No Intervention | ||
| Intervention | Other | Participants will receive hospice decisional support materials and be asked to review them. Participants will provide feedback on tools and complete feasibility, efficacy and knowledge assessments. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Hospice Decision Aids | Other | Paper and video hospice decision aid |
|
| Measure | Description | Time Frame |
|---|---|---|
| Hospice Knowledge Scale | Hospice Knowledge Scale is a 23-item true/false scale that measures patient knowledge about hospice care. Each question is worth 1 point with possible scores ranging from 0 to 23. Higher scores indicate more knowledge. | 1 month follow-up |
| Hospice Beliefs and Attitudes Scale | 8-item scale developed to measure beliefs and attitudes towards hospice care. It has a Cronbach's α = .74 for the scale, indicating a good degree of internal reliability. Scores from 8 to 40. Higher scores indicate better opinions of hospice. . | 1-Month follow up |
| Decision Self Efficacy Scale | Is an 11-item instrument that one's self-confidence in decision making. This scale is a validated scale with a Cronbach's alpha of 0.92 and correlates with DCS subscale of being informed (r=0.47). Scored from 0-100 with higher scores indicating more decision self efficacy. | 1 month Follow up |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Daniel Matlock, MD | University of Colorado, Denver | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Colorado Denver | Aurora | Colorado | 80045 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 35944273 | Derived | Brereton E, Harger G, Matlock DD, Dorsey Holliman B, Tate CE. How Do Patients Describe Hospice Care? A Qualitative Analysis of the Language Used by Older Adults to Describe Hospice Care. J Palliat Med. 2022 Nov;25(11):1692-1696. doi: 10.1089/jpm.2022.0011. Epub 2022 Aug 9. | |
| 33439075 | Derived | Tate CE, Venechuk G, Pierce K, Khazanie P, Ingle MP, Morris MA, Allen LA, Matlock DD. Development of a Decision Aid for Patients and Families Considering Hospice. J Palliat Med. 2021 Apr;24(4):505-513. doi: 10.1089/jpm.2020.0250. Epub 2021 Jan 13. |
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| ID | Title | Description |
|---|---|---|
| FG000 | No Hospice Decision Aid | Did not receive the intervention (i.e. Hospice Decision Aid) |
| FG001 | Hospice Decision Aid | Participants will receive hospice decisional support materials and be asked to review them. Participants will provide feedback on tools and complete feasibility, efficacy and knowledge assessments. Hospice Decision Aids: Paper and video hospice decision aid |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
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| ID | Title | Description |
|---|---|---|
| BG000 | Control | Participants did not review the intervention (i.e. Hospice Decision Aid) |
| BG001 | Intervention | Participants will receive hospice decisional support materials and be asked to review them. Participants will provide feedback on tools and complete feasibility, efficacy and knowledge assessments. Hospice Decision Aids: Paper and video hospice decision aid |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of Participants |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Hospice Knowledge Scale | Hospice Knowledge Scale is a 23-item true/false scale that measures patient knowledge about hospice care. Each question is worth 1 point with possible scores ranging from 0 to 23. Higher scores indicate more knowledge. | Posted | Mean | Full Range | score on a scale | 1 month follow-up |
|
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All-Cause Mortality, Serious, and Other (Not Including Serious) Adverse Events were not monitored/assessed.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Control | Did not receive intervention (i.e. Patient Decision aid) | 0 |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Channing Tate, PHD Assistant Professor | University of Colorado Anschutz Medical Campus | 3037248985 | channing.tate@cuanschutz.edu |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot_SAP | Yes | Yes | No | Study Protocol and Statistical Analysis Plan | Jan 8, 2019 | Jul 13, 2022 | Prot_SAP_000.pdf |
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| ID | Term |
|---|---|
| D003643 | Death |
| ID | Term |
|---|---|
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| BG002 | Total | Total of all reporting groups |
| Participants |
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| Sex: Female, Male | Count of Participants | Participants |
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| Ethnicity (NIH/OMB) | Count of Participants | Participants |
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| Region of Enrollment | Number | participants |
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| Hospice Knowledge Test | Hospice knowledge was quantitatively assessed using the 23-item hospice knowledge survey.This survey consists of true/false questions, with scores ranging from 0 to 23, awarding one point for each correct answer. A higher score indicates more knowledge of hospice. The Cronbach's α = 0.75 indicates a good degree of internal reliability. Absolute values measured at baseline and one month | Mean | Full Range | units on a scale |
|
| Hospice Beliefs and Attitudes Scale | The HBAS is an 8-item scale designed to measure beliefs and attitudes regarding hospice care. T Cronbach's α = .74 for the scale, indicating a good degree of internal reliability.The HBAS is scored from 8 to 40, with a higher score indicating more positive views of hospice care. The scale uses a 5-item Likert scale with answers ranging from "strongly disagree" to "strongly agree" for all questions. Absolute values measured at baseline and one month | Mean | Full Range | units on a scale |
|
| Decision Self Efficacy Scale | Mean | Full Range | units on a scale |
|
|
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| Primary | Hospice Beliefs and Attitudes Scale | 8-item scale developed to measure beliefs and attitudes towards hospice care. It has a Cronbach's α = .74 for the scale, indicating a good degree of internal reliability. Scores from 8 to 40. Higher scores indicate better opinions of hospice. . | Posted | Mean | Full Range | units on a scale | 1-Month follow up |
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| Primary | Decision Self Efficacy Scale | Is an 11-item instrument that one's self-confidence in decision making. This scale is a validated scale with a Cronbach's alpha of 0.92 and correlates with DCS subscale of being informed (r=0.47). Scored from 0-100 with higher scores indicating more decision self efficacy. | Posted | Mean | Full Range | units on a scale | 1 month Follow up |
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| 0 |
| 0 |
| 0 |
| 0 |
| 0 |
| EG001 | Intervention | Participants will receive hospice decisional support materials and be asked to review them. Participants will provide feedback on tools and complete feasibility, efficacy and knowledge assessments. Hospice Decision Aids: Paper and video hospice decision aid | 0 | 0 | 0 | 0 | 0 | 0 |
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