| Primary | Advance Care Planning Engagement | 15-item Advance Care Planning (ACP) engagement survey assesses ACP processes related to choosing a medical decision maker, discussing and documenting preference for care at end of life, flexibility for surrogate decision making, and asking questions of medical providers. A single summary score will be reported (range 0-5 with higher scores indicating higher engagement). | Number of participants that completed 12 week outcomes assessment. | Posted | | Mean | Standard Deviation | score on a scale | | 12 weeks | | | | ID | Title | Description |
|---|
| OG000 | Web-based Advance Care Planning (PATIENTS) | Patients randomized to this arm will participate in web-based ACP via the PREPARE website. Web-based advance care planning: Instructions for accessing and using the PREPARE website will be shared with participants upon randomization. Patients and their caregivers review the 5 steps of PREPARE (approximately 10 minutes per step) and create an action plan for each step. The PREPARE website includes a link to a written advance directive that participants are able to complete. The PREPARE website can be reviewed on a home computer or on a tablet in the oncology practice. | | OG001 | Facilitated Advance Care Planning (In-person or Telephonic) (PATIENTS) | Patients randomized to this arm will participate in in-person or telephonic facilitated advance care planning (ACP) discussions using the Respecting Choices model. Facilitated advance care planning (in-person or telephonic): The facilitator will contact the patient to schedule the ACP discussion. ACP discussions will be led by a nurse or social worker with supportive oncology experience who has been trained as a Respecting Choices facilitator, include the patient's caregiver when available, last 45-60 minutes, and be held in a private location at or near the patient's oncology clinic, or telephonically. Facilitators will use a structured interview tool as a discussion roadmap and provide guidance in choosing a medical decision maker, exploring serious illness understanding and experiences, identifying goals and values, and making future treatment decisions. Facilitators will provide a copy of a written advance directive, assist with completion when appropriate, and make recommendations for communicating goals and sharing written preferences. |
| | | Title | Denominators | Categories |
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| | | Title | Measurements |
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| - OG0004.08± 0.82
- OG0014.34± 0.78
|
|
| | Group IDs | Group Description | Statistical Method | Statistical Comment | P-Value | P-Value Comment | Parameter Type | Parameter Value | Dispersion Type | Dispersion Value | Confidence Interval Sides | Confidence Interval % | CI Lower Limit | CI Upper Limit | CI Lower Limit Comment | CI Upper Limit Comment | Estimate Comment | Tested Non-Inferiority | Non-Inferiority Type | Non-Inferiority Comment | Other Analysis Description |
|---|
| | Mixed Models Analysis | | 0.0014 | | | | | | | | | | | | | | Superiority | | |
|
| Secondary | Number of Participants Who Have Had Advance Care Planning Discussions With Caregivers | "Has [participant] talked with [participant's] family or friends about the kind of medical care [participant] would want if [participant] were very sick or near the end of life?" | Number of participants that completed 12 week outcomes assessment. | Posted | | Count of Participants | | Participants | | 12 weeks | | | | ID | Title | Description |
|---|
| OG000 | Web-based Advance Care Planning (PATIENTS) | Patients randomized to this arm will participate in web-based ACP via the PREPARE website. Web-based advance care planning: Instructions for accessing and using the PREPARE website will be shared with participants upon randomization. Patients and their caregivers review the 5 steps of PREPARE (approximately 10 minutes per step) and create an action plan for each step. The PREPARE website includes a link to a written advance directive that participants are able to complete. The PREPARE website can be reviewed on a home computer or on a tablet in the oncology practice. | | OG001 | Facilitated Advance Care Planning (In-person or Telephonic) (PATIENTS) | Patients randomized to this arm will participate in in-person or telephonic facilitated advance care planning (ACP) discussions using the Respecting Choices model. Facilitated advance care planning (in-person or telephonic): The facilitator will contact the patient to schedule the ACP discussion. ACP discussions will be led by a nurse or social worker with supportive oncology experience who has been trained as a Respecting Choices facilitator, include the patient's caregiver when available, last 45-60 minutes, and be held in a private location at or near the patient's oncology clinic, or telephonically. Facilitators will use a structured interview tool as a discussion roadmap and provide guidance in choosing a medical decision maker, exploring serious illness understanding and experiences, identifying goals and values, and making future treatment decisions. Facilitators will provide a copy of a written advance directive, assist with completion when appropriate, and make recommendations for communicating goals and sharing written preferences. |
|
| Secondary | Number of Participants Who Have Had Advance Care Planning Discussions With Physicians | "Has [participant] talked with [participant's] doctor about the kind of medical care [participant] would want if [participant] were very sick or near the end of life?" | Number of participants that completed 12 week outcomes assessment. | Posted | | Count of Participants | | Participants | | 12 weeks | | | | ID | Title | Description |
|---|
| OG000 | Web-based Advance Care Planning (PATIENTS) | Patients randomized to this arm will participate in web-based ACP via the PREPARE website. Web-based advance care planning: Instructions for accessing and using the PREPARE website will be shared with participants upon randomization. Patients and their caregivers review the 5 steps of PREPARE (approximately 10 minutes per step) and create an action plan for each step. The PREPARE website includes a link to a written advance directive that participants are able to complete. The PREPARE website can be reviewed on a home computer or on a tablet in the oncology practice. | | OG001 | Facilitated Advance Care Planning (In-person or Telephonic) (PATIENTS) | Patients randomized to this arm will participate in in-person or telephonic facilitated advance care planning (ACP) discussions using the Respecting Choices model. Facilitated advance care planning (in-person or telephonic): The facilitator will contact the patient to schedule the ACP discussion. ACP discussions will be led by a nurse or social worker with supportive oncology experience who has been trained as a Respecting Choices facilitator, include the patient's caregiver when available, last 45-60 minutes, and be held in a private location at or near the patient's oncology clinic, or telephonically. Facilitators will use a structured interview tool as a discussion roadmap and provide guidance in choosing a medical decision maker, exploring serious illness understanding and experiences, identifying goals and values, and making future treatment decisions. Facilitators will provide a copy of a written advance directive, assist with completion when appropriate, and make recommendations for communicating goals and sharing written preferences. |
|
| Secondary | Number of Participants Who Have Completed an Advance Directive | "Has [participant] completed a living will or advance directive?" | Number of participants that completed 12 week outcomes assessment. | Posted | | Count of Participants | | Participants | | 12 weeks | | | | ID | Title | Description |
|---|
| OG000 | Web-based Advance Care Planning (PATIENTS) | Patients randomized to this arm will participate in web-based ACP via the PREPARE website. Web-based advance care planning: Instructions for accessing and using the PREPARE website will be shared with participants upon randomization. Patients and their caregivers review the 5 steps of PREPARE (approximately 10 minutes per step) and create an action plan for each step. The PREPARE website includes a link to a written advance directive that participants are able to complete. The PREPARE website can be reviewed on a home computer or on a tablet in the oncology practice. | | OG001 | Facilitated Advance Care Planning (In-person or Telephonic) (PATIENTS) | Patients randomized to this arm will participate in in-person or telephonic facilitated advance care planning (ACP) discussions using the Respecting Choices model. Facilitated advance care planning (in-person or telephonic): The facilitator will contact the patient to schedule the ACP discussion. ACP discussions will be led by a nurse or social worker with supportive oncology experience who has been trained as a Respecting Choices facilitator, include the patient's caregiver when available, last 45-60 minutes, and be held in a private location at or near the patient's oncology clinic, or telephonically. Facilitators will use a structured interview tool as a discussion roadmap and provide guidance in choosing a medical decision maker, exploring serious illness understanding and experiences, identifying goals and values, and making future treatment decisions. Facilitators will provide a copy of a written advance directive, assist with completion when appropriate, and make recommendations for communicating goals and sharing written preferences. |
|
| Secondary | Documented Care Goals | Investigators will assess documented care goals by reviewing medical records for any care goals documented since baseline (Yes/No). | | Posted | | Number | | participants | | 12 weeks | | | | ID | Title | Description |
|---|
| OG000 | Web-based Advance Care Planning (PATIENTS) | Patients randomized to this arm will participate in web-based ACP via the PREPARE website. Web-based advance care planning: Instructions for accessing and using the PREPARE website will be shared with participants upon randomization. Patients and their caregivers review the 5 steps of PREPARE (approximately 10 minutes per step) and create an action plan for each step. The PREPARE website includes a link to a written advance directive that participants are able to complete. The PREPARE website can be reviewed on a home computer or on a tablet in the oncology practice. | | OG001 | Facilitated Advance Care Planning (In-person or Telephonic) (PATIENTS) | Patients randomized to this arm will participate in in-person or telephonic facilitated advance care planning (ACP) discussions using the Respecting Choices model. Facilitated advance care planning (in-person or telephonic): The facilitator will contact the patient to schedule the ACP discussion. ACP discussions will be led by a nurse or social worker with supportive oncology experience who has been trained as a Respecting Choices facilitator, include the patient's caregiver when available, last 45-60 minutes, and be held in a private location at or near the patient's oncology clinic, or telephonically. Facilitators will use a structured interview tool as a discussion roadmap and provide guidance in choosing a medical decision maker, exploring serious illness understanding and experiences, identifying goals and values, and making future treatment decisions. Facilitators will provide a copy of a written advance directive, assist with completion when appropriate, and make recommendations for communicating goals and sharing written preferences. |
|
| Secondary | Caregiver Depression Symptoms | Depression subscale of the 14-item Hospital Anxiety and Depression Scale (HADS) will be used to assess caregiver depression symptoms at 12 weeks and bereavement. The HADS depression subscale scores range from 0 to 21, with higher scores indicating more distress. | | Posted | | Mean | Standard Deviation | score on a scale | | 12 weeks | | | | ID | Title | Description |
|---|
| OG000 | Web-based Advance Care Planning (CAREGIVERS) | Enrolled caregivers of patients randomized to the web-based advance care planning arm. | | OG001 | Facilitated Advance Care Planning (In-person or Telephonic) (CAREGIVERS) | Enrolled caregivers of patients randomized to the facilitated advance care planning arm. |
| |
| Secondary | Caregiver Anxiety Symptoms | Anxiety subscale of the 14-item Hospital Anxiety and Depression Scale (HADS) will be used to assess caregiver anxiety symptoms at 12 weeks and bereavement. The anxiety subscale scores range from 0 to 21, with higher scores indicating more distress. | | Posted | | Mean | Standard Deviation | score on a scale | | 12 weeks | | | | ID | Title | Description |
|---|
| OG000 | Web-based Advance Care Planning (CAREGIVERS) | Enrolled caregivers of patients randomized to the web-based advance care planning arm. | | OG001 | Facilitated Advance Care Planning (In-person or Telephonic) (CAREGIVERS) | Enrolled caregivers of patients randomized to the facilitated advance care planning arm. |
| |
| Secondary | Receipt of Goal-concordant End-of-life Care - Patient Wishes Followed | Bereaved caregivers will be asked "In [participant's] opinion, to what extent were [the patient's] wishes followed in the medical care received in the last month of life?" Receipt of goal-concordant end-of-life care - patient wishes followed will be defined as care that "followed patients' wishes a great deal." | | Posted | | Count of Participants | | Participants | | during bereavement, up to 60 months | | | | ID | Title | Description |
|---|
| OG000 | Web-based Advance Care Planning (CAREGIVERS) | Enrolled caregivers of patients randomized to the web-based advance care planning arm. | | OG001 | Facilitated Advance Care Planning (In-person or Telephonic) (CAREGIVERS) | Enrolled caregivers of patients randomized to the facilitated advance care planning arm. |
| |
| Secondary | Receipt of Goal-concordant End-of-life Care - Place of Death | Bereaved caregivers will be asked about patient's preferred and actual places of death, with questions separated in the survey to minimize conscious comparison. Receipt of goal-concordant end-of-life care - place of death will be defined as patients dying in their preferred location. | | Posted | | Count of Participants | | Participants | | during bereavement, up to 60 months | | | | ID | Title | Description |
|---|
| OG000 | Web-based Advance Care Planning (CAREGIVERS) | Enrolled caregivers of patients randomized to the web-based advance care planning arm. | | OG001 | Facilitated Advance Care Planning (In-person or Telephonic) (CAREGIVERS) | Enrolled caregivers of patients randomized to the facilitated advance care planning arm. |
| |
| Secondary | Quality of End-of-life Care | 13-item Caregiver Evaluation of Quality of End-of-Life Care (CEQUEL) scale. Total score range is 13-26, with higher scores indicating better perceived quality of care. Prolongation of Death, Perceived Suffering, and Preparation for the Death Subscales range 3-6, with higher scores indicating a better outcome. Shared Decision-Making subscale range is 4-8, with higher scores indicating a better outcome. | | Posted | | Mean | Standard Deviation | score on a scale | | during bereavement, up to 60 months | | | | ID | Title | Description |
|---|
| OG000 | Web-based Advance Care Planning (CAREGIVERS) | Enrolled caregivers of patients randomized to the web-based advance care planning arm. | | OG001 | Facilitated Advance Care Planning (In-person or Telephonic) (CAREGIVERS) | Enrolled caregivers of patients randomized to the facilitated advance care planning arm. |
| |
| Secondary | Caregiver Post-traumatic Stress Symptoms | 22-item Impact of Events Scale-revised has a scoring range from 0-88, with a higher total score indicating more post-traumatic stress symptoms. Avoidance, Intrusions, and Hyperarousal Subscales range 0-4, with higher scores indicating a worse outcome. | | Posted | | Mean | Standard Deviation | score on a scale | | during bereavement, up to 60 months | | | | ID | Title | Description |
|---|
| OG000 | Web-based Advance Care Planning (CAREGIVERS) | Enrolled caregivers of patients randomized to the web-based advance care planning arm. | | OG001 | Facilitated Advance Care Planning (In-person or Telephonic) (CAREGIVERS) | Enrolled caregivers of patients randomized to the facilitated advance care planning arm. |
| |
| Secondary | Caregiver Depression Symptoms | Depression subscale of the 14-item Hospital Anxiety and Depression Scale (HADS) will be used to assess caregiver depression symptoms at 12 weeks and bereavement. The HADS depression subscale scores range from 0 to 21, with higher scores indicating more distress. | | Posted | | Mean | Standard Deviation | score on a scale | | bereavement, up to 60 months | | | | ID | Title | Description |
|---|
| OG000 | Web-based Advance Care Planning (CAREGIVERS) | Enrolled caregivers of patients randomized to the web-based advance care planning arm. | | OG001 | Facilitated Advance Care Planning (In-person or Telephonic) (CAREGIVERS) | Enrolled caregivers of patients randomized to the facilitated advance care planning arm. |
| |
| Secondary | Caregiver Anxiety Symptoms | Anxiety subscale of the 14-item Hospital Anxiety and Depression Scale (HADS) will be used to assess caregiver anxiety symptoms at 12 weeks and bereavement. The anxiety subscale scores range from 0 to 21, with higher scores indicating more distress. | | Posted | | Mean | Standard Deviation | score on a scale | | during bereavement, up to 60 months | | | | ID | Title | Description |
|---|
| OG000 | Web-based Advance Care Planning (CAREGIVERS) | Enrolled caregivers of patients randomized to the web-based advance care planning arm. | | OG001 | Facilitated Advance Care Planning (In-person or Telephonic) (CAREGIVERS) | Enrolled caregivers of patients randomized to the facilitated advance care planning arm. |
| |
| Other Pre-specified | Number of Participants Who Received Chemotherapy Within Last 2 Weeks of Life | Investigators will measure whether chemotherapy was administered within the last 2 weeks of life (Y/N) | | Posted | | Count of Participants | | Participants | | Assessed after patient death | | | | ID | Title | Description |
|---|
| OG000 | Web-based Advance Care Planning (PATIENTS) | Patients randomized to this arm will participate in web-based ACP via the PREPARE website. Web-based advance care planning: Instructions for accessing and using the PREPARE website will be shared with participants upon randomization. Patients and their caregivers review the 5 steps of PREPARE (approximately 10 minutes per step) and create an action plan for each step. The PREPARE website includes a link to a written advance directive that participants are able to complete. The PREPARE website can be reviewed on a home computer or on a tablet in the oncology practice. | | OG001 | Facilitated Advance Care Planning (In-person or Telephonic) (PATIENTS) | Patients randomized to this arm will participate in in-person or telephonic facilitated advance care planning (ACP) discussions using the Respecting Choices model. Facilitated advance care planning (in-person or telephonic): The facilitator will contact the patient to schedule the ACP discussion. ACP discussions will be led by a nurse or social worker with supportive oncology experience who has been trained as a Respecting Choices facilitator, include the patient's caregiver when available, last 45-60 minutes, and be held in a private location at or near the patient's oncology clinic, or telephonically. Facilitators will use a structured interview tool as a discussion roadmap and provide guidance in choosing a medical decision maker, exploring serious illness understanding and experiences, identifying goals and values, and making future treatment decisions. Facilitators will provide a copy of a written advance directive, assist with completion when appropriate, and make recommendations for communicating goals and sharing written preferences. |
|
| Other Pre-specified | Number of Participants Admitted to an Intensive Care Unit Within Last 30 Days of Life | Investigators will measure whether participant was admitted to the intensive care unit in the last 30 days of life (Y/N) | | Posted | | Count of Participants | | Participants | | Assessed after patient death | | | | ID | Title | Description |
|---|
| OG000 | Web-based Advance Care Planning (PATIENTS) | Patients randomized to this arm will participate in web-based ACP via the PREPARE website. Web-based advance care planning: Instructions for accessing and using the PREPARE website will be shared with participants upon randomization. Patients and their caregivers review the 5 steps of PREPARE (approximately 10 minutes per step) and create an action plan for each step. The PREPARE website includes a link to a written advance directive that participants are able to complete. The PREPARE website can be reviewed on a home computer or on a tablet in the oncology practice. | | OG001 | Facilitated Advance Care Planning (In-person or Telephonic) (PATIENTS) | Patients randomized to this arm will participate in in-person or telephonic facilitated advance care planning (ACP) discussions using the Respecting Choices model. Facilitated advance care planning (in-person or telephonic): The facilitator will contact the patient to schedule the ACP discussion. ACP discussions will be led by a nurse or social worker with supportive oncology experience who has been trained as a Respecting Choices facilitator, include the patient's caregiver when available, last 45-60 minutes, and be held in a private location at or near the patient's oncology clinic, or telephonically. Facilitators will use a structured interview tool as a discussion roadmap and provide guidance in choosing a medical decision maker, exploring serious illness understanding and experiences, identifying goals and values, and making future treatment decisions. Facilitators will provide a copy of a written advance directive, assist with completion when appropriate, and make recommendations for communicating goals and sharing written preferences. |
|
| Other Pre-specified | Number of Participants Admitted to Hospice Within Last 30 Days of Life | Investigators will measure whether the participant was admitted to hospice (Y/N) | | Posted | | Count of Participants | | Participants | | Assessed after patient death | | | | ID | Title | Description |
|---|
| OG000 | Web-based Advance Care Planning (PATIENTS) | Patients randomized to this arm will participate in web-based ACP via the PREPARE website. Web-based advance care planning: Instructions for accessing and using the PREPARE website will be shared with participants upon randomization. Patients and their caregivers review the 5 steps of PREPARE (approximately 10 minutes per step) and create an action plan for each step. The PREPARE website includes a link to a written advance directive that participants are able to complete. The PREPARE website can be reviewed on a home computer or on a tablet in the oncology practice. | | OG001 | Facilitated Advance Care Planning (In-person or Telephonic) (PATIENTS) | Patients randomized to this arm will participate in in-person or telephonic facilitated advance care planning (ACP) discussions using the Respecting Choices model. Facilitated advance care planning (in-person or telephonic): The facilitator will contact the patient to schedule the ACP discussion. ACP discussions will be led by a nurse or social worker with supportive oncology experience who has been trained as a Respecting Choices facilitator, include the patient's caregiver when available, last 45-60 minutes, and be held in a private location at or near the patient's oncology clinic, or telephonically. Facilitators will use a structured interview tool as a discussion roadmap and provide guidance in choosing a medical decision maker, exploring serious illness understanding and experiences, identifying goals and values, and making future treatment decisions. Facilitators will provide a copy of a written advance directive, assist with completion when appropriate, and make recommendations for communicating goals and sharing written preferences. |
|
| Other Pre-specified | Number of Participants Admitted to Hospice Within Last 3 Days of Life | Investigators will measure whether the participant was admitted to hospice for < 3 days (Y/N) | | Posted | | Count of Participants | | Participants | | Assessed after patient death | | | | ID | Title | Description |
|---|
| OG000 | Web-based Advance Care Planning (PATIENTS) | Patients randomized to this arm will participate in web-based ACP via the PREPARE website. Web-based advance care planning: Instructions for accessing and using the PREPARE website will be shared with participants upon randomization. Patients and their caregivers review the 5 steps of PREPARE (approximately 10 minutes per step) and create an action plan for each step. The PREPARE website includes a link to a written advance directive that participants are able to complete. The PREPARE website can be reviewed on a home computer or on a tablet in the oncology practice. | | OG001 | Facilitated Advance Care Planning (In-person or Telephonic) (PATIENTS) | Patients randomized to this arm will participate in in-person or telephonic facilitated advance care planning (ACP) discussions using the Respecting Choices model. Facilitated advance care planning (in-person or telephonic): The facilitator will contact the patient to schedule the ACP discussion. ACP discussions will be led by a nurse or social worker with supportive oncology experience who has been trained as a Respecting Choices facilitator, include the patient's caregiver when available, last 45-60 minutes, and be held in a private location at or near the patient's oncology clinic, or telephonically. Facilitators will use a structured interview tool as a discussion roadmap and provide guidance in choosing a medical decision maker, exploring serious illness understanding and experiences, identifying goals and values, and making future treatment decisions. Facilitators will provide a copy of a written advance directive, assist with completion when appropriate, and make recommendations for communicating goals and sharing written preferences. |
|
| Other Pre-specified | Healthcare Utilization at End of Life - Hospice Length of Stay | For participants admitted to hospice, investigators will measure number of days in hospice. | | Posted | | Mean | Standard Deviation | days | | Assessed after patient death | | | | ID | Title | Description |
|---|
| OG000 | Web-based Advance Care Planning (PATIENTS) | Patients randomized to this arm will participate in web-based ACP via the PREPARE website. Web-based advance care planning: Instructions for accessing and using the PREPARE website will be shared with participants upon randomization. Patients and their caregivers review the 5 steps of PREPARE (approximately 10 minutes per step) and create an action plan for each step. The PREPARE website includes a link to a written advance directive that participants are able to complete. The PREPARE website can be reviewed on a home computer or on a tablet in the oncology practice. | | OG001 | Facilitated Advance Care Planning (In-person or Telephonic) (PATIENTS) | Patients randomized to this arm will participate in in-person or telephonic facilitated advance care planning (ACP) discussions using the Respecting Choices model. Facilitated advance care planning (in-person or telephonic): The facilitator will contact the patient to schedule the ACP discussion. ACP discussions will be led by a nurse or social worker with supportive oncology experience who has been trained as a Respecting Choices facilitator, include the patient's caregiver when available, last 45-60 minutes, and be held in a private location at or near the patient's oncology clinic, or telephonically. Facilitators will use a structured interview tool as a discussion roadmap and provide guidance in choosing a medical decision maker, exploring serious illness understanding and experiences, identifying goals and values, and making future treatment decisions. Facilitators will provide a copy of a written advance directive, assist with completion when appropriate, and make recommendations for communicating goals and sharing written preferences. |
|
| Other Pre-specified | Number of Participants Who Were Hospitalized Within Last 30 Days of Life | Investigators will measure the number of participants hospitalized within in the last 30 days of life | | Posted | | Count of Participants | | Participants | | Assess after patient death | | | | ID | Title | Description |
|---|
| OG000 | Web-based Advance Care Planning (PATIENTS) | Patients randomized to this arm will participate in web-based ACP via the PREPARE website. Web-based advance care planning: Instructions for accessing and using the PREPARE website will be shared with participants upon randomization. Patients and their caregivers review the 5 steps of PREPARE (approximately 10 minutes per step) and create an action plan for each step. The PREPARE website includes a link to a written advance directive that participants are able to complete. The PREPARE website can be reviewed on a home computer or on a tablet in the oncology practice. | | OG001 | Facilitated Advance Care Planning (In-person or Telephonic) (PATIENTS) | Patients randomized to this arm will participate in in-person or telephonic facilitated advance care planning (ACP) discussions using the Respecting Choices model. Facilitated advance care planning (in-person or telephonic): The facilitator will contact the patient to schedule the ACP discussion. ACP discussions will be led by a nurse or social worker with supportive oncology experience who has been trained as a Respecting Choices facilitator, include the patient's caregiver when available, last 45-60 minutes, and be held in a private location at or near the patient's oncology clinic, or telephonically. Facilitators will use a structured interview tool as a discussion roadmap and provide guidance in choosing a medical decision maker, exploring serious illness understanding and experiences, identifying goals and values, and making future treatment decisions. Facilitators will provide a copy of a written advance directive, assist with completion when appropriate, and make recommendations for communicating goals and sharing written preferences. |
|
| Other Pre-specified | Number of Participants Who Had Emergency Department Visits Within Last 30 Days of Life | Investigators will measure number of emergency department visits in the last 30 days of life | | Posted | | Count of Participants | | Participants | | Assessed after patient death | | | | ID | Title | Description |
|---|
| OG000 | Web-based Advance Care Planning (PATIENTS) | Patients randomized to this arm will participate in web-based ACP via the PREPARE website. Web-based advance care planning: Instructions for accessing and using the PREPARE website will be shared with participants upon randomization. Patients and their caregivers review the 5 steps of PREPARE (approximately 10 minutes per step) and create an action plan for each step. The PREPARE website includes a link to a written advance directive that participants are able to complete. The PREPARE website can be reviewed on a home computer or on a tablet in the oncology practice. | | OG001 | Facilitated Advance Care Planning (In-person or Telephonic) (PATIENTS) | Patients randomized to this arm will participate in in-person or telephonic facilitated advance care planning (ACP) discussions using the Respecting Choices model. Facilitated advance care planning (in-person or telephonic): The facilitator will contact the patient to schedule the ACP discussion. ACP discussions will be led by a nurse or social worker with supportive oncology experience who has been trained as a Respecting Choices facilitator, include the patient's caregiver when available, last 45-60 minutes, and be held in a private location at or near the patient's oncology clinic, or telephonically. Facilitators will use a structured interview tool as a discussion roadmap and provide guidance in choosing a medical decision maker, exploring serious illness understanding and experiences, identifying goals and values, and making future treatment decisions. Facilitators will provide a copy of a written advance directive, assist with completion when appropriate, and make recommendations for communicating goals and sharing written preferences. |
|
| Other Pre-specified | Advance Care Planning Implementation Costs | Investigators will assess advance care planning implementation costs by tracking staff time spent on each intervention arm. Staff time costs for each intervention will be estimated by multiplying staff training and patient care time related to the intervention in hours by the average hourly wage for US nursing and social work staff of comparable levels. | | Not Posted | | | | | | through study completion, up to 5 years | | Participants | | | | |