A Portal-based Advance Care Planning Intervention Among Community-Dwelling Persons Living With Cognitive Impairment

A Portal-based Advance Care Planning Intervention Among Community-Dwelling Persons Living With Cognitive Impairment

The purpose of this research is to examine the feasibility of using a patient portal based advance care planning (ACP) tool to improve ACP discussions and documentation in persons living with cognitive impairment in outpatient primary care.

The goal of this study is to explore whether sending a portal-based ACP tool (called ACPVoice) paired with a motivational message within the patient portal before a routine primary care physician visit can improve ACP discussions and documentation within the electronic health record among persons living with cognitive impairment in outpatient primary care.

Inclusion Criteria:

• Age 65 years old and older
• Diagnosis of recognized or probable mild cognitive impairment or mild dementia or elevated eRADAR score
• Completed visit with their primary care provider (PCP) within the past 12 months and have upcoming PCP visit in next 6 months
• Have an active patient portal account

Exclusion Criteria:

• Lives in a long-term care facility
• Severe vision impairment/blindness (as they need to be able to read portal messages)
• Enrolled in hospice
• Lacks decisional capacity as deemed by PCP