Summary

Eligibility
for people ages 65 years and up (full criteria)
Healthy Volunteers
healthy people welcome
Location
at UC Irvine UCSF
Dates
study started
completion around
Principal Investigator
by Elizabeth Wick, MD (ucsf)
Headshot of Elizabeth Wick
Elizabeth Wick

Description

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.

Official Title

I CAN DO Surgical ACP (Improving Completion, Accuracy, and Dissemination of Surgical Advanced Care Planning) Trial

Details

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 electronic health record (HER)-centric pre-surgery workflow for older adults and including automated reminders, the study team can empower patients and surgical teams to engage in ACP discussions.

Participants will be randomized to Arms: (1) Letter about ACP, PREPARE advanced directive (AD), PREPARE website; (2) Letter, advanced directive (AD), PREPARE plus reminder text/phone messages; (3) Letter, advanced directive (AD,) PREPARE plus reminders plus a healthcare navigator on ACP documentation (discussions and careplans, primary outcome) and patient-reported ACP engagement. Using mixed methods, the study team will assess patients' and surgical care teams' experience with surgery ACP.

Keywords

Surgical Advanced Care Planning, Letter, AD, PREPARE, Letter, AD, PREPARE, reminders, Letter, AD, PREPARE, reminders, healthcare navigator

Eligibility

You can join if…

Open to people ages 65 years and up

  • Older Adults (age 65+) referred for surgical evaluation

You CAN'T join if...

  1. ACP on file within 6 months prior to surgery
  2. Prior ACP-related patient portal messages from primary care (UCSF and UCI)

Location

  • University of California, San Francisco
    San Francisco California 94143 United States

Lead Scientist at University of California Health

  • Elizabeth Wick, MD (ucsf)
    Professor, Surgery, School of Medicine. Authored (or co-authored) 251 research publications

Details

Status
not yet accepting patients
Start Date
Completion Date
(estimated)
Sponsor
University of California, San Francisco
ID
NCT06090552
Study Type
Interventional
Participants
Expecting 6000 study participants
Last Updated