Trial of Advance Care Planning (ACP) & Goals of Care Designations (GCD) Discussions

Launched by UNIVERSITY OF ALBERTA · Jun 1, 2015

Keywords

ClinConnect Summary

Background: Respecting patients' preferences for treatment is a key component of high quality end of life care. Alberta Health Services (AHS) has developed tools for public, patient and healthcare provider (HCP) engagement and education (such as guidebooks, videos, and HCP training modules) to support widespread engagement in advance care planning (ACP) and determining Goals of Care Designation (GCD). However, none of these knowledge translation (KT) tools have been validated and they have not been tailored to reflect barriers in the local context.

ACP is defined as a communication process...

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• * diagnosis of either:
• • 1. heart failure classified as Class III or IV based on New York Heart Association Functional Classification or classified as Stage D based on American Heart Association/American College of Cardiology Heart Failure Classification;
• • 2. renal failure and on dialysis; or
• • 3. metastatic lung, gastrointestinal (including pancreatic) or gynecological cancer and on chemo, radiation therapy or palliative
• • 19 or over
• • able to communicate in English
• • reside within 100 km of Edmonton or Calgary
• • owns a phone
• Exclusion Criteria:
• • cognitive impairment which would impact ability to give informed consent
• • in crisis
• • first visit or in the case of renal patients, in the first month of dialysis
• • participated in ACP pilot study
• • visual and/or hearing impairment that would impact their ability to see and/or hear the Videos, and/or complete the assessments including the telephone follow-up interviews.