Effectiveness of Engaging in Advance Care Planning Talks (ENACT) Group Visits in Primary Care for Older Adults With and Without Alzheimer's Disease

Launched by UNIVERSITY OF COLORADO, DENVER · Jun 13, 2022

Keywords

ClinConnect Summary

This pilot feasibility randomized controlled study will determine the feasibility, acceptability and preliminary efficacy of the ENACT Group Visit intervention compared to a comparison arm.

The ENACT Group Visit intervention aims to engage patients in an interactive discussion of key ACP concepts and support patient-initiated ACP actions (i.e. choosing decision-maker(s), deciding on preferences during serious illness, discussing preferences with decision-makers and healthcare providers, and documenting advance directives). The group visits involve two 2-hour sessions, one month apart, faci...

Gender

ALL

Eligibility criteria

• Patient Participants:
• Inclusion Criteria:
• • 70 or older
• • At least one clinic visit in past year
• • No advanced care planning (ACP) document in electronic health record based on a clinic-level, population-based report
• • Preferred language English for UCHealth clinics or preferred language English or Spanish for Denver Health clinic
• Exclusion Criteria:
• • Inability to demonstrate informed consent
• • Does not have ready access to a telephone
• • Inability to travel to clinic
• • Moving out of area in 6 months
• • Inability to participate in group visits due to hearing impairment as determined by clinic and/or study staff
• • A household member (same address) is already enrolled
• • Caregivers
• Inclusion Criteria:
• • Age 18 and older
• • Preferred language English for UCHealth clinics or preferred language English or Spanish for Denver Health clinic
• • Patient with potential cognitive impairment consented to participate in study
• Exclusion Criteria:
• • Does not have ready access to a telephone
• • Inability to travel to clinic
• • Moving out of area in 6 months
• • Inability to participate in group visits due to hearing impairment as determined by clinic and/or study staff
• • Clinic Stakeholders
• Inclusion Criteria:
• • Work as a multidisciplinary team member at a participating primary care clinic in the study
• • English speaking as a preferred language
• • Invited to participate in interviews or focus groups after the ENACT Group Visits intervention
• Exclusion Criteria:
• • - Inability to provide informed consent