SHARE Protocol for Cognitive Impairment
Trial Summary
What is the purpose of this trial?
This study evaluates the efficacy of Sharing Healthcare Wishes in Primary Care (SHARE), a two-group randomized trial at up to 9 primary care practices in which 124 dyads receive a control protocol of minimally enhanced usual care and 124 dyads receive the SHARE protocol. This study tests the efficacy of SHARE on quality of communication (primary outcome) and advance care planning processes (secondary outcomes) at 6 months among primary care patients with cognitive impairment (mild-severe) and family caregiver dyads. For patients who die while enrolled in the study by 24 months, this study examines the quality of end-of-life care and bereaved family caregiver experiences with medical decision-making (secondary outcomes).
Research Team
Jennifer Wolff, PhD
Principal Investigator
Johns Hopkins Bloomberg School of Public Health
Eligibility Criteria
This trial is for pairs ('dyads') where one person has mild to severe cognitive impairment, is 80 or older, and the other is a family member or friend over 18 who helps with their medical care. Both must speak English and not plan to move out of state within a year. The patient should be able to consent or have someone who can on their behalf.Inclusion Criteria
Exclusion Criteria
Treatment Details
Interventions
- Minimally Enhanced Usual Care
- Sharing Healthcare Wishes in Primary Care (SHARE)
Find a Clinic Near You
Who Is Running the Clinical Trial?
Johns Hopkins University
Lead Sponsor
MedStar Health
Collaborator
Johns Hopkins Community Physicians
Collaborator
National Institute on Aging (NIA)
Collaborator