ACP Educator led, video assisted discussion for Advance Care Planning

Phase-Based Progress Estimates
1
Effectiveness
1
Safety
Northshore University Hospital, Manhasset, NY
Advance Care Planning+6 More
ACP Educator led, video assisted discussion - Behavioral
Eligibility
18+
All Sexes
Eligible conditions
Select

Study Summary

This study is evaluating whether an advance care planning intervention can improve outcomes for patients with Alzheimer's disease and their caregivers.

See full description

Eligible Conditions

  • Advance Care Planning
  • Palliative Care
  • Caregivers of People With Alzheimer's Disease or Related Dementia (ADRD)
  • Doctor-patient Communication
  • Video Decision Aids

Treatment Effectiveness

Effectiveness Progress

1 of 3

Study Objectives

This trial is evaluating whether ACP Educator led, video assisted discussion will improve 2 primary outcomes and 7 secondary outcomes in patients with Advance Care Planning. Measurement will happen over the course of Baseline, 12 months.

12 months
Identification of a Goals of Care Conversation in the Electronic Health Record (EHR) during the Index Hospitalization
Baseline, 12 months
Change in Advance Care Planning (ACP) in Electronic Health Record (EHR) Documentation
Change in Caregiver communication satisfaction
Change in Caregiver confidence
Change in Caregiver decisional certainty
Change in Caregiver decisional satisfaction
Change in Caregiver knowledge of ACP
Change in Caregiver satisfaction with clinician communication
Change in documentation of medical orders for resuscitation preferences in EHR

Trial Safety

Safety Progress

1 of 3

Trial Design

2 Treatment Groups

Usual Care
1 of 2
ACP Educator led, video assisted discussion
1 of 2
Active Control
Experimental Treatment

This trial requires 4800 total participants across 2 different treatment groups

This trial involves 2 different treatments. ACP Educator Led, Video Assisted Discussion is the primary treatment being studied. Participants will all receive the same treatment. There is no placebo group. The treatments being tested are not being studied for commercial purposes.

ACP Educator led, video assisted discussion
Behavioral
For hospitalized patients identified by a defined EHR algorithm, an ACP Educator will meet with the patient in the hospital to provide primary palliative care services such as goals-of-care conversations and clinician communication by leveraging certified video decision aids.
Usual CareSubjects in this arm do not meet with ACP Educator during their index hospitalization.

Trial Logistics

Trial Timeline

Approximate Timeline
Screening: ~3 weeks
Treatment: Varies
Reporting: 12 months
This trial has the following approximate timeline: 3 weeks for initial screening, variable treatment timelines, and roughly 12 months for reporting.

Closest Location

Northshore University Hospital - Manhasset, NY

Eligibility Criteria

This trial is for patients born any sex aged 18 and older. There are 7 eligibility criteria to participate in this trial as listed below.

Mark “yes” if the following statements are true for you:
Inclusion Criteria: Aim 1
Inpatient at study sites
Age 65 and older
Inclusion Criteria: Aim 2 (Caregiver Survey)
Age 18 and older
Designated caregiver of inpatient identified in Aim 1 who are diagnosed with Alzheimer's Disease and Related Dementias or other cognitive impairments
English or Spanish speaking

Patient Q&A Section

What are the signs of alzheimer disease?

"Some signs of AD include cognitive decline as assessed by MMSE score, poor judgment, memory loss, changes in personality. The occurrence of extrapyramidal symptoms is a useful diagnostic criterion. Other signs include depression, social withdrawal and behavioral changes." - Anonymous Online Contributor

Unverified Answer

How many people get alzheimer disease a year in the United States?

"At least 100,000 people in the United States develop AD each year and are admitted to a hospital each. Older individuals are most prone to developing AD, even if they are not currently disabled and healthy. In an ageing population, the proportion of the population who are over 80 years old will double within the next ten years. The proportion of the population that could be diagnosed with dementia has increased by around 50%." - Anonymous Online Contributor

Unverified Answer

What causes alzheimer disease?

"A few possible causes have been suggested, such as the accumulation of amyloid in the brain, inflammation, or defects in the brain's ability to produce new cells. Most research on the causes of Alzheimer disease focuses on the exact workings of Alzheimer's by studying brain tissues. To date, there is little compelling evidence, however, that a correlation exists between specific genes or genes and specific brain areas (such as the hippocampus or cerebral cortex) and the development of Alzheimer's disease. While it may be possible to determine gene mutations or gene expression in the brain that are correlated with Alzheimer's disease, the mechanism remains unknown.\n\nDementia is the gradual deterioration of mind and memory." - Anonymous Online Contributor

Unverified Answer

What is alzheimer disease?

"In the USA, Alzheimer's disease accounts for 65-75% of all dementias with 5 to 9 new cases per million of population per year. Rates in Europe appear similar from a global perspective and most dementia is attributable to either Parkinson's disease (40%) or vascular dementia (40%). Alzheimer's disease is the primary cause of dementia among children in the United States." - Anonymous Online Contributor

Unverified Answer

Can alzheimer disease be cured?

"One in 5 Alzheimer patients will meet the criteria for being treated with DHA, though the long-term benefit remains questionable. Clinical trials are underway of treatments such as apoE4 gene-silencing drugs. It is hypothesized that the brain will become less responsive to apoE4, the dominant allele for brain amyloid beta deposition. It is unknown how DHA treats other causes of brain damage in Alzheimer disease, but DHA's anti-amyloid beta actions in the brain have been well researched and established as the mechanism that prevents memory loss caused by Alzheimer disease." - Anonymous Online Contributor

Unverified Answer

What are common treatments for alzheimer disease?

"Results from a recent clinical trial provides a comprehensive guide to treatment of AD, and clinicians and families should feel competent to help with symptom management, psychosocial support, caregiving, and health care decision making." - Anonymous Online Contributor

Unverified Answer

What are the latest developments in acp educator led, video assisted discussion for therapeutic use?

"Over four years our group of participants reported that video assisted discussions helped them manage and cope with their condition and helped others by being a source of information about their condition and provided an alternate perspective on problems they faced. For these reasons we have found that the technique is very effective and the users consider it a useful tool in their long term management." - Anonymous Online Contributor

Unverified Answer

How does acp educator led, video assisted discussion work?

"The method improved participants' understanding of the concept of Alzheimer's disease and enhanced their confidence in their ability to take care of someone with Alzheimer's appropriately." - Anonymous Online Contributor

Unverified Answer

What are the common side effects of acp educator led, video assisted discussion?

"The use of an Acp teacher, in addition to the usual care, is associated with lower rates of anxiety, depressed mood, fatigue, and poor sleep. Overall the patient and family experience significant improvements, with a relatively acceptable patient satisfaction rate." - Anonymous Online Contributor

Unverified Answer

What is the latest research for alzheimer disease?

"Much of the information presented in this article is derived from the studies reviewed in the last year. Some important studies are in their early stages; therefore more information is needed before we can make firm conclusions about possible treatments. [A clinical trial is underway to enroll Alzheimer's patients to test new Alzheimer's treatments." - Anonymous Online Contributor

Unverified Answer

What does acp educator led, video assisted discussion usually treat?

"Recent findings suggests that video assisted discussion, when presented in an acp-led, multi-modal learning environment can effectively promote learning without regard for the nature of clinical presentation." - Anonymous Online Contributor

Unverified Answer

Has acp educator led, video assisted discussion proven to be more effective than a placebo?

"The VAED was shown to be significantly effective as an educational material for use with patients and their families. To reach optimal results, it should be integrated in the course of an on-going education plan." - Anonymous Online Contributor

Unverified Answer
Please Note: These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.
See if you qualify for this trial
Get access to this novel treatment for Advance Care Planning by sharing your contact details with the study coordinator.