Advancing Ethical Goals In Society Trial

Conditions

• Advance Care Planning
• Alzheimer's Disease
• Dementia

Eligibility Criteria

Sex

ALL

Age

65 Years - N/A

Healthy Volunteers

Not accepted

Interventions

• ACP Counselor Video Program — OTHER
  Participants will meet with ACP counselors to talk about their goals of care. Participants and surrogates will watch and discuss videos about ACP options with the ACP counselor.

Study Details

The goal of this clinical trial is to make sure that the values of older persons aged 65 years or older with Alzheimer's Disease and Related Dementias (ADRD) or increased risk of mortality are known and respected, thereby reducing the burden of intrusive, unwanted medical interventions on their lives. The main aims of the study are: * To assess the impact of our Advance Care Planning (ACP) Counselor Video Program on ACP documentation and receipt of goal-concordant care in a diverse sample of older adults with ADRD or other serious illness * To compare resuscitation preferences, hospice use, healthcare utilization and costs Researchers will randomize participants into two groups. All participants will continue to receive routine care. Participants randomized to the Immediate-Start Intervention group will be offered the ACP Counselor Video Program during both Phase 1 and Phase 2. Participants randomized to the Routine Care/Delayed-Start Intervention group will receive routine care alone during Phase 1 and will be offered the ACP Counselor Video Program beginning in Phase 2. Each phase will last two years. Both groups will have access to the intervention during Phase 2. During the intervention, participants will: * Meet with ACP counselors * Watch ACP videos.

Key Dates

First listed

Sep 17, 2026

Start date

Mar 1, 2027

Status verified

Sep 2026

Primary completion

Mar 1, 2029

Completion

Mar 1, 2031

Study Design

Enrollment

12,174 participants (estimated)

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

HEALTH_SERVICES_RESEARCH

Arms

• Experimental: Immediate-Start Intervention
  Participants in this arm will be offered the ACP Counselor Video Program in addition to routine care during both Phase 1 and Phase 2.
• Other: Routine Care/Delayed-Start Intervention
  Participants in the Routine Care/Delayed-Start Intervention arm will receive routine care during the first two years and are then given access to the intervention (ACP Counselor Video Program) for two years.

Primary Outcome Measure

Presence of qualifying ACP documentation by the end of Phase 1 [ Time Frame: From randomization through the end of Phase 1 (24 months). ]

Central Contacts

• Diya Patel, Bachelors
  774-218-6634
  [email protected]
• Carly Bridden
  [email protected]

Locations (2)

Find similar trials in Lebanon, NH

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