Spots Global Cancer Trial Database for Advance Care Planning in the Emergency Department

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Trial Identification

Brief Title: Advance Care Planning in the Emergency Department

Official Title: An Advance Care Planning Intervention in the Emergency Department: a Randomized Controlled Trial

Study ID: NCT05209880

Conditions

Congestive Heart Failure

Metastatic Cancer

Chronic Kidney Disease Requiring Chronic Dialysis

Chronic Obstructive Pulmonary Disease

Interventions

ED GOAL

Study Description

Brief Summary: This is a two-armed, parallel-design, pre-/post-intervention assessment study. The investigators will conduct a randomized controlled trial for ED GOAL on a cohort of 120 older adults with serious illness to collect patient-centered outcomes and determine preliminary efficacy on increasing advance care planning engagement (self-reported and/or in the electronic medical record) one month after leaving the emergency department. The investigators will also conduct qualitative interviews with participants of ED GOAL.

Detailed Description: ED GOAL, a 6-minute motivational interview conducted in the emergency department (ED), which engages participants to address advance care planning (ACP) conversations with their outpatient clinicians and avoids a time-consuming, sensitive conversation in the time-pressured ED environment. This study is designed to determine the preliminary efficacy of ED GOAL on increasing ACP engagement (by self-report and in the electronic medical record) one month after leaving the ED.