Clinical trial · Interventional
Reducing Disparities in the Quality of Advance Care Planning for Older Adults
REducing Disparities in the QUALity of Palliative Care for Older African Americans Through Improved Advance Care Planning (EQUAL ACP)
- Source
- ClinicalTrials.gov
- Retrieved
- Sep 8, 2026
- Layer
- normalized (units and labels harmonized; values unchanged)
- Run
- ING-CLINICALTRIALS-20260908-000001
Summary
Brief summary (as posted)
This study compares the effectiveness of two different approaches to advance care planning among older African Americans and older Whites living in the community. The two approaches are a structured approach with an advance care planning conversation led by a trained person using Respecting Choices (First Steps) and a patient-driven approach which includes a Five Wishes advance care planning form written in plain language. The study will determine which approach is more effective at increasing advance care planning within each racial group and reducing differences between the two groups in advance care planning.
Conditions
Conditions (9)
Free-text conditions as registered, with the CancerIndex entity they were reconciled to and the match type.
| Condition (as posted) | Mapped entity | Match | Confidence |
|---|---|---|---|
| Amyotrophic Lateral Sclerosis | — | UNRESOLVED | — |
| Chronic Obstructive Pulmonary Disease | — | UNRESOLVED | — |
| Congestive Heart Failure | — | UNRESOLVED | — |
| Diabetes Complications | — | UNRESOLVED | — |
| End Stage Liver Disease | — | UNRESOLVED | — |
| End Stage Renal Disease | — | UNRESOLVED | — |
| Interstitial Lung Disease | — | UNRESOLVED | — |
| Metastatic Cancer | Malignant Neoplasm | CURATED_BROADER | 0.78 |
| Parkinson Disease | — | UNRESOLVED |
Interventions
Interventions (2)
| Intervention | Type | Mapped drug | Match |
|---|---|---|---|
| Five Wishes Form | Behavioral | — | UNRESOLVED |
| Respecting Choices First Steps | Behavioral | — | UNRESOLVED |
Design
Arms and outcomes
Arms (2)
- type
- EXPERIMENTAL
- label
- Structured Advance Care Planning
- description
- In the structured advance care planning approach, patients will participate in a 60 to 90 minute facilitated advance care planning conversation with a trained person using Respecting Choices (First Steps) guide and will receive a state advance directive form. The advance care planning facilitator will follow-up as needed after the session to answer additional questions.
- interventionNames
- Behavioral: Respecting Choices First Steps
- type
- ACTIVE_COMPARATOR
- label
- Patient Driven Advance Care Planning
- description
- In the patient-driven advance care planning approach, patients receive a Five Wishes Form (easy to understand advance directive written in plain language), a state advance directive form, and at least two follow-up phone calls with an advance care planning contact who will answer questions.
- interventionNames
- Behavioral: Five Wishes Form
Primary outcomes (2)
Eligibility
Eligibility (as posted)
- Sex
- All
- Minimum age
- 65 Years
Show eligibility criteria text
Inclusion Criteria for Patients: * African-American or White * age 65 or greater * English-speaking * residing in non-institutional setting * cognitively able to participate in advance care planning * Serious or chronic illness including: metastatic cancer; end stage renal disease; advanced liver disease, heart disease or lung disease; amyotrophic lateral sclerosis, severe Parkinson's disease; 2 or more unplanned hospitalizations in the last year; requiring assistance with any basic activity of daily living * Serious illness based on the following: Clinician answers "no" to the surprise question: "Would you be surprised if this person died in the next 12 months?" Exclusion Criteria for Patients: * residence in nursing home or assisted living facility * diagnosis of dementia or unable to consent * documented advance care plan (living will, health care proxy, MOST form, provider note) * current or prior use of hospice * current or prior use of non-hospice palliative care except inpatient palliative care consultation
References
Publications (0)
Data not yet available