Clinical trial · Interventional
Team-based Versus Primary Care Clinician-led Advance Care Planning in Practice-based Research Networks
A Cluster-randomized Trial Comparing Team-based Versus Primary Care Clinician-led Advance Care Planning in the Meta-LARC Practice-based Research Networks
NCT03577002CI-TRIAL-00051649unknownN/AClinicalTrials.gov clinicaltrialsProvenance
- 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 project compares two models of the Serious Illness Care Program (SICP) in primary care: clinician-focused SICP and team-based SICP. Discussion and planning for serious illness care can help patients identify what is most important to them and assure they receive care that best matches their goals and values, such as spending more time at home or not being in pain.
Conditions
Conditions (6)
Free-text conditions as registered, with the CancerIndex entity they were reconciled to and the match type.
| Condition (as posted) | Mapped entity | Match | Confidence |
|---|---|---|---|
| Cancer | Malignant Neoplasm | ALIAS | 0.90 |
| Cardiovascular Diseases | — | UNRESOLVED | — |
| Cerebrovascular Accident | — | UNRESOLVED | — |
| Chronic Obstructive Pulmonary Disease | — | UNRESOLVED | — |
| Congestive Heart Failure | — | UNRESOLVED | — |
| Frail Elderly Syndrome | — | UNRESOLVED | — |
Interventions
Interventions (1)
| Intervention | Type | Mapped drug | Match |
|---|---|---|---|
| Serious Illness Care Program (SICP) | Other | — | UNRESOLVED |
Design
Arms and outcomes
Arms (2)
- type
- ACTIVE_COMPARATOR
- label
- Clinician SICP
- description
- Advance care planning between primary care clinician and the patient/family using the Serious Illness Care Program (SICP)
- interventionNames
- Other: Serious Illness Care Program (SICP)
- type
- ACTIVE_COMPARATOR
- label
- Team SICP
- description
- Advance care planning between team members and the patient/family using the Serious Illness Care Program (SICP)
- interventionNames
- Other: Serious Illness Care Program (SICP)
Primary outcomes (1)
- measure
- Global rating of goal-concordant care, patient-reported
- timeFrame
Eligibility
Eligibility (as posted)
- Sex
- All
- Minimum age
- 18 Years
Show eligibility criteria text
Inclusion Criteria: * Can provide verbal consent * Be an adult 18 years of age or older * Has a serious illness(es) or condition(s) that is likely to limit the patient's life expectancy to less than 2 years as defined by using clinical intuition or a patient identification algorithm when possible * Is community-dwelling or is planned to be discharged to a community-based setting * Can speak, read and write in English, French or Spanish * Has had an initial advance care planning (ACP) conversation at a primary care practice participating in this project. Exclusion Criteria: * Patients may not already be enrolled in hospice * Patients may not currently be in an intensive care unit or hospital with no expectation of discharge * Patient may not be in an institution (e.g., nursing home) or awaiting nursing home placement in the near future
References
Publications (7)
- BACKGROUNDTotten AM, Fagnan LJ, Dorr D, Michaels LC, Izumi SS, Combe A, Legare F. Protocol for a Cluster Randomized Trial Comparing Team-Based to Clinician-Focused Implementation of Advance Care Planning in Primary Care. J Palliat Med. 2019 Sep;22(S1):82-89. doi: 10.1089/jpm.2019.0117. PMID 31486729
- DERIVEDLokossou KL, Assan OQ, Gadio S, Uwizeye CB, Dofara SG, Bouba DA, Guay-Belanger S, Michaels L, Archambault P, Paquette JS, Izumi S, Totten AM, Rivest LP, Legare F; Meta-LARC ACP Cluster Randomized Trial team. Comparison of the sustainability of the impact of team-based versus individual clinician-focused training of primary care professionals in serious illness conversations on caregiver burden of care: a secondary analysis of a cluster randomized trial. BMC Geriatr. 2025 Oct 21;25(1):795. doi: 10.1186/s12877-025-06324-7. PMID 41120901
- DERIVEDGomes Souza L, Archambault PM, Asmaou Bouba D, Dofara SG, Guay-Belanger S, Cortez Ghio S, Gadio S, Izumi SS, Michaels L, Paquette JS, Totten AM, Legare F; Meta-LARC ACP Cluster Randomized Trial team. Impact of a team-based versus individual clinician-focused training approach on primary healthcare professionals' intention to have serious illness conversations with patients: A theory-informed process evaluation embedded within a cluster randomized trial. PLoS One. 2025 Mar 26;20(3):e0298994. doi: 10.1371/journal.pone.0298994. eCollection 2025. PMID 40138335
- DERIVEDAsmaou Bouba D, Gomes Souza L, Dofara SG, Guay-Belanger S, Gadio S, Mochcovitch D, Paquette JS, Izumi SS, Archambault P, Totten AM, Rivest LP, Legare F. Long-Term Effects of Individual-Focused and Team-Based Training on Health Professionals' Intention to Have Serious Illness Conversations: A Cluster Randomised Trial. J CME. 2024 Nov 3;13(1):2420475. doi: 10.1080/28338073.2024.2420475. eCollection 2024. PMID 39502858
- DERIVEDMa JE, Lowe J, Berkowitz C, Kim A, Togo I, Musser RC, Fischer J, Shah K, Ibrahim S, Bosworth HB, Totten AM, Dolor R. Provider Interaction With an Electronic Health Record Notification to Identify Eligible Patients for a Cluster Randomized Trial of Advance Care Planning in Primary Care: Secondary Analysis. J Med Internet Res. 2023 May 12;25:e41884. doi: 10.2196/41884.