Clinical trial · Interventional
Advance Care Planning: Promoting Effective and Aligned Communication in the Elderly
Improving Advance Care Planning in Oncology: A Pragmatic, Cluster-Randomized Trial Integrating Patient Videos and Clinician Communication Training
NCT03609177CI-TRIAL-00096703ACP-PEACEcompletedN/AResults postedClinicalTrials.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)
In this research study, the investigators are working to help oncologists better serve patients by delivering more patient-centered, goal-concordant care that may improve health care delivery. \- It is expected that about 30,000 people will take part in this research study, 29,550 of these patients, the vast majority, will be included only for medical record review.
Conditions
Conditions (1)
Free-text conditions as registered, with the CancerIndex entity they were reconciled to and the match type.
| Condition (as posted) | Mapped entity | Match | Confidence |
|---|---|---|---|
| Other Cancer | — | UNRESOLVED | — |
Interventions
Interventions (3)
| Intervention | Type | Mapped drug | Match |
|---|---|---|---|
| Advance Care Planning (ACP) Decisions Videos Decisions Aids | Other | — | UNRESOLVED |
| Clinician Communication Skills Training | Other | — | UNRESOLVED |
| Video Declarations (ViDec) | Other | — | UNRESOLVED |
Design
Arms and outcomes
Arms (4)
- type
- EXPERIMENTAL
- label
- Advance Care Planning
- description
- -Survey: * A group of older patients with advanced cancer (N=450) will have a survey over the course of the 36 months of recruitment. * Participants will be provided written copies of the questions to follow along during the interviews
- interventionNames
- Other: Clinician Communication Skills Training
- Other: Advance Care Planning (ACP) Decisions Videos Decisions Aids
- type
- EXPERIMENTAL
- label
- Advance Care Planning-Video Declaration
- description
- Video Declaration: * From among this group of 450 participants, the video declaration of preferences activity will be conducted with 240 patients. * For those participants that agree to the video declaration, they will proceed with recording of their video declarations * The RA will begin by reading a standardized introduction to aid the subject do the video
- interventionNames
- Other: Clinician Communication Skills Training
- Other: Advance Care Planning (ACP) Decisions Videos Decisions Aids
Eligibility
Eligibility (as posted)
- Sex
- All
- Minimum age
- 65 Years
Show eligibility criteria text
Inclusion Criteria for clinics: Clinic eligibility criteria include: * More than one oncologist * Serve a patient population that is at least 30% aged 65 or older * Disease-based oncology clinic Subject Eligibility: (for the in-person surveys): \- Any patient affiliated with one of the study clinics who speaks English and is aged 65 or older with advanced cancer is eligible for participation. Advanced cancer is defined as metastatic disease for solid tumors and recurrent or refractory disease for hematological malignancies. There are no exclusions based on gender, race, or ethnicity. Exclusion Criteria: * Adults unable to consent * Individuals who are not yet adults (infants, children, teenagers) * Pregnant women * Prisoners
References
Publications (3)
- DERIVEDVolandes AE, Chang Y, Lakin JR, Paasche-Orlow MK, Lindvall C, Zupanc SN, Martins-Welch D, Carney MT, Burns EA, Itty J, Emmert-Tangredi K, Martin NJ, Sanghani S, Tilburt J, Pollak KI, Davis AD, Garde C, Barry MJ, El-Jawahri A, Quintiliani L, Sciacca K, Goldman J, Tulsky JA. An Intervention to Increase Advance Care Planning Among Older Adults With Advanced Cancer: A Randomized Clinical Trial. JAMA Netw Open. 2025 May 1;8(5):e259150. doi: 10.1001/jamanetworkopen.2025.9150. PMID 40343696
- DERIVEDLakin JR, Gundersen DA, Lindvall C, Paasche-Orlow MK, Tulsky JA, Brannen EN, Pollak KI, Kennedy D, McLeggon JA, Stout JJ, Volandes A; ACP-PEACE Investigators. A Yet Unrealized Promise: Structured Advance Care Planning Elements in the Electronic Health Record. J Palliat Med. 2021 Aug;24(8):1221-1225. doi: 10.1089/jpm.2020.0774. Epub 2021 Apr 7. PMID 33826860
- DERIVEDLakin JR, Brannen EN, Tulsky JA, Paasche-Orlow MK, Lindvall C, Chang Y, Gundersen DA, El-Jawahri A, Volandes A; ACP-PEACE Investigators. Advance Care Planning: Promoting Effective and Aligned Communication in the Elderly (ACP-PEACE): the study protocol for a pragmatic stepped-wedge trial of older patients with cancer. BMJ Open. 2020 Jul 14;10(7):e040999. doi: 10.1136/bmjopen-2020-040999. PMID 32665394