Clinical trial · Interventional
Project to Improve Communication About Serious Illness - Pilot Study
Using the Electronic Health Record to Identify and Promote Goals-of-Care Communication
- 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 two-year pilot study will test whether a one-page "Jumpstart Form" will affect goals-of-care discussions in the hospital. This form will be provided to clinicians and will include patient-specific information about preferences for goals-of-care communication and for care, as well as tips to improve this communication. Jumpstart forms will also be provided to patients or, if they are unable to communicate, their surrogates/family members. The information on the form will be obtained from questionnaires. The form is tailored to help patients and surrogates talk with clinicians about goals of care. This study is based on a successful application of Jumpstart Form in the outpatient clinic setting.
Conditions
Conditions (10)
Free-text conditions as registered, with the CancerIndex entity they were reconciled to and the match type.
| Condition (as posted) | Mapped entity | Match | Confidence |
|---|---|---|---|
| Congestive Heart Failure | — | UNRESOLVED | — |
| Dementia | — | UNRESOLVED | — |
| Diabetes Complications | — | UNRESOLVED | — |
| Frail Elderly | — | UNRESOLVED | — |
| Leukemia, Lymphocytic, Chronic, B-Cell | Leukemia | ONTOLOGY_EXACT | 0.85 |
| Liver Failures, Chronic | — | UNRESOLVED | — |
| Lung Disease Chronic | — | UNRESOLVED | — |
| Malignant Neoplasm | Malignant Neoplasm | ONTOLOGY_EXACT | 0.90 |
| Peripheral Vascular Disease | — | UNRESOLVED |
Interventions
Interventions (1)
| Intervention | Type | Mapped drug | Match |
|---|---|---|---|
| Jumpstart Intervention | Behavioral | — | UNRESOLVED |
Design
Arms and outcomes
Arms (2)
- type
- EXPERIMENTAL
- label
- Jumpstart Intervention
- interventionNames
- Behavioral: Jumpstart Intervention
- type
- NO_INTERVENTION
- label
- Usual Inpatient Hospital Care
Primary outcomes (1)
- measure
- Documentation of Goals of Care
- timeFrame
- At hospital discharge, an average of 2 weeks
- description
- Presence of documentation of goals of care discussions in the patient's electronic health record during the index hospitalization
Eligibility
Eligibility (as posted)
- Sex
- All
- Minimum age
- 18 Years
Show eligibility criteria text
Inclusion Criteria, Patients: meeting criteria for serious illness (encompassing multiple acute and chronic illnesses) including: * those used by the Dartmouth Atlas to study end-of-life care in the US: malignant cancer/leukemia, chronic pulmonary disease, coronary artery disease, congestive heart failure, chronic liver disease, chronic renal disease, dementia, diabetes with end-organ damage, and peripheral vascular disease. * patients over age 65 with markers of frailty: albumin level \<3.0 within 48 hours of admission and weight loss of ≥10 pounds in the past year. * hospitalized patients over age 80. * English-speaking Exclusion Criteria, Patients: * unable to complete informed consent procedures and do not have a legal next of kin * restricted information status (e.g. prisoners) * pregnant Inclusion Criteria, Surrogates: * involved in the care of an eligible patient as the legal next-of-kin * English-speaking Exclusion Criteria, Surrogates: * unable to complete informed consent procedures
References
Publications (1)
- DERIVEDLee RY, Kross EK, Downey L, Paul SR, Heywood J, Nielsen EL, Okimoto K, Brumback LC, Merel SE, Engelberg RA, Curtis JR. Efficacy of a Communication-Priming Intervention on Documented Goals-of-Care Discussions in Hospitalized Patients With Serious Illness: A Randomized Clinical Trial. JAMA Netw Open. 2022 Apr 1;5(4):e225088. doi: 10.1001/jamanetworkopen.2022.5088. PMID 35363271