Overview

This trial is active, not recruiting.

Condition failure to thrive
Treatment training
Sponsor Brigham and Women's Hospital
Collaborator Partners HealthCare
Start date March 2014
End date December 2016
Trial size 194 participants
Trial identifier NCT02879357, 2014P000211

Summary

The hypothesis of the Serious Illness Care Program (SICP) is that adherence to the Serious Illness Conversation Guide (SICG) portion, the SIGC, will enhance patient understanding and allow control over their own decisions, relieve burdens of decision-making on family members, and help patients achieve a state of peace as they approach the end of life.

United States No locations recruiting
Other Countries No locations recruiting

Study Design

Allocation non-randomized
Intervention model parallel assignment
Masking open label
Primary purpose health services research
Arm
(Experimental)
Training in Serious Illness Communication Guide
training
Clinician training System for patient selection System of "triggering" and tracking conversations Training on how to use the Serious Illness Care Guide, a guide for patients about initiating conversations with family members about end-of-life goals and values Longitudinal Medical Record (LMR) documentation module to serve as a "Single source of truth" about advance care preferences in the LMR.
(No Intervention)
No training in Serious Illness Communication Guide

Primary Outcomes

Measure
Percentage of eligible patients with documented goals of care conversations
time frame: from date of determination of eligibility to date of death death during the study period, assessed for up to 18 months

Secondary Outcomes

Measure
Median number of days before death of first documented goals of care conversation
time frame: from date of determination of eligibility to date of death during the study period, assessed for up to 18 months
Percentage of eligible patients with more comprehensive documentation of goals of care before death
time frame: from date of determination of eligibility to date of death during study period, assessed for up to 18 months

Eligibility Criteria

Male or female participants at least 18 years old.

Clinician Inclusion Criteria: 1. Brigham and Women's Hospital or Newton Wellesley Primary Care Clinician at one of the following practices: The Phyllis Jen Center for Primary Care, Faulkner Community Physicians, Brigham and Women's Physician Group, Brigham & Women's Primary Care Associates of Brookline, Brigham Circle Medical Associates, Faulkner 2. Care for patients enrolled in Brigham and Women's Hospital integrated Care Management Program (iCMP) Clinician Exclusion Criteria: 1. Resident in Training 2. Non-English Speaking Clinic (e.g. Spanish Clinic) Patient Inclusion Criteria: 1. Over 18 years of age 2. English Speaker 3. Patient at Brigham and Women's Hospital or Newton Wellesley Primary Care Clinician at one of the following practices: The Phyllis Jen Center for Primary Care, Faulkner Community Physicians, Brigham and Women's Physician Group, Brigham & Women's Primary Care Associates of Brookline, Brigham Circle Medical Associates, Faulkner 4. Enrolled in Brigham and Women's Hospital integrated Care Management Program Patient Exclusion Criteria: 1. Patient at Dana-Farber Cancer Institute

Additional Information

Official title Palliative Care Population Management Project for Integrated Care Management Program for High-Risk Patients
Principal investigator Rachelle E Bernacki, MD
Description The aim of the Serious Illness Care Program (SICP) is to provide clinicians with an evidence-based structure for eliciting and documenting vital information about preferences for patient driven care of their serious illness. It is designed to help open the door for patients, families, and clinicians to talk and reflect on end-of-life issues in an ongoing way. The hypothesis of the Serious Illness Care Program is that adherence to the conversation guide portion, the SIGC, will enhance patient understanding and allow control over their own decisions, relieve burdens of decision-making on family members, and help patients achieve a state of peace as they approach the end of life. For this protocol specifically, the investigators are testing a pilot intervention of a quality improvement project; the investigators plan to train clinicians and assess the feasibility and impact of the Serious Illness Care Program, which includes patient identification, clinician training, "triggering" of clinicians to conduct the SICG conversation, and documentation, in the iCMP at the Brigham and Women's Hospital.
Trial information was received from ClinicalTrials.gov and was last updated in August 2016.
Information provided to ClinicalTrials.gov by Brigham and Women's Hospital.