[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100559518":3},{"organization":4,"armGroups":7,"interventions":20,"overallOfficials":32,"centralContacts":40,"locations":49,"responsibleParty":70,"collaborators":73,"id":78,"slug":79,"hasResults":80,"nctId":81,"briefTitle":82,"officialTitle":83,"acronym":27,"eligibilityCriteria":84,"healthyVolunteers":80,"sex":85,"minAge":86,"maxAge":87,"enrollmentInfo":88,"targetDuration":31,"studyType":91,"phases":92,"briefSummary":94,"conditions":95,"keywords":100,"overallStatus":51,"whyStopped":31,"lastUpdateSubmitDate":105,"lastUpdatePostDateStruct":106,"startDateStruct":109,"completionDateStruct":111,"leadSponsor":113,"locationsCount":114},{"fullName":5,"class":6},"University of Pittsburgh","OTHER",[8,14],{"label":9,"type":10,"description":11,"interventionNames":12},"Intervention: Advance Care Planning Training","EXPERIMENTAL","1. Dementia-specific education: Stage-specific findings and challenges, including AD\u002FADRD staging, capacity assessment, symptom burden, hospice guidelines, etc - 10-minute didactics, delivered via video conferencing and via the website\n2. ACP communication skills: Context-specific skills and tips on how to slow down, set the communication stage, active listening, respect for personhood and cultural norms, and common, useful language to prepare patients and families- 10-minute didactics, delivered via video conferencing and via the website\n3. Clinical implementation support: Coding and billing information for ACP and ACP templates, an action plan for each team member participant, monthly ACP audit-and-feedback to participants, monthly coaching sessions, site champion, refresher sessions, and educational in-services as needed - Resources at the end of the training session, available on the website, monthly feedback reports on ACP practices, periodic coaching",[13],"Behavioral: Primary Care Team Advance Care Planning With People with Alzheimer's Disease or a Related Dementia Training",{"label":15,"type":16,"description":17,"interventionNames":18},"Care as Usual: No Training","ACTIVE_COMPARATOR","These primary care teams will not receive the Advance Care Planning training. Clinics randomized to the control arm will have access to voluntary, routine ACP training sessions provided by UNC HEALTH. We will provide the control clinics summary reports of their ACP practice outcomes at the end of the 18-month follow-up period, which can be used in future practice improvement efforts.",[19],"Behavioral: Care as Usual",[21,28],{"type":22,"name":23,"description":24,"armGroupLabels":25,"otherNames":26},"BEHAVIORAL","Primary Care Team Advance Care Planning With People with Alzheimer's Disease or a Related Dementia Training","Included in arm\u002Fgroup descriptions",[9],[27],"AD-ACP",{"type":22,"name":29,"description":24,"armGroupLabels":30,"otherNames":31},"Care as Usual",[15],null,[33,37],{"name":34,"affiliation":35,"role":36},"Christine E. Kistler, MD, MASc","University of Pittsburgh, Department of Medicine, Division of Geriatric Medicine","PRINCIPAL_INVESTIGATOR",{"name":38,"affiliation":39,"role":36},"Laura C. Hanson, MD, MPH","University of North Carolina, Chapel Hill",[41,45],{"name":34,"role":42,"phone":43,"phoneExt":31,"email":44},"CONTACT","412-286-2507","KISTLERC@pitt.edu",{"name":46,"role":42,"phone":47,"phoneExt":31,"email":48},"Janelle J. Christensen, PhD, MPH","412-692-2481","jjc157@pitt.edu",[50],{"facility":39,"status":51,"city":52,"state":53,"zip":54,"country":55,"countryCode":56,"cosmosGeoPoint":57,"geoPoint":62,"contacts":63},"RECRUITING","Chapel Hill","North Carolina","27599","United States","US",{"type":58,"coordinates":59},"Point",[60,61],-79.05584,35.9132,{"lat":61,"lon":60},[64,66],{"name":38,"role":42,"phone":31,"phoneExt":31,"email":65},"laura_hanson@med.unc.edu",{"name":67,"role":42,"phone":68,"phoneExt":31,"email":69},"Kathryn Wessell, MPH","919-966-2939","kwessell@email.unc.edu",{"type":36,"investigatorFullName":71,"investigatorTitle":72,"investigatorAffiliation":5,"oldNameTitle":31,"oldOrganization":31},"Chrissy Kistler","Associate Professor",[74,75],{"name":39,"class":6},{"name":76,"class":77},"National Institute on Aging (NIA)","NIH","100559518","improving-pcp-advance-care-planning-for-people-with-adrd-100559518",false,"NCT06565169","Improving PCP Advance Care Planning for People With ADRD","Improving Primary Care Clinician's Advance Care Planning Alzheimer's Disease and Related Dementias","Inclusion Criteria:\n\nPrimary care team member (PCTM) eligibility:\n\n* Must be an MD\u002FAPP, employed at a primary care clinic within UNC HEALTH clinics with ≥60 PLwD encounters per year, who sees older adult patients, along with their associated nurses and social workers.\n* Eligibility for training with AD ACP Toolkit will include the above and the provision of care at an intervention clinic.\n* For Aim 3, only the trained intervention site primary care team members will be eligible for the implementation surveys or the interviews.\n\nPLwD eligibility:\n\n* Must be a PLwD age 65 years or older seen by either the intervention or control sites' primary care teams' MD\u002FAPP in the 18-month intervention window for Aim 1.\n* PLwD will be eligible only after we confirm the presence of the AD\u002FADRD diagnosis.\n* All PLwD with a ≥50% 5-year all-cause mortality risk seen by the PCTM MD\u002FAPP over the 18-month intervention period will be eligible for the healthcare utilization analyses in Aim 2.\n\nExclusion Criteria:\n\nPrimary care team member exclusion criteria:\n\n* We will exclude primary care team members who do not care for older adults (e.g. pediatricians or lactation nurses), are employed at geriatric specialty or dementia specialty clinics, or are without a primary care panel (e.g., only urgent care).\n\nPLwD exclusion criteria:\n\n* Patients will be excluded if they have not been seen in the past 18 months by their primary care team, or if they do not have a diagnosis of ADRD.","ALL","18 Years","99 Years",{"count":89,"type":90},120,"ESTIMATED","INTERVENTIONAL",[93],"NA","This study will test the Dementia Advance Care Planning (AD ACP) Toolkit intervention to usual care in facilitating goals of care (GOC) discussions between People Living with Dementia (PLwD) and primary care team members over an 18-month period. The primary outcome is to assess the frequency and quality of GOC discussions with PLwD. Secondary outcomes include the identification of preferred surrogates, assessment of decisional capacity, and the completion of portable ACP orders. This randomized clinical trial aims to determine if the AD ACP Toolkit can enhance ACP practices and improve care planning outcomes for PLwD compared to the standard care approach.",[96,97,98,99],"Alzheimer Disease","Dementia","Alzheimer's Disease (Incl Subtypes)","Aging",[101,102,103,104],"Advance Care Planning","Primary Care","Goals of Care","Communication","2026-04-09",{"date":107,"type":108},"2026-04-14","ACTUAL",{"date":110,"type":108},"2025-03-19",{"date":112,"type":90},"2028-05-31",{"name":5,"class":6},1]