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Advancing Ethical Goals In Society Trial

ACP Educator Video Program to Promote Goal-Concordant Care in Older Patients and Those With Alzheimer's Disease and Related Dementias: Advancing Ethical Goals In Society (AEGIS)

Who can join

As published by the study on ClinicalTrials.gov. "Not stated" means the study hasn't said — ask the study team.

Age
65 Years and older
Sex
All sexes
Healthy volunteers
Not accepted
Compensation
Not stated

Other requirements are listed under Eligibility below. Only the study team can confirm whether you can join.

What to expect

No one can promise a trial will help you personally — that is what the research is trying to find out.

What participation involves

Not stated in the study description — ask the study team about visits and procedures.

Compensation
Not stated
  • Study-related exams and procedures are typically provided at no cost. This is how many trials work in general — confirm the details for this study with the study team.
  • Participants are monitored closely by the research team throughout the study.
  • Some participants may receive access to an investigational treatment, which is still being studied.
  • Your participation helps researchers learn whether this approach could help future patients.

About this study

In plain language

This study tests whether videos and meetings with care-planning counselors help older adults get medical care that matches their wishes. It is for adults age 65 or older who have Alzheimer's disease or related dementia, have a higher risk of dying, or are age 90 or older. Everyone gets routine care, but one group starts the program right away and the other starts two years later.

The goal of this clinical trial is to make sure that the values of older persons aged 65 years or older with Alzheimer's Disease and Related Dementias (ADRD) or increased risk of mortality are known and respected, thereby reducing the burden of intrusive, unwanted medical interventions on their lives. The main aims of the study are: * To assess the impact of our Advance Care Planning (ACP) Counselor Video Program on ACP documentation and receipt of goal-concordant care in a diverse sample of older adults with ADRD or other serious illness * To compare resuscitation preferences, hospice use, healthcare utilization and costs Researchers will randomize participants into two groups. All participants will continue to receive routine care. Participants randomized to the Immediate-Start Intervention group will be offered the ACP Counselor Video Program during both Phase 1 and Phase 2. Participants randomized to the Routine Care/Delayed-Start Intervention group will receive routine care alone during Phase 1 and will be offered the ACP Counselor Video Program beginning in Phase 2. Each phase will last two years. Both groups will have access to the intervention during Phase 2. During the intervention, participants will: * Meet with ACP counselors * Watch ACP videos.

Compensation is read from the study's own description and may be missing — always confirm with the study team.

Eligibility

Who can join

  • Be age 65 or older.
  • Have at least one qualifying outpatient visit in the past 12 months—a visit without a hospital stay.
  • Meet at least one of these conditions: have Alzheimer's disease or related dementia (problems with memory and thinking); have at least a 20% estimated chance of dying within one year, based on the health system's risk tool; or be age 90 or older.

Who can't join

  • Receive hospice care, which focuses on comfort near the end of life.
  • Receive care through the Program of All-Inclusive Care for the Elderly (PACE).
  • Live mainly in a skilled nursing facility, where staff provide nursing care.
  • Be in jail or prison.

Simplified for readability. The official criteria below are what the study team uses.

Official eligibility criteria

Inclusion Criteria: as ascertained within a month of randomization * Age ≥65 years as of the cohort eligibility/index date * At least one qualifying ambulatory encounter during the 12-month assessment window * One of the following 1. Diagnosed with Alzheimer's Disease or Related Dementias (ADRD) based on a pre-specified ICD-10 code list, or 2. Estimated 1-year mortality risk of at least 20%, based on a prespecified health-system mortality-risk algorithm, or 3. Age 90 and above Exclusion Criteria: * Patients receiving hospice or program of All-Inclusive Care for the Elderly (PACE) * Patients who primarily reside in a skilled nursing facility * Incarcerated patients

Study sites (2)

NH

NY