Consumer Engagement to Increase Advance Care Planning: Patient Randomization

June 13, 2017 updated by: Amber Barnato, MD, MPH, MS, University of Pittsburgh

Consumer-directed Financial Incentives to Increase Advance Care Planning Among Medi-Cal Patients

This is a study of the effect of consumer-directed financial incentives on completion of advance care planning among Medi-Cal patients.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

Older adults receiving primary care from one of three clinics contracting with Partnership HealthPlan of California, a multi-county Medi-Cal managed care plan will be mass randomized to receiving educational materials regarding advance care planning with or without a financial reward for completing advance care planning.

Study Type

Interventional

Enrollment (Actual)

376

Phase

  • Phase 2
  • Phase 3

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • United States
    • California
      • Fairfield, California, United States, 94534-1675
        • Partnership HealthPlan of California

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

65 years to 75 years (Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • Partnership HealthPlan of California enrollee
  • Receipt of primary care from one of 3 participating clinics (Ole, Petaluma, West County)
  • Age > 65

Exclusion Criteria:

  • > 75

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Health Services Research
  • Allocation: Randomized
  • Interventional Model: Single Group Assignment
  • Masking: Double

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Active Comparator: PREPARE
Access to "Prepare for Your Care" website and written encouragement to discuss ACP with one's PCP.
Behavioral: Educational website
Research-verson of the "Prepare for your care" website (www.prepareforyourcare.org)
Experimental: PREPARE+financial incentive
Access to "Prepare for Your Care" website and written encouragement to discuss ACP with one's PCP; offer of $50 to complete the website and entry into $1000 lottery for discussing ACP with one's PCP.
Behavioral: Educational website
Research-verson of the "Prepare for your care" website (www.prepareforyourcare.org)
Behavioral: Financial incentive
Offer of money designed to overcome barriers to advance care planning.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Having an advance care planning conversation with one's primary care provider
Time Frame: 3 months
Primary care providers' documentation of an advance care planning conversation in the chart and/or via a Partnership HealthPlan of California ACP attestation form.
3 months

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Completion of "Prepare for Your Care" website modules
Time Frame: 3 months
Logging into the website, completing the modules, and creating an action plan
3 months

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

University of Pittsburgh

Investigators

  • Principal Investigator: Amber Barnato, MD MPH MS, University of Pittsburgh

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

March 1, 2015

Primary Completion (Actual)

July 1, 2015

Study Completion (Actual)

August 1, 2015

Study Registration Dates

First Submitted

April 13, 2015

First Submitted That Met QC Criteria

April 15, 2015

First Posted (Estimate)

April 16, 2015

Study Record Updates

Last Update Posted (Actual)

June 15, 2017

Last Update Submitted That Met QC Criteria

June 13, 2017

Last Verified

June 1, 2017

More Information

Terms related to this study

Other Study ID Numbers

  • PRO14110340

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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