Consumer Engagement to Increase Advance Care Planning: Patient Randomization

NCT02418403 — Phase 2 / Phase 3, Completed, 376 participants, University of Pittsburgh

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

Registry	NCT02418403
Status	Completed
Phase	Phase 2 / Phase 3
Study type	Interventional; randomized, single group, masking: double, health services research
Enrollment	376 (Actual)
Sponsor	University of Pittsburgh (Other)
Conditions	Advance Care Planning
Interventions	Financial incentive, Educational website (Behavioral)
Dates	start 2015-03-01, primary completion 2015-07-01, completion 2015-08-01, first posted 2015-04-16, last updated 2017-06-15
Locations	1 site in United States

-Summary

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

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+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.

+Arms and interventions

Arm	Type	Interventions	Description
PREPARE	Active comparator	Behavioral: Educational website	Access to "Prepare for Your Care" website and written encouragement to discuss ACP with one's PCP.
PREPARE+financial incentive	Experimental	Behavioral: Financial incentive; Behavioral: Educational website	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.

Financial incentive (Behavioral): Offer of money designed to overcome barriers to advance care planning.
Educational website (Behavioral): Research-verson of the "Prepare for your care" website (www.prepareforyourcare.org)

+Outcome measures

Primary outcomes

Having an advance care planning conversation with one's primary care provider [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.

Secondary outcomes

Completion of "Prepare for Your Care" website modules [3 months]: Logging into the website, completing the modules, and creating an action plan

+Eligibility

Sex: All, ages: 65 Years to 75 Years

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

+Locations (1)

Facility	City	Country	Status
Partnership HealthPlan of California	Fairfield, California	United States

+Investigators

Amber Barnato, MD MPH MS, Principal investigator, University of Pittsburgh

My Notes

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