Coaches Activating, Reaching, and Engaging Patients to Engage in Advance Care Planning: A Randomized Clinical Trial.

ABSTRACT:

Importance

Advance care planning (ACP) remains low among patients with advanced cancer. Multilevel interventions compared with clinician-level interventions may be more effective in improving ACP.

Objective

To evaluate whether a multilevel intervention could improve clinician-documented ACP compared with a clinician-level intervention alone.

Design, setting, and participants

This randomized clinical trial, performed from September 12, 2019, through May 12, 2021, included adults with advanced genitourinary cancers at an academic, tertiary hospital. Data analysis was performed by intention to treat from May 1 to August 10, 2023.

Intervention

Participants were randomized 1:1 to a 6-month patient-level lay health worker structured ACP education along with a clinici

SUBMITTER: Rodriguez GM 

PROVIDER: S-EPMC11117149 | biostudies-literature | 2024 Jul

REPOSITORIES: biostudies-literature