Advance Care Planning, End-of-Life Preferences, and Burdensome Care: A Pragmatic Cluster Randomized Clinical Trial.

ABSTRACT:

Importance

Primary care is a key setting for advance care planning (ACP).

Objective

To test the effects of a multicomponent primary care-based ACP intervention (SHARING Choices) on documented end-of-life preferences and potentially burdensome care at end of life.

Design, setting, and participants

This pragmatic cluster randomized clinical trial in primary care practices from 2 health systems was conducted between March 2021 and April 2022. Adults 65 years and older with a scheduled in-person or telehealth visit with clinicians from participating practices were eligible for inclusion.

Interventions

The treatment protocol encompassed an introductory letter from the clinic, access to a designated facilitator trained in ACP, a person-family agenda-setting checklist

SUBMITTER: Wolff JL 

PROVIDER: S-EPMC11612918 | biostudies-literature | 2025 Feb

REPOSITORIES: biostudies-literature