Engaging English- and Spanish-speaking older adults with and without possible cognitive impairment in advance care planning group visits: protocol for the ENgaging in Advance Care Planning Talks (ENACT) randomized controlled trial.

ABSTRACT:

Background

Advance care planning (ACP) helps patients identify and communicate their preferences for medical care and prepares them for decision-making related to future care. While ACP is recommended for older adults with cognitive impairment, few interventions have been tested in primary care for this population. The ENACT trial tests the efficacy of the ENgaging in Advance Care planning Talks (ENACT) Group Visits intervention, which engages older adults with and without possible cognitive impairment in group medical visits focused on the ACP process.

Methods

This two-arm randomized trial compares the efficacy of the ENACT Group Visits intervention arm to a control arm at 6-month follow-up. The trial will enroll at least 480 patients across 8 primary care clinics. Notable

SUBMITTER: Farro SA 

PROVIDER: S-EPMC12465542 | biostudies-literature | 2025 Sep

REPOSITORIES: biostudies-literature