Advance Directives, Palliative Care
Conditions
Keywords
supportive care, palliative care, goals of care, advance care planning, advance directives
Brief summary
Our goal is to compare two types of advance directives forms available in English and Spanish to determine which is more easy to use for patients.
Detailed description
Step1: Any adult participant who is interested in completing advance directives and able to read and write in English and or Spanish will be eligible to participate in the study Step 2: Online Stanford consent form will be presented before the participants. Only after they read the consent and click on the participation link will they be able to enter the study.Those who are willing to participate will be randomly assigned to either the letter or traditional advance directives in Spanish and study measures. They will also answer questions as to how much they liked and understood the documents. Step 4: The investigators will collect data until the investigators reach an n=1000 Step 5: The investigators will analyze the results and submit for publication. In this protocol, we are assessing whether patients prefer the traditional advance directives or the letter directive. As it is just an questionnaire based study, there no risk for patients.
Interventions
OTHERRandomized clinical study
Participants will be randomly assigned to one of two advance directives and we will assess which they prefer. This is not a human health intervention
Sponsors
Stanford University
Study design
Allocation
RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
OTHER
Masking
DOUBLE (Subject, Investigator)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Over 18 years of age
Exclusion criteria
* Under 18
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Ease of use of Questionnaire. more patient-centered and family oriented | 1year | It was easy to read and understand the form of advance directive .◦This is a feasibility trail. On completion of the advance directive they were assigned ( letter directive or traditional directive, we are asking questions to participants about whether the directive was clear and easy to understand). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Ease of use about the type of treatment and care. | 1year | Advance form stimulated my own thinking about the type of treatment and care they wish to receive in my last days of life. |
| Ease of use about letting my doctors about my wishes. | 1 year | This form can help my doctors understand what treatments would like to receive and what not wish to receive in my last days of life ( resuscitation , respirators , artificial feeding , renal dialysis). |
| Ease of use if I cannot make decisions for myself then the form says it. | 1 year | In the future, if I can not make decisions for myself, this form will help my family / friends understand exactly what treatments ( resuscitation , respirators , artificial feeding , renal dialysis) would like to receive and what treatments do not wish to receive so they can make decisions medical for me. |
| Ease of use to describe how decisions are made | 1year | Advance form helped me to describe how decisions are made |
| Ease of use of the form itself. | 1 year | I feel comfortable using form for advance care planning . |
| Ease of use and the comments participants may have. | 1 year | Any comments participants may have about the form of advance directive ? What can investigators do for patients and their families understand it better? |
| Ease of use about my future preferences. | 1 year | There were issues with my future preferences that were not covered in the form of advance directive . |
Countries
United States
Contacts
Primary ContactVJ Periyakoil, MD
Outcome results
None listed