RECRUITING

Jumpstarting Advance Care Planning With ANAI People

Study Overview

This clinical trial focuses on testing the efficacy of different digital interventions to promote re-engagement in cancer-related long-term follow-up care for adolescent and young adult (AYA) survivors of childhood cancer.

Description

The older Alaska Native/American Indian (ANAI) population is increasing at twice the rate of the general population with a higher burden of serious illness. Older ANAI adults with serious illness are half as likely to have advance directives (AD), indicating a need for improved access to and utilization of advance care planning (ACP) to ensure that medical care aligns with the values, goals, and preferences of ANAI patients and their families throughout the illness trajectory. The major goals of this cluster randomized trial (CRT) are to (1) evaluate the comparative effectiveness of usual care and JUMPSTART- ANAI, a culturally tailored ACP communication intervention, for prompting patient-driven ACP conversations between ANAI adults and primary care providers and to (1) identify key factors to successfully implement the intervention in health systems serving ANAI adults with serious illness.

Official Title

Jumpstarting Culturally-informed Advance Care Planning With ANAI People in Primary Care

Quick Facts

Study Start:2025-04-01
Study Completion:2027-05-30
Study Type:Not specified
Phase:Not Applicable
Enrollment:Not specified
Status:RECRUITING

Study ID

NCT06538493

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Ages Eligible for Study:40 Years
Sexes Eligible for Study:ALL
Accepts Healthy Volunteers:No
Standard Ages:ADULT, OLDER_ADULT
Inclusion CriteriaExclusion Criteria
  1. * Alaska Native and/or American Indian
  2. * Age 40 or older
  3. * Empaneled to a Southcentral Foundation primary care provider
  4. * Diagnosed with at least 1 serious illness (e.g., cancer, COPD, kidney disease)
  5. * Has made 2 or more to primary care in last 12 months
  6. * No Advance Directive documented in electronic health record
  1. * Cognitive impairment (≥ 2 errors) as assessed by the validated Short Portable Mental Status Questionnaire
  2. * Not able to complete 30-minute study visit by phone or in person

Contacts and Locations

Study Contact

Shannon Medlock
CONTACT
(907)729-6322
smedlock@scf.cc
John Trainor, PhD, MPH
CONTACT
jtrainor@scf.cc

Principal Investigator

Jennifer Shaw, PhD
PRINCIPAL_INVESTIGATOR
University of Alaska Fairbanks

Study Locations (Sites)

Southcentral Foundation
Anchorage, Alaska, 99508
United States

Collaborators and Investigators

Sponsor: Southcentral Foundation

  • Jennifer Shaw, PhD, PRINCIPAL_INVESTIGATOR, University of Alaska Fairbanks

Study Record Dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Registration Dates

Study Start Date2025-04-01
Study Completion Date2027-05-30

Study Record Updates

Study Start Date2025-04-01
Study Completion Date2027-05-30

Terms related to this study

Additional Relevant MeSH Terms

  • Advance Care Planning