At a glance
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Sharing Healthcare Wishes in Primary Care
In Brief
A clinical study evaluating Sharing Healthcare Wishes in Primary Care (SHARE) and Minimally Enhanced Usual Care for Cognitive Impairment. Completed, enrolled 273 participants across 9 sites.
Detailed Summary
This study evaluates the efficacy of Sharing Healthcare Wishes in Primary Care (SHARE), a two-group randomized trial at up to 9 primary care practices in which 124 dyads receive a control protocol of minimally enhanced usual care and 124 dyads receive the SHARE protocol. This study tests the efficacy of SHARE on quality of communication (primary outcome) and advance care planning processes (secondary outcomes) at 6 months among primary care patients with cognitive impairment (mild-severe) and family caregiver dyads. For patients who die while enrolled in the study by 24 months, this study examines the quality of end-of-life care and bereaved family caregiver experiences with medical decision-making (secondary outcomes).
Study Details
Timeline
Interventions
SHARE is a multicomponent communication intervention to proactively engage family members or friends to support advance care planning in primary care.
Minimally enhanced usual care participants are provided with print educational materials that include a 44-page brochure developed by the National Institute on Aging entitled "A Guide for Older People: Talking with your Doctor" and a blank easy-to-complete advance directive.