NCT03037346

Impact of a Systematic Social Work Driven Approach on Medical Power of Attorney Documentation, Knowledge, Attitudes, and Beliefs in Participants With Stage I-IV Gynecological Cancers

Preparing Patients and Family Caregivers for Medical Decision Making: Evaluating the Impact of a Systematic Social Work Driven Approach on Medical Power of Attorney Documentation, Knowledge, Attitudes and Beliefs

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 731 (actual)
• Sponsor: M.D. Anderson Cancer Center · Academic / Other
• Sex: All
• Age: 18 Years
• Healthy volunteers: Accepted

Summary

This trial evaluates the impact of a systemic social work driven approach on medical power of attorney documentation, knowledge, attitudes, and beliefs in participants with stage I-IV gynecological cancers. Social work counseling and education may help increase the number of participants who complete medical power of attorney documents. Counseling and education may also affect attitudes about decision-making and willingness to take part in these conversations in participants with stage I-IV gynecological cancers and their family members and/or caregivers.

Detailed description

PRIMARY OBJECTIVES: I. To evaluate medical power of attorney documents (MPOAD) completion rate after a systematic social work counseling and education clinical process. SECONDARY OBJECTIVES: I. To determine change in medical power of attorney (MPOA)/primary family caregivers' knowledge, attitudes and beliefs about conditions for quality surrogate medical decision-making (MDM). II. To determine change in MPOA/primary family caregivers' knowledge of patients' values and goals for MDM. III. Evaluate patients' and MPOA/primary family caregivers' willingness to participate in future advance care planning discussions to discuss patients' values and goals important to MDM. IV. Evaluate predictors of patient subgroups most likely to respond to the social work counseling and education clinical process. V. Explore aspects of the Spanish language version of the advance care planning engagement survey to inform future validation studies. OUTLINE: Participants (patients and family caregiver/MPOA) complete questionnaires about knowledge, attitudes, and beliefs of MPOAD. Participants without a MPOAD watch a 4-minute educational video about the importance of the role of MPOA. After completion of intervention, participants are followed up at 3 months.

Conditions

• Caregiver
• Malignant Female Reproductive System Neoplasm

Interventions

Type	Name	Description
OTHER	Questionnaire Administration	Complete questionnaires about MPOAD
OTHER	Questionnaire Administration	Ancillary studies
OTHER	Video	Watch educational video

Timeline

• Start date: 2017-07-17
• Primary completion: 2024-12-16
• Completion: 2024-12-16
• First posted: 2017-01-31
• Last updated: 2025-05-02

Locations

1 site across 1 country: United States