NCT03676426

Comparison of a Web-based Advance Directive to a Standard Advance Directive

Comparison of a Web-based Advance Directive to a Standard Advance Directive: Randomized Evaluation

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 90 (actual)
• Sponsor: University of Pennsylvania · Academic / Other
• Sex: All
• Age: —
• Healthy volunteers: Not accepted

Summary

This study will compare a web-based advance directive to a standard advance directive.

Detailed description

Patients with GI and thoracic malignancies will be randomized to either a standard paper advance directive or the web advance directive (Ourcarewishes.org). Patients will be approached in the Cancer Center and provided the AD information to complete on their own. They will complete a survey at enrollment and a follow up survey administered by email. The primary endpoint will be proportion with new documentation in the EHR at 8 weeks. Second endpoints will include the change in satisfaction with end-of-life plans, AD acceptability, self-reported rates of completion, self-reported rate of sharing with their preferred surrogate decision-maker, proportion with new documentation of preferred decision-maker in the chart, and qualitative feedback. Patients in both groups will receive follow up reminder emails encouraging them to complete the advance directive.

Conditions

• GI Cancer
• Thoracic Cancer

Interventions

Type	Name	Description
OTHER	Web platform for advance care planning/advance directive	Ourcarewishes (OCW) is a web-based platform to document advance care planning based at Penn. OCW contains more detailed content on preferences and values than a standard advance directive and allows electronic sharing with loved ones and transmission to the Penn EHR.
OTHER	Standard advance directive	Patients receive a paper copy of an advance directive used by social workers at Penn Medicine and are encouraged to complete on their own.

Timeline

• Start date: 2018-10-15
• Primary completion: 2019-10-20
• Completion: 2020-02-20
• First posted: 2018-09-18
• Last updated: 2020-05-07

Locations

1 site across 1 country: United States