ACP Video Intervention for Patients With Life-Limiting Illness

ACP is a process that allows patients to communicate their wishes and preferences or medical care, when they are seriously ill, to their medical providers. The study investigators would like to assess whether a home-ACP video can improve patient-clinician communication about patients wishes for their medical care and lead to more patient-centered care.

This study is a randomized clinical trial of a Home-ACP intervention among 500 adult patients with serious illness receiving medical care at home with the Clover Health House Calls Program. Study participants will be assigned to one of two groups. In one group, participants will continue to receive usual care with their home-based care team. In the second group, participants will continue to receive their usual care with their home-based care team and also view an ACP video that helps them understand ACP and provides education about ACP and hospice care.

• Hospice length of stay [Срок оценки: up to one year follow-up or death]
• Rates of documented resuscitation preferences in the Electronic Health Record [Срок оценки: up to one year follow-up or death]
• Rates of Advance Care Planning documentation in the Electronic Health Record [Срок оценки: up to one year follow-up or death]
• Patient knowledge about Advance Care Planning [Срок оценки: Up to two days following the intervention visit]
• Patient reported confidence in care [Срок оценки: up to two days following the intervention visit]
• Patient reported satisfaction with clinician communication [Срок оценки: up to two days following the intervention visit]
• Patient reported decisional satisfaction [Срок оценки: up to two days following the intervention visit]
• Patient reported decisional certainty [Срок оценки: up to two days following the intervention visit]