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Published (Version of record)CC BY V4.0, Open Access
Published (Version of record)CC BY V4.0, Open
Journal article
Enhanced Advance care planning and life Review Longitudinal Intervention (EARLI): Protocol for a cluster randomized controlled cross-over trial of life story work and facilitated advance care planning among older Australian adults in community settings
Contemporary clinical trials, Vol.149, pp.1-9
02/2025
PMID: 39743017
Appears in Recent Faculty of Health Publications
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Abstract
Advance care planning (ACP) is potentially helpful for older adults, however, the rate of uptake in community aged care settings is low. Previous pilot studies suggest that holistic, person-centered ACP approaches may be effective for older adults who experience functional impairment but do not necessarily have life-limiting conditions with clear prognoses. This paper describes the protocol of a randomized trial to test the effectiveness of combined life story work and facilitated ACP in promoting ACP engagement among older adults receiving community aged care services.
The Enhanced Advance care planning and life Review Longitudinal Intervention (EARLI) trial is an open-label, cross-over, cluster randomized controlled trial with 12 participating aged care organizations in New South Wales and Western Australia. Participants are aged 65 years or older, receiving home care services and capable of providing informed consent at initial recruitment. Recruitment occurs across a two-year period, with study sites randomized to receive the four-session intervention in the first or second year (or a single session ‘active control’ condition). Primary outcomes are participant-reported ACP engagement and ACP documentation in the aged care client record 12 weeks post-recruitment. Secondary outcomes include measures of decisional conflict, anxiety and depression, meaning-based coping and relationship quality. Analysis will take an intention-to-treat approach.
This trial tests a novel method of reaching older adults using a holistic, person-centered approach to promoting ACP engagement. Enhancing ACP engagement may reduce decisional conflict, minimize hospital admissions and improve outcomes for people and their families.
ANZCTR Trial Registration ID: ACTRN12622001399785.
Details
- Title
- Enhanced Advance care planning and life Review Longitudinal Intervention (EARLI): Protocol for a cluster randomized controlled cross-over trial of life story work and facilitated advance care planning among older Australian adults in community settings
- Creators
- Ava Karusoo-Musumeci (Author) - Neuroscience Research Australia (NeuRA), Sydney, AustraliaLing Yeoh (Author) - Neuroscience Research Australia (NeuRA), Sydney, AustraliaRebecca Walton (Author) - Brightwater Group (Australia, Perth)Tiet-Hanh Dao-Tran (Author) - The University of QueenslandElizabeth Halcomb (Author) - University of WollongongKirsten A. Auret (Author) - University of Western AustraliaJosephine M. Clayton (Author) - HammondCare (Australia)Susan Kurrle (Author) - University of SydneyElissa Campbell (Author) - University of Western AustraliaMichelle Hilgeman (Author) - Veterans’ Affairs Medical Center (Atlanta, Georgia, USA)Ron Sinclair (Author) - The University of AdelaideAnne Meller (Author) - South Eastern Sydney Local Health DistrictSimon Towler (Author) - Fiona Stanley HospitalCaroline E. Edwards (Author) - Neuroscience Research Australia (NeuRA), Sydney, AustraliaTracy Comans (Author) - The University of QueenslandCraig Sinclair (Corresponding Author) - Neuroscience Research Australia (NeuRA), Sydney, Australia
- Publication Details
- Contemporary clinical trials, Vol.149, pp.1-9
- Publisher
- Elsevier Inc
- Grant note
- This study is funded by a grant from the Australian Government National Health and Medical Research Council (GNT2006283).
- Identifiers
- 991013339790102368
- Copyright
- © 2024 The Authors.
- Academic Unit
- Faculty of Health
- Language
- English
- Resource Type
- Journal article