NCT05421728 · ACTIVE NOT RECRUITING

Effectiveness of Engaging in Advance Care Planning Talks (ENACT) Group Visits in Primary Care for Older Adults With and Without Alzheimer's Disease

Sponsor: University of Colorado, Denver

This trial tests whether group conversations about advance care planning, led by a geriatrician and social worker in a primary care setting, help older adults better document and communicate their medical wishes. Two 2-hour group sessions are compared against simply mailing people written materials. This is a Phase NA behavioral study, meaning it evaluates a care delivery approach rather than a drug or device.

Eligibility criteria

Patient Participants:
Inclusion Criteria:
* 70 or older
* At least one clinic visit in past year
* No advanced care planning (ACP) document in electronic health record based on a clinic-level, population-based report
* Preferred language English for UCHealth clinics or preferred language English or Spanish for Denver Health clinic
Exclusion Criteria:
* Inability to demonstrate informed consent
* Does not have ready access to a telephone
* Inability to travel to clinic
* Moving out of area in 6 months
* Inability to participate in group visits due to hearing impairment as determined by clinic and/or study staff
* A household member (same address) is already enrolled
Caregivers
Inclusion Criteria:
* Age 18 and older
* Preferred language English for UCHealth clinics or preferred language English or Spanish for Denver Health clinic
* Patient with potential cognitive impairment consented to participate in study
Exclusion Criteria:
* Does not have ready access to a telephone
* Inability to travel to clinic
* Moving out of area in 6 months
* Inability to participate in group visits due to hearing impairment as determined by clinic and/or study staff
Clinic Stakeholders
Inclusion Criteria:
* Work as a multidisciplinary team member at a participating primary care clinic in the study
* English speaking as a preferred language
* Invited to participate in interviews or focus groups after the ENACT Group Visits intervention
Exclusion Criteria:
- Inability to provide informed consent

The sponsor's own eligibility wording, lightly reformatted. The study team makes the final eligibility decision — worth discussing with your doctor.

Eligibility criteria as of 2025-09-26

View full record on ClinicalTrials.gov

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