RecruitingNot ApplicableNCT06239896

Advance Care Planning With Formerly Homeless Older Adults Residing in Permanent Supportive Housing

Empowering Formerly Homeless Older Adults to Engage in Advance Care Planning in Permanent Supportive Housing (ACP-PSH): An RCT

Sponsor

University of California, San Francisco

Enrollment

650 participants

Start Date

Mar 6, 2024

Study Type

INTERVENTIONAL

Conditions

Advance Care Planning

Summary

The homeless population is aging, with an increasing proportion of individuals over age 50 who experience accelerated aging, high rates of mortality, and a high risk of not having their wishes honored at the end of life. The goal of this randomized control trial (RCT) is to test the effectiveness of adapted evidence-based advance care planning (ACP) interventions for formerly chronically homeless older adults living in permanent supportive housing (PSH).

Eligibility

Min Age: 50 Years

Inclusion Criteria2

Formerly chronically homeless adults living in permanent supportive housing
English speaking

Exclusion Criteria4

Non-English Speaking
Screen positive for moderate-to-severe cognitive impairment
Self-report being deaf or blind
Cannot provide informed consent based on the teach back method

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Interventions

BEHAVIORALFacilitated Group ACP Session

Group Facilitators will adhere to the standardized scripts and protocols to engage participants in ACP through group sessions. Participants will view the movie version of the PREPARE program (about how to choose a medical decision maker and how to decide what matters most in life), including a new PSH-specific video. Participants are provided with a workbook to follow along with the movies. They are also provide the PREPARE easy-to-read advance directive legal forms that they can fill out when they are ready. These forms include new PSH-specific content and a PSH-specific cover letter.

BEHAVIORALFacilitated one-on-one ACP visits

Facilitator adheres to the scripts and protocols to engage participants in advance care planning through one-on-one ACP sessions. Participants will view the movie version of the PREPARE program (about how to choose a medical decision maker and how to decide what matters most in life), including a new PSH-specific video. Participants are provided with a workbook that they can use to follow along with the movies. They are also provide the PREPARE easy-to-read advance directive legal forms that they can fill out when they are ready. These forms include new PSH-specific content and a PSH-specific cover letter.