NCT06565169 · RECRUITING

Improving PCP Advance Care Planning for People With ADRD

This trial tests a structured toolkit designed to help primary care doctors and nurses have better conversations about future care wishes with people who already have Alzheimer's or a related dementia. Researchers will compare the toolkit to usual care over 18 months, measuring how often and how well those goals-of-care conversations happen. This is a Phase NA trial, meaning it is evaluating a care process rather than a drug or medical device.

Eligibility criteria

Inclusion Criteria:
Primary care team member (PCTM) eligibility:
* Must be an MD/APP, employed at a primary care clinic within UNC HEALTH clinics with ≥60 PLwD encounters per year, who sees older adult patients, along with their associated nurses and social workers.
* Eligibility for training with AD ACP Toolkit will include the above and the provision of care at an intervention clinic.
* For Aim 3, only the trained intervention site primary care team members will be eligible for the implementation surveys or the interviews.
PLwD eligibility:
* Must be a PLwD age 65 years or older seen by either the intervention or control sites' primary care teams' MD/APP in the 18-month intervention window for Aim 1.
* PLwD will be eligible only after we confirm the presence of the AD/ADRD diagnosis.
* All PLwD with a ≥50% 5-year all-cause mortality risk seen by the PCTM MD/APP over the 18-month intervention period will be eligible for the healthcare utilization analyses in Aim 2.
Exclusion Criteria:
Primary care team member exclusion criteria:
* We will exclude primary care team members who do not care for older adults (e.g. pediatricians or lactation nurses), are employed at geriatric specialty or dementia specialty clinics, or are without a primary care panel (e.g., only urgent care).
PLwD exclusion criteria:
* Patients will be excluded if they have not been seen in the past 18 months by their primary care team, or if they do not have a diagnosis of ADRD.

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 2026-04-06

View full record on ClinicalTrials.gov

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