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Randomized Clinical Study Comparing the Effectiveness of the Stanford Letter to the Traditional Advance Directive in Bone Marrow Transplant Recipients (NCT03028961)

The purpose of the proposed research study is to evaluate whether bone marrow transplant patients prefer the Stanford letter advance care planning tool to the standard Advance directive. Completion of advance care planning prior to BMT is very important, but not often done. The investigators believe that the Stanford Letter will be preferred by patients and will allow them to feel more comfortable and share more of their wishes with family members and the medical team.
  • Other: Stanford Letter
    Receive and complete the Stanford Letter
    • Communication Intervention
  • Other: Interview
    Undergo semi-structured, research staff-led interview
    • Other: Questionnaire Administration
      Ancillary studies
      • Other: CA Advance Health Care Directive Form
        Receive and complete the CA Advance Health Care Directive Form
        • Communication Intervention
      Ages eligible for Study
      18 Years to 100 Years
      Genders eligible for Study
      All
      Accepts Healthy Volunteers
      No
      Inclusion Criteria:
      • All BMT patients at Stanford who are adults and give consent
      Exclusion Criteria:
      • Less than 18 years of age
      PRIMARY OBJECTIVES I. To compare advance care planning (ACP) completion rate amongst bone marrow transplant (BMT) recipients receiving the Stanford Letter versus the traditional advance directive (AD) through a prospective, pilot randomized controlled trial (RCT).

      SECONDARY OBJECTIVES:

      I. To evaluate differences in patient preference for choice to prolong life following completion of the ACP tool in each group.

      II. To assess uncertainty with decision making regarding end of life care following completion of the ACP tool in each group.

      III. To explore patient understanding of and satisfaction with the ACP tool in each group.

      OUTLINE: Patients are randomized to 1 of 2 groups.

      GROUP I (INTERVENTION): Patients listen to a dialogue on the purpose of ACP. Patients receive a paper copy and online web link to the Stanford Letter and complete and return the form by the day of BMT. After completion of the Stanford Letter, patients undergo a semi-structured, research staff-led interview to evaluate personal perceptions of uncertainty with end-of-life decisions, understanding of the ACP form received, and satisfaction with the ACP form.

      GROUP II (CONTROL): Patients listen to a dialogue on the purpose of ACP. Patients receive a paper copy and online web link to the California (CA) Advance Health Care Directive Form and complete and return the form by the day of BMT. After completion of the CA Advance Health Care Directive Form, patients undergo interview as in Group I.

      After completion of study, patients are followed up periodically.

      1 locations

      United States (1)
      • Stanford University, School of Medicine
        recruiting
        Palo Alto, California, United States, 94304
      Status:
      recruiting
      Type:
      Interventional
      Phase:
      -
      Start:
      02 March, 2017
      Updated:
      08 March, 2017
      Participants:
      126
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