NCT05001009Completed
Goals of Care Conversations Study
Improving Implementation of Outpatient Goals of Care Conversations for Veterans With Serious Illness
Source: ClinicalTrials.gov · Last updated 16 Sept 2026
Brief summary (registry, in English)
The long term goal is to improve quality of care in Veterans with serious illnesses by aligning medical care with Veterans' goals and values. The objective of this study is to use a sequentially randomized trial to determine what implementation strategies are effective to increase early, outpatient goals of care conversations. The study will use interviews with and surveys of medical providers, patients, and caregivers, along with medical record data. This work is significant because it tests ways Veterans can express their goals and preferences for life sustaining treatments and have them honored.
- Status (registry)
- Completed
- Study type
- Interventional
- Enrollment
- 2859 (actual)
- First submitted
- 2 Aug 2021
- Start date
- 13 Sept 2022
- Primary completion date
- 30 Sept 2024
- Lead sponsor
- VA Office of Research and Development
- Diseases
- Chronic kidney disease, Heart failure, COPD
- NCT number
- NCT05001009
What you commit to
- Study type: Interventional
- Participants enrolled: 2859
- From 13 Sept 2022 to the primary completion date, 30 Sept 2024
- 3 sites in 1 country
- Visits and tests: ask the trial team, the registry does not list them
Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.
Who cannot take part
Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.
Age
- under 18 years of age.
Other
- PATIENTS
- Prisoner
- Pregnant
Who the study is looking for
- CLINICIANS VA primary care advance practice clinicians (MDs, APRNs, PAs) at one of the three study sites able to complete goals of care conversation notes and orders. Advance practice clinicians will be eligible for randomization if they have at least 15 eligible patients without goals of care conversation notes at the start of stage 1 (to allow participating clinicians ample opportunities to write notes) and have written fewer than 4 goals of care conversation notes in the previous 6 months (to select clinicians who need improvement), and can potentially receive the planned implementation strategies, i.e., clinicians who regularly attend the Patient Aligned Care Team (PACT) team meetings.
- PATIENTS
- Veteran enrolled in VHA health care in one of the three study sites who is a current patient of one of the eligible primary care clinicians
- Diagnosis of cancer, heart failure, interstitial lung disease, chronic obstructive pulmonary disease, end-stage renal disease, end-stage liver disease, and dementia
- Care Assessment Need score of \> or equal to 90 using the one-year combined hospitalization/mortality variable
Age in the registry: 18 years to - · Sex: All · Does not accept healthy volunteers
Sites (3)
Sites in registry order. Pick your city on the disease page to sort them by distance.
| Site | City | Country | Site status |
|---|---|---|---|
| Rocky Mountain Regional VA Medical Center, Aurora, CO Coordinator of this site? Confirm its status | Aurora | United States | Unknown status |
| VA Palo Alto Health Care System, Palo Alto, CA Coordinator of this site? Confirm its status | Palo Alto | United States | Unknown status |
| VA Greater Los Angeles Healthcare System, West Los Angeles, CA Coordinator of this site? Confirm its status | West Los Angeles | United States | Unknown status |
This page is information, not medical advice. Discuss any trial with your doctor.