[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"trial:NCT07290478":3,"trial-entities:NCT07290478":104,"trial-summary:NCT07290478":17},{"id":4,"nct_id":4,"org_study_id":5,"brief_title":6,"official_title":7,"overall_status":8,"completion_date":9,"status_verified_date":10,"last_update_date":11,"start_date":12,"sponsor_name":13,"lead_sponsor_class":14,"has_dmc":15,"brief_summary":16,"detailed_description":17,"conditions":18,"keywords":20,"study_type":28,"primary_purpose":29,"phases":30,"enrollment_info":32,"interventions":35,"primary_outcomes":53,"secondary_outcomes":58,"sex":74,"minimum_age":75,"maximum_age":17,"healthy_volunteers":76,"eligibility_criteria":77,"std_ages":84,"locations":87,"central_contacts":97,"overall_officials":98,"references":102,"see_also_links":103},"NCT07290478","UP-23-01203","Encouraging Older Adults and Adults With Serious Illness to Designate a Health Care Proxy","A Randomized Trial to Encourage Older Adults and Adults With Serious Illness to Designate a Health Care Proxy","ENROLLING_BY_INVITATION","2027-09-13","2026-06","2026-08-03","2026-06-01","University of Southern California","OTHER",true,"This study is a Stage III randomized trial to encourage patients in advance of a health care appointment to designate a healthcare proxy. Patients will be randomly assigned to receive a mailer containing information about designating a healthcare proxy, or to not receive any mailer. For patients assigned to receive a mailer, the mailer will differ by the presence or absence of a patient pre-commitment prompt, and contain a personalized provider request or a generic health system request. The work will evaluate the randomized trial and identify factors that predict intervention effectiveness.",null,[19],"Designating a Healthcare Proxy",[21,22,23,24,25,26,27],"healthcare proxy","advance care planning","end-of-life care","surrogate decision-maker","durable power of attorney","behavioral economics","pre-commitment","INTERVENTIONAL","HEALTH_SERVICES_RESEARCH",[31],"NA",{"count":33,"type":34},20000,"ESTIMATED",[36,45,49],{"type":37,"name":38,"description":39,"armGroupLabels":40},"BEHAVIORAL","Mailer","Patient mailers will ask the patient to name a healthcare proxy at their next primary care visit.",[41,42,43,44],"Health System Mailer with a Pre-commitment Prompt","Health System Mailer without a Pre-commitment Prompt","Provider Mailer with a Pre-commitment Prompt","Provider Mailer without a Pre-commitment Prompt",{"type":37,"name":46,"description":47,"armGroupLabels":48},"Provider Request","Patient mailers will be sent from and signed by the patient's provider for their next scheduled primary care visit.",[43,44],{"type":37,"name":50,"description":51,"armGroupLabels":52},"Pre-commitment Prompt","Patient mailers will contain a box that asks the patient to bring a form with their choice for a healthcare proxy to their next primary care visit.",[41,43],[54],{"measure":55,"description":56,"timeFrame":57},"Proportion of patients with EHR-documented healthcare proxy","Documentation in the electronic health record of a healthcare proxy","From randomization through 30 days after the patient's scheduled index primary care visit date",[59,62,66,69,71],{"measure":60,"description":61,"timeFrame":57},"Proportion of patients with legal advance care planning documentation","Documentation in the electronic health record of any legal advance care planning document, including an advance directive or power of attorney",{"measure":63,"description":64,"timeFrame":65},"Proportion of patients that attended scheduled visit","Patient attended the scheduled primary care visit","On the date of the patient's scheduled index primary care visit",{"measure":67,"description":56,"timeFrame":68},"Proportion of patients with EHR-documented healthcare proxy through 90 days","From randomization through 90 days after the patient's scheduled index primary care visit date",{"measure":70,"description":61,"timeFrame":68},"Proportion of patients with legal advance care planning documentation through 90 days",{"measure":72,"description":73,"timeFrame":68},"Proportion of patients with primary care visit through 90 days","Patient attended a primary care visit","ALL","18 Years",false,{"inclusion":78,"exclusion":81,"raw_text":83},[79,80],"No EHR-documented healthcare proxy at enrollment","Age ≥ 55 years OR age ≥ 18 years and listed in the health system's cancer, CHF, or CKD registries",[82],"Primary care provider not assigned at time of randomization.","Inclusion Criteria:\n\n* No EHR-documented healthcare proxy at enrollment\n* Age ≥ 55 years OR age ≥ 18 years and listed in the health system's cancer, CHF, or CKD registries\n\nExclusion Criteria:\n\n* Primary care provider not assigned at time of randomization.",[85,86],"ADULT","OLDER_ADULT",[88],{"facility":89,"city":90,"state":91,"zip":92,"country":93,"geoPoint":94},"Contra Costa Regional Medical Center","Martinez","California","94553","United States",{"lat":95,"lon":96},38.01937,-122.13413,[],[99],{"name":100,"affiliation":13,"role":101},"Mireille Jacobson, PhD","PRINCIPAL_INVESTIGATOR",[],[],{"nct_id":4,"conditions":105,"biomarkers":107},[106,19],"Advance Care Planning",[]]