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Advance Care Planning With Formerly Homeless Older Adults Residing in Permanent Supportive Housing
Sponsor: University of California, San Francisco
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).
Official title: Empowering Formerly Homeless Older Adults to Engage in Advance Care Planning in Permanent Supportive Housing (ACP-PSH): An RCT
Key Details
Gender
All
Age Range
50 Years - Any
Study Type
INTERVENTIONAL
Enrollment
650
Start Date
2024-03-06
Completion Date
2027-03
Last Updated
2025-11-20
Healthy Volunteers
Yes
Conditions
Interventions
Facilitated 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.
Facilitated 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.
Locations (6)
Abode Services
Fremont, California, United States
Lifelong Medical Care
Oakland, California, United States
Mercy Housing
San Francisco, California, United States
Delivering Innovation in Supportive Housing (DISH)
San Francisco, California, United States
Episcopal Community Services
San Francisco, California, United States
HomeRise
San Francisco, California, United States