Motivational Interview Intervention to Help Patients Formulate Their Goals for Medical Care in the Emergency Department



Status:Recruiting
Conditions:Hospital
Therapuetic Areas:Other
Healthy:No
Age Range:65 - Any
Updated:12/12/2018
Start Date:August 1, 2017
End Date:December 31, 2019
Contact:Kei Ouchi, MD, MPH
Email:kouchi@bwh.harvard.edu
Phone:617-732-5640

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A Pilot Study to Test the Acceptability and Feasibility of Brief Motivational Interview Intervention to Help Patients Formulate Their Goals for Medical Care in the Emergency Department

Test the acceptability and feasibility of a brief motivational interview intervention to
facilitate advance care planning (ACP) conversations for older adults with serious co-morbid
illness being discharged from the emergency department (ED). The investigators will interview
the participants to understand their perception of the intervention and collect
patient-reported outcomes data after leaving the ED.


Inclusion Criteria:

- ≥65 years of age

- English-speaking

- Capacity to consent

- AND ≥1 Serious illness (New York Heart Association stage 3 or 4 heart failure,
oxygen-dependent chronic obstructive lung disease, chronic kidney disease on dialysis,
and metastatic cancer.) OR determined by the emergency department provider that the
patient has a high likelihood of death in the next 12 months ("I would not be
surprised if this patient died in the next 12 months.").

Exclusion Criteria:

- Acute physical or emotional distress

- Determined by emergency department provider not to be appropriate

- Clearly documented goals for medical care already exists (e.g. medical order for life
sustaining treatment - MOLST).

- Already enrolled in this study
We found this trial at
1
site
75 Francis street
Boston, Massachusetts 02115
(617) 732-5500
Phone: 617-732-5640
Brigham and Women's Hosp Boston’s Brigham and Women’s Hospital (BWH) is an international leader in...
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