NCT03577002

Team-based Versus Primary Care Clinician-led Advance Care Planning in Practice-based Research Networks

Status unknown NA Last updated 6 May 2021

What this trial tests

NA trial testing Serious Illness Care Program (SICP) in Congestive Heart Failure in 1,120 participants. Status unknown.

Timeline

28 February 2019

Primary endpoint
1 April 2022

1 July 2023

Quick facts

Lead sponsor	Oregon Health and Science University
Phase	NA
Status	Status unknown
Study type	INTERVENTIONAL
Allocation	randomized
Design	parallel
Masking	single
Primary purpose	other
Enrollment	1,120
Start date	28 February 2019
Primary completion	1 April 2022
Estimated completion	1 July 2023
Sites	7 locations across Canada, United States

Drugs / interventions tested

• Serious Illness Care Program (SICP)

Conditions studied

• Congestive Heart Failure — all drugs for Congestive Heart Failure →
• Cancer — all drugs for Cancer →
• Chronic Obstructive Pulmonary Disease — all drugs for Chronic Obstructive Pulmonary Disease →
• Cerebrovascular Accident — all drugs for Cerebrovascular Accident →

Sponsor

Oregon Health and Science University

Who can join

18 and older, any sex, with Congestive Heart Failure or Cancer. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

This project compares two models of the Serious Illness Care Program (SICP) in primary care: clinician-focused SICP and team-based SICP. Discussion and planning for serious illness care can help patients identify what is most important to them and assure they receive care that best matches their goals and values, such as spending more time at home or not being in pain.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

1. Protocol for a Cluster Randomized Trial Comparing Team-Based to Clinician-Focused Implementation of Advance Care Planning in Primary Care.
   Totten AM, Fagnan LJ, Dorr D, Michaels LC, et al · · 2019 · cited 24× · PMID 31486729 · DOI 10.1089/jpm.2019.0117
2. Development and Evaluation of Serious Illness Conversation Training for Interprofessional Primary Care Teams.
   Izumi SS, Caron D, Guay-Bélanger S, Archambault P, et al · · 2023 · cited 15× · PMID 37040304 · DOI 10.1089/jpm.2022.0268
3. Improving Iowa Research Network Patient Recruitment for an Advance Care Planning Study.
   Schmidt ME, Daly JM, Xu Y, Levy BT. · · 2021 · cited 5× · PMID 33840295 · DOI 10.1177/21501327211009699
4. Long-Term Effects of Individual-Focused and Team-Based Training on Health Professionals' Intention to Have Serious Illness Conversations: A Cluster Randomised Trial.
   Asmaou Bouba D, Gomes Souza L, Dofara SG, Guay-Bélanger S, et al · · 2024 · cited 2× · PMID 39502858 · DOI 10.1080/28338073.2024.2420475
5. Provider Interaction With an Electronic Health Record Notification to Identify Eligible Patients for a Cluster Randomized Trial of Advance Care Planning in Primary Care: Secondary Analysis.
   Ma JE, Lowe J, Berkowitz C, Kim A, et al · · 2023 · cited 2× · PMID 37171856 · DOI 10.2196/41884
6. Impact of a team-based versus individual clinician-focused training approach on primary healthcare professionals’ intention to have serious illness conversations with patients: a theory informed process evaluation of a cluster randomized trial
   Souza LG, Archambault P, Asmaou Bouba D, Dofara SG, et al · · 2024 · cited 1× · DOI 10.1101/2024.02.05.24302368
7. Caregiving Burden and Wellbeing From the Meta-LARC Cluster Randomized Trial of Advance Care Planning in Primary Care for Patients With Serious Illness.
   Totten AM, Daly JM, Ramsey KL, Howard M, et al · · 2026 · PMID 41873749 · DOI 10.1177/21501319261430488
8. Comparison of the sustainability of the impact of team-based versus individual clinician-focused training of primary care professionals in serious illness conversations on caregiver burden of care: a secondary analysis of a cluster randomized trial.
   Lokossou KL, Assan OQ, Gadio S, Uwizeye CB, et al · · 2025 · PMID 41120901 · DOI 10.1186/s12877-025-06324-7