Advance care planning for older adults who were formerly homeless
Official title: Empowering Formerly Homeless Older Adults to Engage in Advance Care Planning in Permanent Supportive Housing (ACP-PSH): An RCT
Run by University of California, San Francisco · NCT06239896 · Data updated 2026-11-12
This study is testing whether group sessions or one-on-one visits can help older adults who were once homeless better express their medical wishes while living in supportive housing.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 50 Years and up |
| Sex | All |
| Enrollment | 650 (estimated) |
| Sponsor | University of California, San Francisco Academic / other |
| Locations | 6 sites (Fremont, California and 5 other locations) |
| Status | Recruiting |
| Started | March 6, 2024 |
| Main results expected | March 2027 |
| Study ends | March 2027 |
| Registry record updated | November 9, 2026 |
| Trial ID | NCT06239896 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates for this study are formerly chronically homeless adults aged 50 and older who are currently residing in permanent supportive housing and speak English.
✕Probably not a fit
Patients who are non-English speaking, have moderate-to-severe cognitive impairment, or cannot provide informed consent will not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This clinical trial aims to improve advance care planning (ACP) among older adults who have experienced chronic homelessness and are now living in permanent supportive housing. The study will utilize an adapted version of the PREPARE for Your Care program, which includes video stories and easy-to-read advance directives. Researchers will compare the effectiveness of facilitated group sessions versus one-on-one visits in helping participants articulate their medical preferences. The study involves co-developing the program with input from residents and a Community Advisory Board to ensure it meets the needs of this unique population.
Why it matters
Potential benefit: If successful, this study could enhance the ability of formerly homeless older adults to communicate their healthcare preferences, ensuring their wishes are honored at the end of life.
How similar studies have gone: Other studies have shown success with similar advance care planning interventions, particularly among vulnerable populations, indicating a promising approach.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Formerly chronically homeless adults living in permanent supportive housing * English speaking Exclusion Criteria: * Non-English Speaking * Screen positive for moderate-to-severe cognitive impairment * Self-report being deaf or blind * Cannot provide informed consent based on the teach back method
Where it's running
-
Abode Services
Fremont, California, United States Recruiting -
Lifelong Medical Care
Oakland, California, United States Recruiting -
Mercy Housing
San Francisco, California, United States Recruiting -
Delivering Innovation in Supportive Housing (DISH)
San Francisco, California, United States Recruiting -
Episcopal Community Services
San Francisco, California, United States Recruiting -
HomeRise
San Francisco, California, United States Recruiting
Study contacts
- Principal investigator: Margot Kushel, MD — University of California, San Francisco
- Study coordinator: Layan Kaileh, MSW
- Email: Layan.kaileh@ucsf.edu
- Phone: 415-203-8350
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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NAVIGATE — digital support to help caregivers navigate goals of care and advance planning
This project tests whether a digital interactive website helps caregivers of seriously ill patients do more advance care planning than a standard digital booklet.
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This study tests if training healthcare workers to better manage medications can help older nursing home residents with serious illnesses receive care that matches their comfort and quality of life goals.
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This project will test a culturally tailored program called JUMPSTART-ANAI to see if it helps Alaska Native and American Indian adults with serious illness start advance care planning conversations with their primary care providers.
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Using an online tool for advance care planning in cancer patients
This study is testing an online tool to help cancer patients plan their future care and make sure their wishes are respected during treatment.
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Using motivational interviewing to improve advance care planning for older adults after emergency visits
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.