Jumpstarting advance care planning for Alaska Native and American Indian adults
Official title: Jumpstarting Advance Care Planning With ANAI People in Primary Care
Run by Southcentral Foundation · NCT06538493 · Data updated 2026-11-12
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.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 40 Years and up |
| Sex | All |
| Enrollment | 400 (estimated) |
| Sponsor | Southcentral Foundation Academic / other |
| Locations | 1 site (Anchorage, Alaska) |
| Status | Recruiting |
| Started | April 1, 2025 |
| Main results expected | December 30, 2026 |
| Study ends | May 30, 2027 |
| Registry record updated | July 9, 2026 |
| Trial ID | NCT06538493 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are Alaska Native and/or American Indian adults aged 40 or older, empaneled to a Southcentral Foundation primary care provider, with at least one serious illness, no documented advance directive, and able to complete a 30-minute visit.
✕Probably not a fit
Patients who already have an advance directive, those with cognitive impairment that prevents participation, or people not empaneled to Southcentral Foundation are unlikely to benefit from enrollment.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
JUMPSTART-ANAI is a culturally tailored advance care planning communication intervention being compared with usual care in a cluster randomized, hybrid type 1 effectiveness-implementation trial within a Tribal primary care system. The primary outcome is documentation of advance directives in the electronic health record as a marker of patient-driven ACP conversations. The trial enrolls Alaska Native and/or American Indian adults aged 40 or older with at least one serious illness who are empaneled to Southcentral Foundation and do not already have an advance directive. Investigators will also identify clinic- and system-level factors that affect successful implementation of JUMPSTART-ANAI across primary care settings.
Why it matters
Potential benefit: If successful, more ANAI patients with serious illness may have their care preferences recorded and receive medical care that better matches their values and goals.
How similar studies have gone: A prior pilot of JUMPSTART-ANAI among 68 ANAI adults showed feasibility and informed this larger trial, but large-scale effectiveness and implementation in a cluster randomized design remain untested.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: Age 40 or older with a qualifying serious illness condition (e.g., COPD) OR Age 65 or older (regardless of diagnosis) AND Alaska Native and/or American Indian AND Empaneled to a primary care provider AND 2 or more to primary care in last 12 months AND No advance directives documented in electronic health record Exclusion Criteria: Unable to provide informed consent AND/OR Not able to complete 30-minute study visit by phone, video call, or in person
Where it's running
-
Southcentral Foundation
Anchorage, Alaska, United States Recruiting
Study contacts
- Principal investigator: Jennifer Shaw, PhD — University of Alaska Fairbanks
- Study coordinator: Shannon Medlock, MS
- Email: smedlock@scf.cc
- Phone: (907)729-6322
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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.