Jumpstarting advance care planning for Alaska Native and American Indian adults
Jumpstarting Culturally-informed Advance Care Planning With ANAI People in Primary Care
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
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 400 (estimated) |
| Ages | 40 Years and up |
| Sex | All |
| Sponsor | Southcentral Foundation Academic / other |
| Locations | 1 site (Anchorage, Alaska) |
| Trial ID | NCT06538493 on ClinicalTrials.gov |
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.
Who should consider this trial
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.
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.
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 performed: 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.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Alaska Native and/or American Indian * Age 40 or older * Empaneled to a Southcentral Foundation primary care provider * Diagnosed with at least 1 serious illness (e.g., cancer, COPD, kidney disease) * Has made 2 or more to primary care in last 12 months * No Advance Directive documented in electronic health record Exclusion Criteria: * Cognitive impairment (≥ 2 errors) as assessed by the validated Short Portable Mental Status Questionnaire * Not able to complete 30-minute study visit by phone or in person
Where this trial is running
Anchorage, Alaska
- Southcentral Foundation — Anchorage, Alaska, United States (Recruiting)
Study contacts
- Principal investigator: Jennifer Shaw, PhD — University of Alaska Fairbanks
- Study coordinator: Shannon Medlock
- Email: smedlock@scf.cc
- Phone: (907)729-6322
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.