Recruiting

Observational Study

Sponsor:

UCLA

Code:

NCT06239896

Conditions

Advance Care Planning

Eligibility Criteria

Sex: All

Age: 50+

Healthy Volunteers: Accepted

Interventions

Facilitated Group ACP Session

Facilitated one-on-one ACP visits

Study Details

Brief summary:

The homeless population is aging, with an increasing proportion of individuals over age 50 who experience accelerated aging, high rates of mortality, and a high risk of not having their wishes honored at the end of life. The goal of this randomized control trial (RCT) is to test the effectiveness of adapted evidence-based advance care planning (ACP) interventions for formerly chronically homeless older adults living in permanent supportive housing (PSH).

Conditions

Advance Care Planning

Study ID

NCT06239896

Start date

Mar 6, 2024

Status verified date

Nov, 2025

Completion date

Mar, 2027

Anticipated

Primary completion date

Mar, 2027

Anticipated

Eligibility Criteria

Eligibility Criteria

Sex: All

Age: 50+

Healthy Volunteers: Accepted

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

Study Design

Enrollment

650 participants

Anticipated

Allocation

Randomized

Intervention Model

Parallel Assignment

Primary purpose

Supportive Care

Interventions and Outcome Measures

Arms

active comparator: Facilitated Group ACP Session

Participants in the group ACP visit arm will attend a one-time 90-minute facilitated group ACP session where they will review the movie version of the PREPARE program (about how to choose a medical decision maker and how to decide what matters most in life), including a new PSH-specific video and PREPARE easy-to-read ADs with the new PSH-specific content and cover letters.

active comparator: Facilitated one-on-one ACP visits

Participants in the one-on-one ACP visit arm will attend a one-time 90-minute ACP session with a facilitator where they will review the movie version of the PREPARE program (about how to choose a medical decision maker and how to decide what matters most in life), including a new PSH-specific video and PREPARE easy-to-read ADs with the new PSH-specific content and cover letters.

Interventions

Facilitated Group ACP Session

Group Facilitators will adhere to the standardized scripts and protocols to engage participants in ACP through group sessions. Participants will view the movie version of the PREPARE program (about how to choose a medical decision maker and how to decide what matters most in life), including a new PSH-specific video. Participants are provided with a workbook to follow along with the movies. They are also provide the PREPARE easy-to-read advance directive legal forms that they can fill out when they are ready. These forms include new PSH-specific content and a PSH-specific cover letter.

Facilitated one-on-one ACP visits

Facilitator adheres to the scripts and protocols to engage participants in advance care planning through one-on-one ACP sessions. Participants will view the movie version of the PREPARE program (about how to choose a medical decision maker and how to decide what matters most in life), including a new PSH-specific video. Participants are provided with a workbook that they can use to follow along with the movies. They are also provide the PREPARE easy-to-read advance directive legal forms that they can fill out when they are ready. These forms include new PSH-specific content and a PSH-specific cover letter.

Primary outcome measure

  • ACP Engagement Survey [ Time Frame: Baseline, 3 months, and 6 months ]

Central Contacts and Locations

Central contacts

Layan Kaileh, MSW

415-203-8350Layan.kaileh@ucsf.edu

Locations

Abode Services

Recruiting

Fremont, California, United States, 94538

Lifelong Medical Care

Recruiting

Oakland, California, United States, 94612

Mercy Housing

Recruiting

San Francisco, California, United States, 94102

Delivering Innovation in Supportive Housing (DISH)

Recruiting

San Francisco, California, United States, 94103

Episcopal Community Services

Recruiting

San Francisco, California, United States, 94103

HomeRise

Recruiting

San Francisco, California, United States, 94104

More Information

Sponsor

University of California, San Francisco

Last update posted

Nov 20, 2025

Last verified

Nov, 2025

Keywords

  • Advance Care Planning
  • Formerly Chronically Homeless
  • Older Adult
  • Permanent Supportive Housing
  • Homelessness
  • Aging Population
  • Decision Making
  • End of Life Care
  • Medical Decisions

Trial information was received from ClinicalTrials.gov and was last updated on 2026-09-10. This information was provided to ClinicalTrials.gov by University of California, San Francisco on 2025-11-20.