Recruiting

Observational Study

Sponsor:

Stanford University

Code:

NCT07652359

Conditions

Shared Decision-Making

Quality of Life

Advanced Illness

Terminal Illness

Eligibility Criteria

Sex: All

Age: 18+

Healthy Volunteers: Not accepted

Interventions

Research Assistant Support

Study Details

Brief summary:

The purpose of the EMBRACE Study is to evaluate whether a facilitated intervention improves shared decision-making (SDM) and patient activation among low-income and minority individuals more than usual care only. The ultimate goal is to enhance SDM and patient activation in care.

Conditions

Shared Decision-Making

Quality of Life

Advanced Illness

Terminal Illness

Study ID

NCT07652359

Start date

Aug 26, 2026

Status verified date

Aug, 2026

Completion date

Jan 14, 2030

Anticipated

Primary completion date

Jul 14, 2029

Anticipated

Eligibility Criteria

Eligibility Criteria

Sex: All

Age: 18+

Healthy Volunteers: Not accepted

Inclusion Criteria:

  • Participants must be receiving clinical care by a primary care physician in the Monterey area
  • Participants must be 18 years or older.
  • Participants must speak either English or Spanish.
  • Participants must be able to consent verbally in English or Spanish to all study procedures.
  • Participants must self-identify as a racial/ethnic minorities OR identify as having low-income status OR have public health insurance

Exclusion Criteria:

\- Patients unable to respond to survey questions in either English or Spanish.

Study Design

Enrollment

138 participants

Anticipated

Allocation

Randomized

Intervention Model

Parallel Assignment

Primary purpose

Health Services Research

Interventions and Outcome Measures

Arms

no intervention: Usual Care

This arm is the control group. They will receive usual care from their regular provider and care team with no change in their care plans as a result of the intervention. Outcomes will be assessed at each of the following times: baseline, 3-months, and 6-months post-enrollment.

experimental: EMBRACE plus usual care

Participants assigned to the intervention will receive education provided by a trained RA who will meet with participants by phone for 30 minutes once a month for 6 months to: 1) discuss shared decision-making and 2) encourage to engage in SDM with their clinicians. Outcomes will be assessed at each of the following times: baseline, 3-months, and 6-months.

Interventions

Research Assistant Support

For those in the experimental group, a Research Assistant will provide health education and support as described in the Intervention arm.

Primary outcome measure

  • Patient activation using the "Patient Activation Measure" survey [ Time Frame: 3-months post-enrollment ]
  • Patient activation using the "Patient Activation Measure" survey [ Time Frame: 6-months post-enrollment ]

Central Contacts and Locations

Central contacts

Manali I Patel, MD, MPH, MS

(650) 736-2768manalip@stanford.edu

Locations

Stanford University

Recruiting

Palo Alto, California, United States, 94304

Contacts

Manali I. Patel, MD, MPH, MS

manalip@stanford.edu

More Information

Sponsor

Stanford University

Last update posted

Aug 27, 2026

Last verified

Aug, 2026

Keywords

  • Goals of care
  • Advanced care planning

Trial information was received from ClinicalTrials.gov and was last updated on 2026-09-10. This information was provided to ClinicalTrials.gov by Stanford University on 2026-08-27.