Please select the arm or intervention descriptions that belong to the clinical trial below.
Title: Navigating High Risk Surgery: Empowering Older Adults to Ask Questions That Inform Decisions About Surgical Treatment
Brief Summary: The investigators will perform a multi-site cluster randomized trial that uses a stepped-wedged design to compare the effectiveness of a Question Prompt List (QPL) intervention to usual care for patients considering high-risk vascular (peripheral, cardiac, neuro) and oncologic operations. This 24-month study will use a time-dependent cluster randomization plan within each of the five study sites: the investigators will randomly assign time points for surgeons who perform high risk operations to cross over from usual care to QPL intervention. Study staff will audiotape the conversation between the patient and surgeon during one preoperative clinic visit; administer surveys to patients and family members at 24 hours, 6 weeks and 12 weeks after that visit; and record surgical decisions, treatments received and associated outcomes. The investigators will use stratified purposeful sampling to identify a subset of patients in each study arm who have experienced serious complications for qualitative interviews.


Options:
A: Arm Label: Training Plus; Type: EXPERIMENTAL; Interventions: Behavioral: Training Plus | Arm Label: Control; Type: ACTIVE_COMPARATOR; Interventions: Behavioral: No Inputs then Community development and training | Arm Label: Training Only; Type: EXPERIMENTAL; Interventions: Behavioral: Training Only | Intervention Type: BEHAVIORAL; Name: Training Plus; Assigned to Arm(s): Training Plus | Intervention Type: BEHAVIORAL; Name: Training Only; Assigned to Arm(s): Training Only | Intervention Type: BEHAVIORAL; Name: No Inputs then Community development and training; Assigned to Arm(s): Control
B: Arm Label: Multifaceted Strategy; Type: EXPERIMENTAL; Interventions: Behavioral: Multifaceted Strategy | Arm Label: Usual Care; Type: NO_INTERVENTION; Interventions: N/A | Intervention Type: BEHAVIORAL; Name: Multifaceted Strategy; Assigned to Arm(s): Multifaceted Strategy
C: Arm Label: Technology supported supervision; Type: EXPERIMENTAL; Interventions: Other: Technology supported supervision, Other: Integrated community case management | Arm Label: Community supported supervision; Type: EXPERIMENTAL; Interventions: Behavioral: Community supported supervision, Other: Integrated community case management | Arm Label: Control arm; Type: ACTIVE_COMPARATOR; Interventions: Other: Integrated community case management | Intervention Type: OTHER; Name: Technology supported supervision; Assigned to Arm(s): Technology supported supervision | Intervention Type: BEHAVIORAL; Name: Community supported supervision; Assigned to Arm(s): Community supported supervision | Intervention Type: OTHER; Name: Integrated community case management; Assigned to Arm(s): Community supported supervision, Control arm, Technology supported supervision
D: Arm Label: QPL (question prompt list) brochure; Type: EXPERIMENTAL; Interventions: Other: QPL (question prompt list) brochure | Arm Label: Usual care; Type: NO_INTERVENTION; Interventions: N/A | Intervention Type: OTHER; Name: QPL (question prompt list) brochure; Assigned to Arm(s): QPL (question prompt list) brochure

Answer: D