Impact of a Systematic Social Work Driven Approach on Medical Power of Attorney Documentation, Knowledge, Attitudes, and Beliefs in Participants With Stage I-IV Gynecological Cancers

Study Overview
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Brief Summary
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This trial evaluates the impact of a systemic social work driven approach on medical power of attorney documentation, knowledge, attitudes, and beliefs in participants with stage I-IV gynecological cancers. Social work counseling and education may help increase the number of participants who complete medical power of attorney documents. Counseling and education may also affect attitudes about decision-making and willingness to take part in these conversations in participants with stage I-IV gynecological cancers and their family members and/or caregivers.

Detailed Description
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PRIMARY OBJECTIVES: I. To evaluate medical power of attorney documents (MPOAD) completion rate after a systematic social work counseling and education clinical process. SECONDARY OBJECTIVES: I. To determine change in medical power of attorney (MPOA)/primary family caregivers' knowledge, attitudes and beliefs about conditions for quality surrogate medical decision-making (MDM). II. To determine change in MPOA/primary family caregivers' knowledge of patients' values and goals for MDM. III. Evaluate patients' and MPOA/primary family caregivers' willingness to participate in future advance care planning discussions to discuss patients' values and goals important to MDM. IV. Evaluate predictors of patient subgroups most likely to respond to the social work counseling and education clinical process. V. Explore aspects of the Spanish language version of the advance care planning engagement survey to inform future validation studies. OUTLINE: Participants (patients and family caregiver/MPOA) complete questionnaires about knowledge, attitudes, and beliefs of MPOAD. Participants without a MPOAD watch a 4-minute educational video about the importance of the role of MPOA. After completion of intervention, participants are followed up at 3 months.

Official Title
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Preparing Patients and Family Caregivers for Medical Decision Making: Evaluating the Impact of a Systematic Social Work Driven Approach on Medical Power of Attorney Documentation, Knowledge, Attitudes and Beliefs

Conditions
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Caregiver, Malignant Female Reproductive System Neoplasm

Intervention / Treatment
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* Other: Questionnaire Administration
* Other: Questionnaire Administration
* Other: Video


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: PATIENTS Diagnosis of invasive gynecologic malignancy stages 1-4. New patient in the Gynecologic Oncology Center. Adequate capacity to understand and complete MPOAD in the opinion of the study investigator or research assistant. Able to speak and understand English and/or Spanish. Provision of Institutional Review Board (IRB)-approved informed consent. Available MPOA or primary family caregiver who consents to study participation. FAMILY CAREGIVER/MPOA MPOA or if none documented in electronic health record (EHR), primary family caregiver, as designated by the patient. Permission to contact provided by patient. Adequate capacity to understand and complete study measures in the opinion of the study investigator or research assistant. Provision of IRB-approved informed consent. Exclusion Criteria: Without a MPOA or available family caregiver.

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Supportive Care (questionnaires, educational video)<br>Participants (patients and family caregiver/MPOA) complete questionnaires about knowledge, attitudes, and beliefs of MPOAD. Participants without a MPOAD watch a 4-minute educational video about the importance of the role of MPOA. | Other: Questionnaire Administration<br>* Complete questionnaires about MPOAD<br>Other: Questionnaire Administration<br>* Ancillary studies<br>Other: Video<br>* Watch educational video<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Proportion of patients who decline to participate in the study | Will be reported with 95% confidence intervals. Descriptive demographic and disease characteristics for patients who decline study participation but allow collection of demographic and disease characteristics will be compared to those of participating patients. | Up to 3 months | 
| Proportion of patients who already have medical power of attorney (MPOAD) at consult | Will be reported with 95% confidence intervals. Baseline and changes in MPOA/primary family caregivers' knowledge, attitudes and beliefs about conditions for quality surrogate medical decision-making (MDM), in patients/primary family caregivers' self-efficacy and readiness for MPOA, and in patients/Primary family caregivers' knowledge of patients' values and goals for MDM, will be summarized and compared among the four patient groups: 1) had MPOAD at the consult already, 2) complete MPOAD at the first visit, 3) complete MPOAD after initial social work counselor visit and by 3 months, 4) do not complete MPOAD by 3 months, using Kruskal-Wallis test for continuous variables and either Chi-square test or Fisher's exact test for discrete variables, whenever appropriate. Univariate/multi-covariate logistic regression will be employed to evaluate the effect of potential factors on completion of MPOAD. | Up to 3 months | 
| Proportion of patients who completed MPOAD at the first social work counselor visit | Will be reported with 95% confidence intervals. Baseline and changes in MPOA/primary family caregivers' knowledge, attitudes and beliefs about conditions for quality surrogate MDM, in patients/primary family caregivers' self-efficacy and readiness for MPOA, and in patients/Primary family caregivers' knowledge of patients' values and goals for MDM, will be summarized and compared among the four patient groups: 1) had MPOAD at the consult already, 2) complete MPOAD at the first visit, 3) complete MPOAD after initial social work counselor visit and by 3 months, 4) do not complete MPOAD by 3 months, using Kruskal-Wallis test for continuous variables and either Chi-square test or Fisher's exact test for discrete variables, whenever appropriate. Univariate/multi-covariate logistic regression will be employed to evaluate the effect of potential factors on completion of MPOAD. | Up to 3 months | 
| Proportion of participants who completed MPOAD after the first educational video | Will be reported with 95% confidence intervals. Baseline and changes in MPOA/primary family caregivers' knowledge, attitudes and beliefs about conditions for quality surrogate MDM, in patients/primary family caregivers' self-efficacy and readiness for MPOA, and in patients/Primary family caregivers' knowledge of patients' values and goals for MDM, will be summarized and compared among the four patient groups: 1) had MPOAD at the consult already, 2) complete MPOAD at the first visit, 3) complete MPOAD after initial social work counselor visit and by 3 months, 4) do not complete MPOAD by 3 months, using Kruskal-Wallis test for continuous variables and either Chi-square test or Fisher's exact test for discrete variables, whenever appropriate. Univariate/multi-covariate logistic regression will be employed to evaluate the effect of potential factors on completion of MPOAD. | Up to 3 months | 
| Proportion of participants who completed MPOAD within 3 months after the educational video | Will be reported with 95% confidence intervals. Baseline and changes in MPOA/primary family caregivers' knowledge, attitudes and beliefs about conditions for quality surrogate MDM, in patients/primary family caregivers' self-efficacy and readiness for MPOA, and in patients/Primary family caregivers' knowledge of patients' values and goals for MDM, will be summarized and compared among the four patient groups: 1) had MPOAD at the consult already, 2) complete MPOAD at the first visit, 3) complete MPOAD after initial social work counselor visit and by 3 months, 4) do not complete MPOAD by 3 months, using Kruskal-Wallis test for continuous variables and either Chi-square test or Fisher's exact test for discrete variables, whenever appropriate. Univariate/multi-covariate logistic regression will be employed to evaluate the effect of potential factors on completion of MPOAD. | Up to 3 months | 
| Willingness to participate in future advance care planning discussions | Willingness to participate in future Advance Care Planning discussions for patients' values and goals important to MDM will be tabulated. | Up to 3 months |