Decision Making and Implementation of Aging-in-Place/Long Term Care Plans Among Older Adults

Study Overview
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Brief Summary
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This study seeks to better understand how older adult aging-in-place/long term care decision making and implementation is impacted by age-related changes (e.g. cognition, health literacy, chronic conditions), social influences (e.g. caregivers/supporters), and environmental factors.

Detailed Description
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Subjects who are part of the National Institute on Aging (NIA)-funded LitCog study will be given access to PlanYourLifespan.org, a web-based decision-making and planning tool. Participants will be followed for up to 42 months to examine the mediating/moderating factors involved in decision-making, timing of decision implementation, and goal concordance. Findings have the potential to inform healthcare providers, caregivers, health/long term care insurers, area agencies on aging, and older adults nationally in supporting aging-in-place decisions and services use.

Official Title
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Decision Making and Implementation of Aging-in-Place/Long Term Care Plans Among Older Adults

Conditions
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Alzheimer Disease, Mild Cognitive Impairment

Intervention / Treatment
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* Behavioral: PlanYourLifespan.org


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Current participant in the LitCog Trial [R01AG03611] English-speaking Community-dwelling Currently use a computer or tablet with internet Exclusion Criteria: Previous participation in the Advanced Planning for Home Services study [IH-12-11-4259]

Ages Eligible for Study
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Minimum Age: 55 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Health Services Research
Intervention Model: Single Group Assignment
Interventional Model Description: All study participants receive access to the web-based study intervention, PlanYourLifespan.org.
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Access to Web-Based Intervention<br>All study participants will be given access to the web-based study intervention, PlanYourLifespan.org. | Behavioral: PlanYourLifespan.org<br>* The study intervention is a web-based planning tool, PlanYourLifespan.org<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in long-term care plan decision-making | Change in participant's long-term care plan decision-making from baseline to 36 months post-baseline. Decision-making will be measured as a binary ('yes', 'no') outcome at each time-point. | Change from baseline decision-making at 36 months. Will also be measured every six months, up to 42 months. | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Participant utilization of long-term care services | Participant utilization of long-term care services such as in-home caregivers as measured by the Resource Use Inventory (Sano M, Zhu CW, Whitehouse PJ, et al. ADCS Prevention Instrument Project: pharmacoeconomics: assessing health-related resource use among healthy elderly. Alzheimer Dis Assoc Disord. 2006;20(4 Suppl 3):S191-S202. doi:10.1097/01.wad.0000213875.63171.87). | Baseline and every six months, up to 42 months | 
| Number of participants that implement any of their long-term care plans | The number of participants that implement any long-term care plans they have set. This will be measured as a binary ('yes', 'no') outcome at each time-point. | Baseline and every six months, up to 42 months | 
| Participant long-term care goal concordance | Assess whether participant's long-term care plans are carried out in accordance to their goals. This will be measured as a binary ('yes', 'no') outcome at each time-point. | Baseline and every six months, up to 42 months |