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Life sciences · Interventional Study
ClinicalTrials.gov · September 16, 2026
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Interventional Study.
No findings were extractable from the material analysed.
Safety was not reported in the material analysed. Check the source before drawing any conclusion about harm.
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Registry record from ClinicalTrials.gov (NCT05001009). This is a study registration, not published results. Lead sponsor: VA Office of Research and Development. Recruitment status: COMPLETED. Phase: NA. Study type: INTERVENTIONAL. Enrollment: 2859 participants (ACTUAL). Conditions: Seriously Ill Patients, Cancer, Heart Failure, Interstitial Lung Disease, Chronic Obstructive Pulmonary Disease, End-stage Renal Disease, End-stage Liver Disease, Dementia. Interventions: BEHAVIORAL: Clinician Implementation Strategy Stage 1: low intensity clinician training; BEHAVIORAL: Clinician Implementation Strategy Stage 2: high intensity clinician training; BEHAVIORAL: Low patient engagement; BEHAVIORAL: High patient engagement. Primary outcome measures: Percent of Patients With a Goals of Care Conversation Note Documented in Stage 2 , From the start of stage 2 to 9 months later. Brief summary: The long term goal is to improve quality of care in Veterans with serious illnesses by aligning medical care with Veterans' goals and values. The objective of this study is to use a sequentially randomized trial to determine what implementation strategies are effective to increase early, outpatient goals of care conversations. The study will use interviews with and surveys of medical providers, patients, and caregivers, along with medical record data. This work is significant because it tests ways Veterans can express their goals and preferences for life sustaining treatments and have them honored.