Evaluating the pragmatic characteristics of advance care planning outcome measures in dementia clinical trials: A scoping review.
Jennifer L GabbardJoan G CarpenterNatalie C ErnecoffKimberly MournighanIsabella CorneaMark McKoneLaura C HansonPublished in: Journal of the American Geriatrics Society (2023)
In RCTs testing ACP interventions to support PLWD, only 23% of outcome measures were highly pragmatic, and most of these measured healthcare utilizations. Outcome assessments were rarely integrated into the EHR during routine clinical care. New outcome measures that address the lived experience of PLWD and their care partners plus have high pragmatic characteristics are needed for embedded pragmatic clinical trials.