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Jumpstarting Advance Care Planning With ANAI People

Jumpstarting Advance Care Planning With ANAI People in Primary Care

Who can join

Ages 40 and older · All sexes

Inclusion Criteria:

Age 40 or older with a qualifying serious illness condition (e.g., COPD) OR Age 65 or older (regardless of diagnosis) AND Alaska Native and/or American Indian AND Empaneled to a primary care provider AND 2 or more to primary care in last 12 months AND No advance directives documented in electronic health record

Exclusion Criteria:

Unable to provide informed consent AND/OR Not able to complete 30-minute study visit by phone, video call, or in person

About the study

The older Alaska Native/American Indian (ANAI) population is increasing at twice the rate of the general population with a higher burden of serious illness. Older ANAI adults with serious illness are half as likely to have advance directives (AD), indicating a need for improved access to and utilization of advance care planning (ACP) to ensure that medical care aligns with the values, goals, and preferences of ANAI patients and their families throughout the illness trajectory. The major goals of this cluster randomized trial (CRT) are to (1) evaluate the comparative effectiveness of usual care and JUMPSTART- ANAI, a culturally tailored ACP communication intervention, for prompting patient-driven ACP conversations between ANAI adults and primary care providers and to (1) identify key factors to successfully implement the intervention in health systems serving ANAI adults with serious illness.

What is being tested

• JUMPSTART-ANAI (behavioral)

Sponsor: Southcentral Foundation · Participants: 400 · Started: Apr 1, 2025

Contact the study team

• Shannon Medlock, MS · Phone: (907)729-6322

Official record on ClinicalTrials.gov — NCT06538493

Locations in the U.S.

From ClinicalTrials.gov, data retrieved Oct 1, 2026. Each study sets its own eligibility; the study team decides who can join.