Objective: To explore if a physician associate/assistant (PA)-led advance care planning (ACP) intervention would be successful and if patients and caregivers are comfortable having these discussions with PAs.
Methods: We conducted a randomized controlled trial with optional open-label crossover to assess the feasibility, acceptability, and effect on ACP engagement of a PA-led telemedicine-facilitated ACP (tele-ACP) intervention in a Huntington disease (HD) clinic.
Results: All participants felt they could effectively express themselves to the PA during the tele-ACP visit, and 95.8% felt comfortable communicating with the PA about ACP. The PA-led tele-ACP intervention significantly increased ACP engagement.
Conclusions: Our PA-led tele-ACP intervention was feasible, acceptable, and it increased ACP engagement.
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