Caregiving Burden and Wellbeing From the Meta-LARC Cluster Randomized Trial of Advance Care Planning in Primary Care for Patients With Serious Illness

Annette M Totten; Jeanette M. Daly; Katrina Ramsey; Matthew O. Howard; Sarah Bumatay; Lisa Rogash; LeAnn Michaels

doi:10.1177/21501319261430488

March 1, 2026Journal of Primary Care & Community HealthOpen Access

Caregiving Burden and Wellbeing From the Meta-LARC Cluster Randomized Trial of Advance Care Planning in Primary Care for Patients With Serious Illness

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Key Points

This research aims to assess the impact of different approaches to advance care planning on caregiving burden and wellbeing.
Conducted a cluster randomized trial comparing team-based and clinician-focused advance care planning approaches.
Evaluated care planning outcomes for patients with serious illnesses in primary care settings.
Measured the alignment of care with patients' important values.
Found no significant differences in most caregiving burden outcomes between team-based and clinician-focused approaches.
Patients reported better outcomes when care was aligned with their values.

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Implication

Cluster randomized trial evaluates caregiving burden in primary care, indicating care alignment improves outcomes.

Abstract

We found no significant differences in most CP outcomes when serious illness conversations with patients in primary care are implemented using a team-based versus individual clinician-focused approach. However, when care matched what was important to patients, CP outcomes were better.

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Cite This Study

Totten et al. (2026) studied this question.

synapsesocial.com/papers/69c4ccf7fdc3bde448918bb0 https://doi.org/10.1177/21501319261430488

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Caregiving Burden and Wellbeing From the Meta-LARC Cluster Randomized Trial of Advance Care Planning in Primary Care for Patients With Serious Illness

Key Points

Ask about this paper

Implication

Abstract

Discussion

Cite This Study

Caregiving Burden and Wellbeing From the Meta-LARC Cluster Randomized Trial of Advance Care Planning in Primary Care for Patients With Serious Illness

Key Points

Ask about this paper

Implication

Abstract

Discussion

Cite This Study

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