for people ages 65 years and up (full criteria)
Healthy Volunteers
healthy people welcome
at San Francisco, California
study started
completion around
Principal Investigator
by Elizabeth Wick, MD
Headshot of Elizabeth Wick
Elizabeth Wick



The goal of the Advanced Care Planning (ACP) study is to encourage patients aged 65 or older, or with serious illness, who are referred for major elective surgery to have advanced care planning. ACP is also a critical way to support older adults in participating actively with clinicians in making real-time, complex medical decisions so that the medical care they receive is aligned with their goals. Our team has designed and tested a theory-based, interactive ACP patient-facing technology solution (PREPARE) based on the new ACP paradigm of preparing people for communication and medical decision-making. The study team hypothesizes that by including PREPARE into the electronic health record (HER)-centric pre-surgery workflow for older adults and including automated reminders, the study team can empower patients and surgical teams to engage in ACP discussions.

Participants will be randomized to Arms: (1) Letter about ACP, PREPARE advanced directive (AD), PREPARE website; (2) Letter, advanced directive (AD), PREPARE plus reminder text/phone messages; (3) Letter, advanced directive (AD,) PREPARE plus reminders plus a healthcare navigator on ACP documentation (discussions and careplans, primary outcome) and patient-reported ACP engagement. Using mixed methods, the study team will assess patients' and surgical care teams' experience with surgery ACP.

Official Title

I CAN DO Surgical ACP (Improving Completion, Accuracy, and Dissemination of Surgical Advanced Care Planning) Trial


Surgical Advanced Care Planning, Increasing intensity of ACP-related messaging prior to surgical visit, Letter, AD, PREPARE, Letter, AD, PREPARE, reminders


You can join if…

Open to people ages 65 years and up

  • Older Adults (age 65+) or any patient with a serious illness referred for surgical evaluation

You CAN'T join if...

  1. ACP on file within 6 months prior to surgery
  2. Prior ACP-related patient portal messages from primary care (UCSF and UCI)


  • UCSF
    San Francisco California 94143 United States

Lead Scientist at UCSF

  • Elizabeth Wick, MD
    Professor, Surgery, School of Medicine. Authored (or co-authored) 242 research publications


not yet accepting patients
Start Date
Completion Date
University of California, San Francisco
Study Type
Expecting 25 study participants
Last Updated