About ACP CRIO

The Advance Care Planning Collaborative Research and Innovation Opportunities program

ACP CRIO* was a knowledge translation research program funded by Alberta Innovates from April 2013 to September 2019, under the Collaborative Research and Innovation Opportunities (CRIO) program. Our mandate was to study the Alberta Health Services-led implementation of a provincial policy on Advance Care Planning (ACP) and Goals of Care Designations (GCD). Our overarching research question focused on how to optimally implement widespread uptake of a formalized ACP framework across a large population and throughout a complex, multi-sector healthcare system. Our team includes academic researchers, healthcare providers, healthcare administrators, and public advisors, representing a range of fields including palliative care, geriatrics, family medicine, health economics, ethics, evaluation, and law.

*formally titled "Advance Care Planning and Goals of Care Alberta: a population based knowledge translation intervention study"

Our objectives

Partnering with Alberta Health Services and Covenant Health, we employed a knowledge-to-action framework in order to support a transformational change in practice and healthcare culture. Our goals were to identify the most effective methods to catalyse use of ACP, and to determine the impact on health resource utilization and clinical outcomes, through four Research Objectives:

four objectives graphic

Research Activities

Several research activities were conducted under each Objective:  

Objective 1

  • Qualitative interviews with patients, families and healthcare providers
  • Public polls of Albertans
  • Surveys of healthcare providers, Strategic Clinical Networks, lawyers, and patients

Objective 2

  • Conversation analysis
  • Randomized controlled trial of ACP and GCD videos
  • Healthcare team process improvement study

Objective 3

  • Delphi study to develop ACP GCD performance indicators
  • Dashboard development for reporting and monitoring of indicators

Objective 4

  • Systematic review of the economics of ACP
  • Prospective economic analyses of three CRIO study cohorts