Using Videos to Improve Understanding of the Delivery of End-of-life Medical Care in Non-hospital Settings

NCT ID: NCT01233973

Last Updated: 2012-05-01

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

101 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-07-31

Study Completion Date

2011-02-28

Brief Summary

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To compare the decision making of elderly subjects having a verbal advance care planning discussion compared to subjects using a video.

Detailed Description

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A.1. Aim 1: To recruit 101 subjects over the age of 64 who are newly admitted to a nursing home facility and randomly assign these subjects to one of two advance care planning (ACP) modalities: 1. a video visually depicting the Goals of Care (Life Prolonging Care, Limited Care, and Comfort Care) (intervention) or 2. a verbal narrative describing the Goals of Care (control) encountered if the subject becomes very ill.

Hypothesis 1: It is feasible to recruit and randomize newly admitted elderly subjects to each of the ACP modalities.

A.2. Aim 2: To compare the care preferences for their primary goal of care (i.e., life-prolonging care, limited care, or comfort care) among 101 subjects randomized to video vs. verbal narrative intervention for ACP.

Hypothesis 2: Subjects randomized to the video intervention will be significantly more likely to opt for comfort care (vs. life-prolonging or limited care) as the primary goal of care compared to those randomized to the verbal narrative.

A.3. Aim 3: To compare knowledge assessment of the Goals of Care of 101 subjects randomized to video vs. verbal narrative intervention for ACP.

Hypothesis 3: When compared to subjects randomized to the verbal narrative arm, subjects in the video group will have higher knowledge assessment scores when asked questions regarding their understanding of the Goals of Care.

Conditions

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Elderly

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

NONE

Study Groups

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control subjects

verbal narrative of advance care planning

Group Type NO_INTERVENTION

No interventions assigned to this group

intervention group

video decision aid viewed by subjects

Group Type EXPERIMENTAL

video decision aid

Intervention Type OTHER

video

Interventions

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video decision aid

video

Intervention Type OTHER

Other Intervention Names

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decision aid film

Eligibility Criteria

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Inclusion Criteria

* over age of 64
* have decision making capacity

Exclusion Criteria

* do not speak English
Minimum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Massachusetts General Hospital

OTHER

Sponsor Role lead

Responsible Party

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Angelo E. Volandes, MD

Faculty

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Angelo Volandes

Role: PRINCIPAL_INVESTIGATOR

MGH

Locations

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MGH

Boston, Massachusetts, United States

Site Status

Countries

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United States

References

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Volandes AE, Brandeis GH, Davis AD, Paasche-Orlow MK, Gillick MR, Chang Y, Walker-Corkery ES, Mann E, Mitchell SL. A randomized controlled trial of a goals-of-care video for elderly patients admitted to skilled nursing facilities. J Palliat Med. 2012 Jul;15(7):805-11. doi: 10.1089/jpm.2011.0505. Epub 2012 May 4.

Reference Type DERIVED
PMID: 22559905 (View on PubMed)

Other Identifiers

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2010-P-000180

Identifier Type: -

Identifier Source: org_study_id

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