Trial Outcomes & Findings for Me & My Wishes: An Efficacy Trial Using Videos (NCT NCT03861429)

NCT ID: NCT03861429

Last Updated: 2024-06-26

Results Overview

At each specified time point, a chart review was conducted to obtain whether goals of care discussions occurred (change in documentation in medical record, e.g. social work note), yes/no. Reported values indicated residents who had a documented GOC in chart (yes) at any time point. Goal of Care Conversations encompass two parts. A) some sharing of disease status / prognosis + B) discussion of a choice of goals/treatment decisions. Examples of Part A include disease understanding, disease state, disease progression, prognosis/life expectancy, documentation that the clinician tried to discuss prognosis but the patient/family refused

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

138 participants

Primary outcome timeframe

Baseline, time of sharing (3 months from baseline), and 90 days post sharing video

Results posted on

2024-06-26

Participant Flow

Unit of analysis: nursing homes, assisted living

Participant milestones

Participant milestones
Measure
Me & My Wishes Intervention/Group 1
In Group 1 (early intervention group) NHs, families, and staff video recording, editing, and viewing will occur within three months of baseline. Me \& My Wishes: Me \& My Wishes videos communicate residents' preferences via personalized video recorded conversations. Me \& My Wishes are videos of nursing home residents talking about their preferences for care, and include four sections: About Me, Preferences for Today, Preferences for Medical Intervention and End of Life, and Afterthoughts.
Me & My Wishes Wait-list Control/Group 2
In Group 2 (delayed sharing) NHs, residents, families, and staff will be on a wait-list; after the delayed start, their video will be produced and viewed within three months. Me \& My Wishes: Me \& My Wishes videos communicate residents' preferences via personalized video recorded conversations. Me \& My Wishes are videos of nursing home residents talking about their preferences for care, and include four sections: About Me, Preferences for Today, Preferences for Medical Intervention and End of Life, and Afterthoughts.
Overall Study
STARTED
64 4
74 4
Overall Study
Residents
17 4
19 4
Overall Study
Family
25 4
25 4
Overall Study
Staff
13 4
25 4
Overall Study
COMPLETED
55 4
69 4
Overall Study
NOT COMPLETED
9 0
5 0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Age not reported for two participants (e.g., left blank)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Me & My Wishes Intervention/Group 1 Residents
n=17 Participants
In Group 1 (early intervention group) NHs, video recording, editing, and viewing will occur within three months of baseline. Me \& My Wishes: Me \& My Wishes videos communicate residents' preferences via personalized video recorded conversations. Me \& My Wishes are videos of nursing home residents talking about their preferences for care, and include four sections: About Me, Preferences for Today, Preferences for Medical Intervention and End of Life, and Afterthoughts.
Me & My Wishes Wait-list Control/Group 2 Residents
n=19 Participants
In Group 2 (delayed sharing) NHs, residents will be on a wait-list; after the delayed start, their video will be produced and viewed within three months. Me \& My Wishes: Me \& My Wishes videos communicate residents' preferences via personalized video recorded conversations. Me \& My Wishes are videos of nursing home residents talking about their preferences for care, and include four sections: About Me, Preferences for Today, Preferences for Medical Intervention and End of Life, and Afterthoughts.
Me & My Wishes Intervention/Group 1 Family
n=25 Participants
In Group 1 (early intervention group) NHs, resident's video will be shared within three months of baseline. Me \& My Wishes are videos of nursing home residents talking about their preferences for care, and include four sections: About Me, Preferences for Today, Preferences for Medical Intervention and End of Life, and Afterthoughts. Videos are then shared.
Me & My Wishes Wait-list Control/Group 2 Family
n=25 Participants
In Group 2 (delayed sharing) NHs, residents will be on a wait-list; after the delayed start, their video will be shared with family within three months. Me \& My Wishes are videos of nursing home residents talking about their preferences for care, and include four sections: About Me, Preferences for Today, Preferences for Medical Intervention and End of Life, and Afterthoughts. Videos are then shared.
Me & My Wishes Intervention/Group 1 Staff
n=13 Participants
In Group 1 (early intervention group) NHs, resident's video will be shared with staff within three months of baseline. Me \& My Wishes are videos of nursing home residents talking about their preferences for care, and include four sections: About Me, Preferences for Today, Preferences for Medical Intervention and End of Life, and Afterthoughts. Videos are then shared.
Me & My Wishes Wait-list Control/Group 2 Staff
n=25 Participants
In Group 2 (delayed sharing) NHs, residents will be on a wait-list; after the delayed start, their video will be shared with staff within three months. Me \& My Wishes are videos of nursing home residents talking about their preferences for care, and include four sections: About Me, Preferences for Today, Preferences for Medical Intervention and End of Life, and Afterthoughts. Videos are then shared.
Total
n=124 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=17 Participants • Age not reported for two participants (e.g., left blank)
0 Participants
n=19 Participants • Age not reported for two participants (e.g., left blank)
0 Participants
n=25 Participants • Age not reported for two participants (e.g., left blank)
0 Participants
n=25 Participants • Age not reported for two participants (e.g., left blank)
0 Participants
n=12 Participants • Age not reported for two participants (e.g., left blank)
0 Participants
n=24 Participants • Age not reported for two participants (e.g., left blank)
0 Participants
n=122 Participants • Age not reported for two participants (e.g., left blank)
Age, Categorical
Between 18 and 65 years
0 Participants
n=17 Participants • Age not reported for two participants (e.g., left blank)
0 Participants
n=19 Participants • Age not reported for two participants (e.g., left blank)
17 Participants
n=25 Participants • Age not reported for two participants (e.g., left blank)
13 Participants
n=25 Participants • Age not reported for two participants (e.g., left blank)
12 Participants
n=12 Participants • Age not reported for two participants (e.g., left blank)
21 Participants
n=24 Participants • Age not reported for two participants (e.g., left blank)
63 Participants
n=122 Participants • Age not reported for two participants (e.g., left blank)
Age, Categorical
>=65 years
17 Participants
n=17 Participants • Age not reported for two participants (e.g., left blank)
19 Participants
n=19 Participants • Age not reported for two participants (e.g., left blank)
8 Participants
n=25 Participants • Age not reported for two participants (e.g., left blank)
12 Participants
n=25 Participants • Age not reported for two participants (e.g., left blank)
0 Participants
n=12 Participants • Age not reported for two participants (e.g., left blank)
3 Participants
n=24 Participants • Age not reported for two participants (e.g., left blank)
59 Participants
n=122 Participants • Age not reported for two participants (e.g., left blank)
Age, Continuous
64.77 years
STANDARD_DEVIATION 17.31 • n=17 Participants
57.75 years
STANDARD_DEVIATION 18.24 • n=19 Participants
59.84 years
STANDARD_DEVIATION 10.15 • n=25 Participants
61.56 years
STANDARD_DEVIATION 12.88 • n=25 Participants
47.33 years
STANDARD_DEVIATION 10.97 • n=13 Participants
41.58 years
STANDARD_DEVIATION 16.83 • n=25 Participants
60.86 years
STANDARD_DEVIATION 18.11 • n=124 Participants
Sex: Female, Male
Female
9 Participants
n=17 Participants
13 Participants
n=19 Participants
15 Participants
n=25 Participants
21 Participants
n=25 Participants
12 Participants
n=13 Participants
20 Participants
n=25 Participants
90 Participants
n=124 Participants
Sex: Female, Male
Male
8 Participants
n=17 Participants
6 Participants
n=19 Participants
10 Participants
n=25 Participants
4 Participants
n=25 Participants
1 Participants
n=13 Participants
5 Participants
n=25 Participants
34 Participants
n=124 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants
n=17 Participants
1 Participants
n=19 Participants
1 Participants
n=25 Participants
1 Participants
n=25 Participants
0 Participants
n=13 Participants
1 Participants
n=25 Participants
5 Participants
n=124 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
16 Participants
n=17 Participants
17 Participants
n=19 Participants
24 Participants
n=25 Participants
24 Participants
n=25 Participants
13 Participants
n=13 Participants
23 Participants
n=25 Participants
117 Participants
n=124 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=17 Participants
1 Participants
n=19 Participants
0 Participants
n=25 Participants
0 Participants
n=25 Participants
0 Participants
n=13 Participants
1 Participants
n=25 Participants
2 Participants
n=124 Participants
Race (NIH/OMB)
American Indian or Alaska Native
3 Participants
n=17 Participants
1 Participants
n=19 Participants
0 Participants
n=25 Participants
1 Participants
n=25 Participants
0 Participants
n=13 Participants
1 Participants
n=25 Participants
6 Participants
n=124 Participants
Race (NIH/OMB)
Asian
0 Participants
n=17 Participants
0 Participants
n=19 Participants
0 Participants
n=25 Participants
0 Participants
n=25 Participants
0 Participants
n=13 Participants
1 Participants
n=25 Participants
1 Participants
n=124 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=17 Participants
0 Participants
n=19 Participants
0 Participants
n=25 Participants
0 Participants
n=25 Participants
0 Participants
n=13 Participants
0 Participants
n=25 Participants
0 Participants
n=124 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=17 Participants
0 Participants
n=19 Participants
0 Participants
n=25 Participants
0 Participants
n=25 Participants
0 Participants
n=13 Participants
2 Participants
n=25 Participants
2 Participants
n=124 Participants
Race (NIH/OMB)
White
14 Participants
n=17 Participants
18 Participants
n=19 Participants
25 Participants
n=25 Participants
24 Participants
n=25 Participants
13 Participants
n=13 Participants
19 Participants
n=25 Participants
113 Participants
n=124 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=17 Participants
0 Participants
n=19 Participants
0 Participants
n=25 Participants
0 Participants
n=25 Participants
0 Participants
n=13 Participants
1 Participants
n=25 Participants
1 Participants
n=124 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=17 Participants
0 Participants
n=19 Participants
0 Participants
n=25 Participants
0 Participants
n=25 Participants
0 Participants
n=13 Participants
1 Participants
n=25 Participants
1 Participants
n=124 Participants
Region of Enrollment
United States
17 Participants
n=17 Participants
19 Participants
n=19 Participants
25 Participants
n=25 Participants
25 Participants
n=25 Participants
13 Participants
n=13 Participants
25 Participants
n=25 Participants
124 Participants
n=124 Participants

PRIMARY outcome

Timeframe: Baseline, time of sharing (3 months from baseline), and 90 days post sharing video

Population: persons living with dementia (PLWD) in long-term care (LTC) settings, such as nursing homes and assisted living communities

At each specified time point, a chart review was conducted to obtain whether goals of care discussions occurred (change in documentation in medical record, e.g. social work note), yes/no. Reported values indicated residents who had a documented GOC in chart (yes) at any time point. Goal of Care Conversations encompass two parts. A) some sharing of disease status / prognosis + B) discussion of a choice of goals/treatment decisions. Examples of Part A include disease understanding, disease state, disease progression, prognosis/life expectancy, documentation that the clinician tried to discuss prognosis but the patient/family refused

Outcome measures

Outcome measures
Measure
Me & My WishesIntervention/Group 1 Resident
n=17 Participants
In Group 1 (early intervention group) NHs, video recording, editing, and viewing will occur within three months of baseline. Me \& My Wishes: Me \& My Wishes videos communicate residents' preferences via personalized video recorded conversations. Me \& My Wishes are videos of nursing home residents talking about their preferences for care, and include four sections: About Me, Preferences for Today, Preferences for Medical Intervention and End of Life, and Afterthoughts.
Me & My Wishes Wait-list Control/Group 2 Resident
n=19 Participants
In Group 2 (delayed sharing) NHs, residents will be on a wait-list; after the delayed start, their video will be produced and viewed within three months. Me \& My Wishes: Me \& My Wishes videos communicate residents' preferences via personalized video recorded conversations. Me \& My Wishes are videos of nursing home residents talking about their preferences for care, and include four sections: About Me, Preferences for Today, Preferences for Medical Intervention and End of Life, and Afterthoughts.
Number of Participants With a Documented Discussion of Goals of Care
12 Participants
10 Participants

SECONDARY outcome

Timeframe: Baseline, time of sharing (3 months from baseline), and 90 days post sharing video

Population: persons living with dementia (PLWD) in long-term care (LTC) settings, such as nursing homes and assisted living communities.

Confidence in expressing or communicating about resident preferences. Self-efficacy items, range 1-5, higher is more confident.

Outcome measures

Outcome measures
Measure
Me & My WishesIntervention/Group 1 Resident
n=17 Participants
In Group 1 (early intervention group) NHs, video recording, editing, and viewing will occur within three months of baseline. Me \& My Wishes: Me \& My Wishes videos communicate residents' preferences via personalized video recorded conversations. Me \& My Wishes are videos of nursing home residents talking about their preferences for care, and include four sections: About Me, Preferences for Today, Preferences for Medical Intervention and End of Life, and Afterthoughts.
Me & My Wishes Wait-list Control/Group 2 Resident
n=19 Participants
In Group 2 (delayed sharing) NHs, residents will be on a wait-list; after the delayed start, their video will be produced and viewed within three months. Me \& My Wishes: Me \& My Wishes videos communicate residents' preferences via personalized video recorded conversations. Me \& My Wishes are videos of nursing home residents talking about their preferences for care, and include four sections: About Me, Preferences for Today, Preferences for Medical Intervention and End of Life, and Afterthoughts.
Self-efficacy for Communicating Preferences
Baseline
4.26 score on a scale
Standard Error .13
4.26 score on a scale
Standard Error .13
Self-efficacy for Communicating Preferences
Time of sharing
4.37 score on a scale
Standard Error .15
3.77 score on a scale
Standard Error .26
Self-efficacy for Communicating Preferences
90 day
4.38 score on a scale
Standard Error .16
3.96 score on a scale
Standard Error .25

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline, time of sharing (within 3 months of baseline), and 90 days post sharing video

Population: persons living with dementia (PLWD) in long-term care (LTC) settings, such as nursing homes and assisted living communities.

Psychosocial preferences include having family at the bedside; engaging in faith practices, such as prayer; having a pet at bedside; and engaging in activities such as being read to or listening to music. Preferences from the videos and surveys were coded as yes, no, don't know, or missing. Concordance occurred when the coded preferences in the resident's video and staff member response matched.

Outcome measures

Outcome measures
Measure
Me & My WishesIntervention/Group 1 Resident
n=17 Participants
In Group 1 (early intervention group) NHs, video recording, editing, and viewing will occur within three months of baseline. Me \& My Wishes: Me \& My Wishes videos communicate residents' preferences via personalized video recorded conversations. Me \& My Wishes are videos of nursing home residents talking about their preferences for care, and include four sections: About Me, Preferences for Today, Preferences for Medical Intervention and End of Life, and Afterthoughts.
Me & My Wishes Wait-list Control/Group 2 Resident
n=19 Participants
In Group 2 (delayed sharing) NHs, residents will be on a wait-list; after the delayed start, their video will be produced and viewed within three months. Me \& My Wishes: Me \& My Wishes videos communicate residents' preferences via personalized video recorded conversations. Me \& My Wishes are videos of nursing home residents talking about their preferences for care, and include four sections: About Me, Preferences for Today, Preferences for Medical Intervention and End of Life, and Afterthoughts.
Concordance of Psychosocial Preferences Between Video and Staff
Baseline
47.87 percentage of agreement
Standard Deviation 29.87
44.87 percentage of agreement
Standard Deviation 31.82
Concordance of Psychosocial Preferences Between Video and Staff
Time of Sharing
77.50 percentage of agreement
Standard Deviation 19.45
87.25 percentage of agreement
Standard Deviation 18.28
Concordance of Psychosocial Preferences Between Video and Staff
90 days
68.60 percentage of agreement
Standard Deviation 24.45
60.29 percentage of agreement
Standard Deviation 30.49

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline, time of sharing (within 3 months of baseline), and 90 days post sharing video

Population: persons living with dementia (PLWD) in long-term care (LTC) settings, such as nursing homes and assisted living communities.

EOL preferences include treatment preferences (cardiopulmonary resuscitation, or CPR; breathing machine; tube feeding; life support; and pain treatment). Preferences from the videos and surveys were coded as yes, no, don't know, or missing. Concordance occurred when the coded preferences in the resident's video and staff member response matched.

Outcome measures

Outcome measures
Measure
Me & My WishesIntervention/Group 1 Resident
n=17 Participants
In Group 1 (early intervention group) NHs, video recording, editing, and viewing will occur within three months of baseline. Me \& My Wishes: Me \& My Wishes videos communicate residents' preferences via personalized video recorded conversations. Me \& My Wishes are videos of nursing home residents talking about their preferences for care, and include four sections: About Me, Preferences for Today, Preferences for Medical Intervention and End of Life, and Afterthoughts.
Me & My Wishes Wait-list Control/Group 2 Resident
n=19 Participants
In Group 2 (delayed sharing) NHs, residents will be on a wait-list; after the delayed start, their video will be produced and viewed within three months. Me \& My Wishes: Me \& My Wishes videos communicate residents' preferences via personalized video recorded conversations. Me \& My Wishes are videos of nursing home residents talking about their preferences for care, and include four sections: About Me, Preferences for Today, Preferences for Medical Intervention and End of Life, and Afterthoughts.
Concordance of End of Life Preferences, Video and Staff
Baseline
29.79 percentage of agreement
Standard Deviation 24.98
27.18 percentage of agreement
Standard Deviation 25.37
Concordance of End of Life Preferences, Video and Staff
Time of Sharing
63.50 percentage of agreement
Standard Deviation 22.59
55.29 percentage of agreement
Standard Deviation 28.17
Concordance of End of Life Preferences, Video and Staff
90 days
60.93 percentage of agreement
Standard Deviation 23.07
46.27 percentage of agreement
Standard Deviation 28.70

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline, time of sharing (within 3 months of baseline), and 90 days post sharing video

Population: persons living with dementia (PLWD) in long-term care (LTC) settings, such as nursing homes and assisted living communities.

Psychosocial preferences include having family at the bedside; engaging in faith practices, such as prayer; having a pet at bedside; and engaging in activities such as being read to or listening to music. Preferences from the videos and surveys were coded as yes, no, don't know, or missing. Concordance occurred when the coded preferences in the resident's video and family member response matched.

Outcome measures

Outcome measures
Measure
Me & My WishesIntervention/Group 1 Resident
n=17 Participants
In Group 1 (early intervention group) NHs, video recording, editing, and viewing will occur within three months of baseline. Me \& My Wishes: Me \& My Wishes videos communicate residents' preferences via personalized video recorded conversations. Me \& My Wishes are videos of nursing home residents talking about their preferences for care, and include four sections: About Me, Preferences for Today, Preferences for Medical Intervention and End of Life, and Afterthoughts.
Me & My Wishes Wait-list Control/Group 2 Resident
n=19 Participants
In Group 2 (delayed sharing) NHs, residents will be on a wait-list; after the delayed start, their video will be produced and viewed within three months. Me \& My Wishes: Me \& My Wishes videos communicate residents' preferences via personalized video recorded conversations. Me \& My Wishes are videos of nursing home residents talking about their preferences for care, and include four sections: About Me, Preferences for Today, Preferences for Medical Intervention and End of Life, and Afterthoughts.
Concordance of Psychosocial Preferences, Video and Family
Baseline
67.31 percentage of agreement
Standard Deviation 24.26
64.13 percentage of agreement
Standard Deviation 30.92
Concordance of Psychosocial Preferences, Video and Family
Time of Sharing
72.00 percentage of agreement
Standard Deviation 22.03
83.70 percentage of agreement
Standard Deviation 23.37
Concordance of Psychosocial Preferences, Video and Family
90 days
71.74 percentage of agreement
Standard Deviation 24.20
85.53 percentage of agreement
Standard Deviation 19.21

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline, time of sharing (within 3 months of baseline), and 90 days post sharing video

Population: persons living with dementia (PLWD) in long-term care (LTC) settings, such as nursing homes and assisted living communities.

EOL preferences include treatment preferences (cardiopulmonary resuscitation, or CPR; breathing machine; tube feeding; life support; and pain treatment). Preferences from the videos and surveys were coded as yes, no, don't know, or missing. Concordance occurred when the coded preferences in the resident's video and family member response matched.

Outcome measures

Outcome measures
Measure
Me & My WishesIntervention/Group 1 Resident
n=17 Participants
In Group 1 (early intervention group) NHs, video recording, editing, and viewing will occur within three months of baseline. Me \& My Wishes: Me \& My Wishes videos communicate residents' preferences via personalized video recorded conversations. Me \& My Wishes are videos of nursing home residents talking about their preferences for care, and include four sections: About Me, Preferences for Today, Preferences for Medical Intervention and End of Life, and Afterthoughts.
Me & My Wishes Wait-list Control/Group 2 Resident
n=19 Participants
In Group 2 (delayed sharing) NHs, residents will be on a wait-list; after the delayed start, their video will be produced and viewed within three months. Me \& My Wishes: Me \& My Wishes videos communicate residents' preferences via personalized video recorded conversations. Me \& My Wishes are videos of nursing home residents talking about their preferences for care, and include four sections: About Me, Preferences for Today, Preferences for Medical Intervention and End of Life, and Afterthoughts.
Concordance of End of Life Preferences, Video and Family
Baseline
48.15 percentage of agreement
Standard Deviation 23.04
38.26 percentage of agreement
Standard Deviation 35.63
Concordance of End of Life Preferences, Video and Family
Time of Sharing
60.80 percentage of agreement
Standard Deviation 23.44
62.61 percentage of agreement
Standard Deviation 26.49
Concordance of End of Life Preferences, Video and Family
90 days
53.91 percentage of agreement
Standard Deviation 17.51
52.63 percentage of agreement
Standard Deviation 24.23

Adverse Events

Me & My Wishes Intervention/Group 1 Resident

Serious events: 0 serious events
Other events: 0 other events
Deaths: 2 deaths

Me & My Wishes Wait-list Control/Group 2 Resident

Serious events: 0 serious events
Other events: 0 other events
Deaths: 1 deaths

Me & My Wishes Intervention/Group 1 Family

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Me & My Wishes Wait-list Family

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Me & My Wishes Intervention Group 1 Staff

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Me & My Wishes Control/Group 2 Staff

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Gail Towsley

University of Utah

Phone: 801-585-9085

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place