EFFECTIVENESS: Hopewell Hospitalist: A Video Game Intervention to Increase Advance Care Planning by Hospitalists

NCT ID: NCT04881968

Last Updated: 2022-02-25

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

NA

Total Enrollment

1261 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-07-15

Study Completion Date

2021-08-13

Brief Summary

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Hopewell Hospitalist is a theory-based adventure video game designed to increase the likelihood that a physician will engage in an advance care planning (ACP) conversation with a patient over the age of 65. Drawing on the theory of narrative engagement, players assume the persona of a hospitalist physician and navigate a series of clinical encounters with seriously-ill patients over the age of 65. Players experience the consequences of having (or not having) ACP conversations in a timely fashion. The planned study is a crossover phase III trial testing the effectiveness of providing physicians with a link to a free version of Hopewell Hospitalist as a means for increasing ACP rates measured by ACP billing frequency.

Detailed Description

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Conditions

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Advance Care Planning

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SEQUENTIAL

We will email the Uniform Resource Locator (URL) to download the App with encouragement to play the game, including positive feedback from participants in the efficacy study. Receipt of the email will be our measure of intervention delivery. Each hospitalist 'crosses over' from control to intervention at a single time point.
Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

SINGLE

Outcome Assessors
A physician's treatment assignment will be masked during analysis.

Study Groups

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Control: Usual Care

The control arm occurs prior to receipt of the video game intervention and reflects usual care. Each hospitalist 'crosses over' from control to intervention at a single time point.

Group Type NO_INTERVENTION

No interventions assigned to this group

Video Game Intervention

Each hospitalist 'crosses over' from control to intervention at a single time point by receiving a link to the Hopewell Hospitalist game via email and logging in to play the video game.

Group Type EXPERIMENTAL

Hopewell Hospitalist Video Game

Intervention Type BEHAVIORAL

Hopewell Hospitalist is a customized theory-based adventure video game that uses narrative engagement to educate physician players on advance care planning to increase physicians' likelihood of engaging in and billing for ACP conversations.

Interventions

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Hopewell Hospitalist Video Game

Hopewell Hospitalist is a customized theory-based adventure video game that uses narrative engagement to educate physician players on advance care planning to increase physicians' likelihood of engaging in and billing for ACP conversations.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Employed by Sound
* Not previously included in the Efficacy Trial Arm of the study.

Exclusion Criteria

* Not employed by Sound
* Does not provide informed consent
* Previously included in the Efficacy Trial Arm of the study.
Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Sound Physicians

OTHER

Sponsor Role collaborator

National Institute on Aging (NIA)

NIH

Sponsor Role collaborator

Dartmouth-Hitchcock Medical Center

OTHER

Sponsor Role lead

Responsible Party

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Amber Barnato

Susan J. and Richard M. Levy 1960 Distinguished Professor in Health Care Delivery

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Amber Barnato, MD, MPH, MS

Role: PRINCIPAL_INVESTIGATOR

Dartmouth-Hitchcock Medical Center and Geisel School of Medicine�

Locations

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Dartmouth Hitchcock Medical Center

Lebanon, New Hampshire, United States

Site Status

Countries

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United States

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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P01AG019783

Identifier Type: NIH

Identifier Source: secondary_id

View Link

STUDY00031186 - B

Identifier Type: -

Identifier Source: org_study_id

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