Engaging Surrogates and Physicians to Ensure Concordant Critical Care

Johns Hopkins University1 site in 1 country116 target enrollmentOctober 2016

ConditionsCritical Illness

Overview

Phase: Not Applicable
Intervention: Not specified
Conditions: Critical Illness
Sponsor: Johns Hopkins University
Enrollment: 116
Locations: 1
Primary Endpoint: Presence of acceptable treatment option as assessed by a checklist completed by clinical colleges.
Status: Completed
Last Updated: 6 years ago

Overview Investigators Eligibility Criteria Outcomes Sites Similar Trials

Overview

Brief Summary

A no-cost intervention may improve adherence with a recommendation for higher-quality, lower-cost care for patients with critical illness endorsed by a collaborative of critical care societies. The investigators propose prompting consideration of functional outcomes. This trial will help establish the impact of the intervention on practice patterns including proxy engagement and elements of shared decision-making.

Registry

clinicaltrials.gov

Start Date

October 2016

End Date

March 19, 2019

Last Updated

6 years ago

Study Type

Interventional

Study Design

Parallel

Sex

All

Investigators

Sponsor

Johns Hopkins University

Responsible Party

Sponsor

Eligibility Criteria

Inclusion Criteria

•Licensed physicians
•At least 4 weeks of clinical work in an I.C.U. in the U.S.A. during the past 12 months

Exclusion Criteria

•\<25 years old
•Non-English speaking
•Primarily practicing medicine outside the U.S.A.

Outcomes

Primary Outcomes

Presence of acceptable treatment option as assessed by a checklist completed by clinical colleges.

Time Frame: 0 to 5 minutes after prompting an intervention

Secondary Outcomes

Level of conflict with proxy with a previously validated single question(0 to 5 minutes after prompting an intervention)
Level of shared decision-making measured using CollaboRATE scale(0 to 5 minutes after prompting an intervention)
Medical interactions assessed using the Roter Interaction Analysis System (RIAS)(0 to 5 minutes after prompting an intervention)
Prevalence of the discussed option of stopping life support as assessed by blinded assessors(0 to 5 minutes after prompting an intervention)
Prevalence of conveying prognosis as assessed by blinded assessors(0 to 5 minutes after prompting an intervention)
Prevalence of communication skills for involving ICU proxies in treatment decisions assessed by a checklist completed by clinical colleges(0 to 5 minutes after prompting an intervention)
Level of shared decision-making measured using CollaboRATE scale as assessed by blinded assessors(0 to 5 minutes after prompting an intervention)
The Observer OPTIONS5 measure completed by blinded assessors(0 to 5 minutes after prompting an intervention)
Consulting services requested by study participants(0 to 5 minutes after prompting an intervention)