Using Video Images to Improve Advance Care Planning in Patients With Cancer
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 80
- 试验地点
- 2
- 主要终点
- end of life preference at time of interview
研究概览
简要总结
The purpose of this study is to study whether preferences for the goals of care for 80 subjects with end-stage cancer are altered after viewing a video outlining the goals of care compared to their initial preferences after hearing a verbal description of the goals of care alone.
详细描述
The purpose of this study is to study whether preferences for the goals of care for 80 subjects with end-stage cancer are altered after viewing a video outlining the goals of care compared to their initial preferences after hearing a verbal description of the goals of care alone. Subjects will choose among three goals of care, life prolonging care, basic medical care, and comfort care.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 21 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Terminal, progressive cancer with poor prognosis whose treatment intent is palliative, based on the following definition:
- •All patients with brain cancer, liver cancer, inoperable non-small cell lung carcinoma, pancreatic cancer, or gallbladder cancer; OR
- •Patients with the following cancers: metastatic colon cancer or stage III or IV non-small cell lung cancer; OR
- •Patients with the following cancers, if first-line therapy has failed and limited response is expected to second-line therapy: breast cancer, colorectal cancer, head and neck cancer, stomach cancer, esophageal cancer, melanoma, leukemia, ovarian cancer, prostate cancer, renal cancer, sarcoma, lung cancer, myeloma, or lymphoma.
- •The terms terminal, progressive, poor prognosis, palliative intent and limited response will be judged by the patient's oncologist (and not by the RSA or consenting professional).
- •Return patient visit (defined as a patient known to the oncologist from previous assessments and treatments, where the working and personal relationship has been established and not a new patient to the clinic).
- •English speaking. Only English-speaking patients will be included in our present study since English is the validated language of our study tools.
- •Given the sensitive nature of the study, clinicians will decide whether the patient is a potentially appropriate subject based on their knowledge of the patient.
- •Able to provide informed consent.
- •Age greater than or equal to 21.
排除标准
- •Psychological state not appropriate for end-of-life discussion as determined by the treating clinician.
结局指标
主要结局
end of life preference at time of interview
时间窗: 5 minutes after survey
次要结局
- knowledge(5 minutes after survey)
- decisional conflict(5 minutes after survey)
研究者
Angelo E. Volandes, MD
Faculty
Massachusetts General Hospital