NCT06804226RecruitingNot Applicable
Advancing Discussions Using a Video-based Support Tool About End-of-life Care: the ADVISE Project
The University of Texas Health Science Center, Houston1 site in 1 country270 target enrollmentStarted: March 17, 2025Last updated:
Conditions
Interventions
Trial Snapshot
- Phase
- Not Applicable
- Status
- Recruiting
- Sponsor
- Enrollment
- 270
- Locations
- 1
- Primary Endpoint
- Number of participants who had a transition in code status from full code
Study Overview
Brief Summary
The purpose of this study is to evaluate the effectiveness and implementation considerations of a video aid to improve communication and patient-centered outcomes in older injured adults
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Health Services Research
- Masking
- Double (Care Provider, Outcomes Assessor)
Eligibility Criteria
- Ages
- 65 Years to — (Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •English or Spanish speaking
- •admitted to any level of care following trauma
Exclusion Criteria
- •Prisoners
- •Existing do not resuscitate (DNR)/do not intubate (DNI)
- •Patients admitted while on hospice
- •Patients not expected to survive over 24-48 hours
Arms & Interventions
Video conversation aid
Experimental
Intervention: Video conversation aid (Behavioral)
Usual Care
Active Comparator
Intervention: Usual Care (Behavioral)
Outcomes
Primary Outcomes
Number of participants who had a transition in code status from full code
Time Frame: at time of discharge (about 5 days after admission)
Data will be reported categorically as number of participants who transitioned from full code to DNR/DNI, DNR, ok for intubation, or Comfort measures only
Secondary Outcomes
- Number of participants that had hospital-free days(in the first 30 days after admission)
- Percentage of participants that recognize survival after Cardiopulmonary resuscitation (CPR) as less than 50 percent as assessed by a survey(at time of discharge (about 5 days after admission))
- Number of participants that received information about life-sustaining care outcomes as assessed by a survey(at time of discharge (about 5 days after admission))
- Number of participants that desire more information regarding life-sustaining care as assessed by a survey(at time of discharge (about 5 days after admission))
- Number of participants that had ICU-free days(at time of discharge (about 5 days after admission))
- Discharge disposition(at time of discharge (about 5 days after admission))
- Number of participants that had ventilator-free days(at time of discharge (about 5 days after admission))
- Decisional conflict score as assessed by the Decisional Conflict Scale(at time of discharge (about 5 days after admission))
- Number of interventional procedures(at time of discharge (about 5 days after admission))
Investigators
Thaddeus J. Puzio
Assistant Professor
The University of Texas Health Science Center, Houston
Study Sites (1)
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