MedPath

Goals of Care Discussions for Hospitalized Patients With Advanced Cancer

Completed
Conditions
Metastatic Cancer
Registration Number
NCT01991015
Lead Sponsor
Northwestern University
Brief Summary

The goal of this study is to better understand gender differences in end-of-life communication between physicians and patients with advanced cancer in the hospital.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
43
Inclusion Criteria
  • English speaking, have metastatic cancer that has progressed despite treatment
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Exclusion Criteria
  • Cognitive impairment
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Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Quality of end-of-life communication15 months

This is a qualitative study and the outcome will be assessed by coding the transcripts of the goals of care discussions. We will use the Roter Interaction Analysis System (RIAS) in which coders assign 1 of 37 mutually exclusive and exhaustive categories to each complete thought expressed (referred to as an utterance). Utterances are combined to reflect "instrumental" (e.g., biomedical exchange, psychosocial exchange, and partnership building) and "affective" behaviors (e.g., social conversation, positive and negative statements, and emotional statements). Additional global measures include patient-centeredness, verbal dominance, and tone.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Northwestern Memorial Hospital

🇺🇸

Chicago, Illinois, United States

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