A Pilot Study of Using Video Images in Advance Care Planning in Patients With Advanced Cancer
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 150
- 试验地点
- 2
- 主要终点
- preferences for CPR
研究概览
简要总结
To compare the decision making of subjects with advanced cancer having a verbal advance care planning discussion compared to subjects using a video.
详细描述
A.1. Aim 1: To recruit 150 subjects with advanced cancer and randomly assign these subjects to one of two advance care planning (ACP) modalities: 1. a video visually depicting CPR (intervention) or 2. a verbal narrative describing the CPR.
Hypothesis 1: It is feasible to recruit and randomize 150 subjects with advanced cancer.
A.2. Aim 2: To compare the care preferences for CPR among 150 subjects randomized to video vs. verbal narrative intervention.
Hypothesis 2: Subjects randomized to the video intervention will be significantly more likely to opt NOT to have CPR compared to those randomized to the verbal narrative.
A.3. Aim 3: To compare knowledge assessment of CPR for 150 subjects randomized to video vs. verbal narrative intervention.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 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
- •diagnosis of cancer that falls under one of the following: A. All patients with brain cancer, inoperable hepatocellular/bile duct/gallbladder cancer, incurable non-small cell lung carcinoma (wet IIIb or IV), extensive stage small cell lung cancer, inoperable mesothelioma, inoperable pancreatic cancer or; metastatic gastric or esophageal cancer, metastatic melanoma, OR B. 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, leukemia, ovarian cancer, prostate cancer, renal cancer, sarcoma, lung cancer, myeloma, or lymphoma, OR C. Less than one year prognosis.
- •ability to provide informed consent,
- •cognitive ability to participate in the study
- •ability to communicate in English.
排除标准
- •inability to make decisions,
- •non-English speaking,
- •new patient visit
结局指标
主要结局
preferences for CPR
时间窗: within one hour after oncology visit
CPR preference after visit to oncologist
次要结局
- knowledge of CPR(baseline and post-intervention)
- stability of preferences(after 6-8 weeks)
- predictors of preferences(post-intervention)
研究者
Angelo E. Volandes, MD
PI
Massachusetts General Hospital