Using Videos to Improve Understanding of the Delivery of End-of-life Medical Care in Non-hospital Settings
- Conditions
- Elderly
- Interventions
- Other: video decision aid
- Registration Number
- NCT01233973
- Lead Sponsor
- Massachusetts General Hospital
- Brief Summary
To compare the decision making of elderly subjects having a verbal advance care planning discussion compared to subjects using a video.
- Detailed Description
A.1. Aim 1: To recruit 101 subjects over the age of 64 who are newly admitted to a nursing home facility and randomly assign these subjects to one of two advance care planning (ACP) modalities: 1. a video visually depicting the Goals of Care (Life Prolonging Care, Limited Care, and Comfort Care) (intervention) or 2. a verbal narrative describing the Goals of Care (control) encountered if the subject becomes very ill.
Hypothesis 1: It is feasible to recruit and randomize newly admitted elderly subjects to each of the ACP modalities.
A.2. Aim 2: To compare the care preferences for their primary goal of care (i.e., life-prolonging care, limited care, or comfort care) among 101 subjects randomized to video vs. verbal narrative intervention for ACP.
Hypothesis 2: Subjects randomized to the video intervention will be significantly more likely to opt for comfort care (vs. life-prolonging or limited care) as the primary goal of care compared to those randomized to the verbal narrative.
A.3. Aim 3: To compare knowledge assessment of the Goals of Care of 101 subjects randomized to video vs. verbal narrative intervention for ACP.
Hypothesis 3: When compared to subjects randomized to the verbal narrative arm, subjects in the video group will have higher knowledge assessment scores when asked questions regarding their understanding of the Goals of Care.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 101
- over age of 64
- have decision making capacity
- do not speak English
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Arm && Interventions
Group Intervention Description intervention group video decision aid video decision aid viewed by subjects
- Primary Outcome Measures
Name Time Method preference for medical care 5 minutes after the survey preference for care at the end of life
- Secondary Outcome Measures
Name Time Method
Trial Locations
- Locations (1)
MGH
🇺🇸Boston, Massachusetts, United States