NCT02721810已完成不适用
Engaging Surrogates and Physicians to Ensure Concordant Critical Care
适应症
干预措施
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 116
- 试验地点
- 2
- 主要终点
- Presence of acceptable treatment option as assessed by a checklist completed by clinical colleges.
研究概览
简要总结
A no-cost intervention may improve adherence with a recommendation for higher-quality, lower-cost care for patients with critical illness endorsed by a collaborative of critical care societies. The investigators propose prompting consideration of functional outcomes. This trial will help establish the impact of the intervention on practice patterns including proxy engagement and elements of shared decision-making.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- Double (Participant, Outcomes Assessor)
入排标准
- 年龄范围
- 25 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Licensed physicians
- •At least 4 weeks of clinical work in an I.C.U. in the U.S.A. during the past 12 months
排除标准
- •<25 years old
- •Non-English speaking
- •Primarily practicing medicine outside the U.S.A.
研究组 & 干预措施
Control
No Intervention
Prompts standard to rounds or electronic medical records.
Prompting Intervention
Experimental
Prompting consideration of 3-month functional outcome.
干预措施: Consideration of 3-month functional prognosis (Behavioral)
结局指标
主要结局
Presence of acceptable treatment option as assessed by a checklist completed by clinical colleges.
时间窗: 0 to 5 minutes after prompting an intervention
次要结局
- Level of conflict with proxy with a previously validated single question(0 to 5 minutes after prompting an intervention)
- Level of shared decision-making measured using CollaboRATE scale(0 to 5 minutes after prompting an intervention)
- Medical interactions assessed using the Roter Interaction Analysis System (RIAS)(0 to 5 minutes after prompting an intervention)
- Prevalence of the discussed option of stopping life support as assessed by blinded assessors(0 to 5 minutes after prompting an intervention)
- Prevalence of conveying prognosis as assessed by blinded assessors(0 to 5 minutes after prompting an intervention)
- Prevalence of communication skills for involving ICU proxies in treatment decisions assessed by a checklist completed by clinical colleges(0 to 5 minutes after prompting an intervention)
- Level of shared decision-making measured using CollaboRATE scale as assessed by blinded assessors(0 to 5 minutes after prompting an intervention)
- The Observer OPTIONS5 measure completed by blinded assessors(0 to 5 minutes after prompting an intervention)
- Consulting services requested by study participants(0 to 5 minutes after prompting an intervention)
研究者
研究点 (2)
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