A ProspectiveTrial Using Video Images in Advance Care Planning in Hospitalized Seriously Ill Patients With Advanced Cancer
试验速览
- 阶段
- 不适用
- 入组人数
- 150
- 试验地点
- 2
- 主要终点
- preferences for medical care regarding CPR (yes, no or unsure)
研究概览
简要总结
The purpose of this study is to compare the decision making of hospitalized subjects with advanced cancer having a verbal discussion about CPR compared to subjects using a video.
详细描述
Aim 1: To recruit 150 subjects with advanced cancer admitted to the inpatient oncology ward with an overall prognosis of one year or less and randomly assign these subjects to:
- a video visually depicting CPR preferences or
- the current standard of care without the use of video (control).
Hypothesis 1: It is feasible to recruit and randomize 150 hospitalized subjects with advanced cancer and an overall prognosis of one year or less.
Aim 2: To compare the care preferences for CPR and intubation among subjects randomized to video and subjects randomized to the current standard of care without the video.
Hypothesis 2: Subjects randomized to the video intervention will be significantly more likely to opt against CPR and intubation compared to those who do not see the video.
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
- •Potential subjects will be identified by the research assistant. The specific eligibility criteria include:
- •Over the age of 60
- •The ability to provide informed consent
- •The ability to communicate in English
- •An established diagnosis of metastatic cancer with a prognosis of one year or less confirmed with the attending physician on service.
排除标准
- 未提供
结局指标
主要结局
preferences for medical care regarding CPR (yes, no or unsure)
时间窗: within 5 minutes of surveyor asking the questions
次要结局
- code status on subsequent admissions (Full code, DNR/DNI, etc.)(subsequent hospital admissions within one year)
- knowledge of CPR(5 minutes after the surveyor asks questions)
研究者
Angelo E. Volandes, MD
Principal Investigator
Massachusetts General Hospital