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临床试验/NCT06804226
NCT06804226招募中不适用

Advancing Discussions Using a Video-based Support Tool About End-of-life Care: the ADVISE Project

The University of Texas Health Science Center, Houston1 个研究点 分布在 1 个国家目标入组 270 人开始时间: 2025年3月17日最近更新:
适应症
干预措施

试验速览

阶段
不适用
状态
招募中
发起方
入组人数
270
试验地点
1
主要终点
Number of participants who had a transition in code status from full code

研究概览

简要总结

The purpose of this study is to evaluate the effectiveness and implementation considerations of a video aid to improve communication and patient-centered outcomes in older injured adults

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 (Care Provider, Outcomes Assessor)

入排标准

年龄范围
65 Years 至 —(Older Adult)
性别
All
接受健康志愿者
否

入选标准

  • •English or Spanish speaking
  • •admitted to any level of care following trauma

排除标准

  • •Prisoners
  • •Existing do not resuscitate (DNR)/do not intubate (DNI)
  • •Patients admitted while on hospice
  • •Patients not expected to survive over 24-48 hours

研究组 & 干预措施

Video conversation aid

Experimental

干预措施: Video conversation aid (Behavioral)

Usual Care

Active Comparator

干预措施: Usual Care (Behavioral)

结局指标

主要结局

Number of participants who had a transition in code status from full code

时间窗: at time of discharge (about 5 days after admission)

Data will be reported categorically as number of participants who transitioned from full code to DNR/DNI, DNR, ok for intubation, or Comfort measures only

次要结局

  • Number of participants that had hospital-free days(in the first 30 days after admission)
  • Percentage of participants that recognize survival after Cardiopulmonary resuscitation (CPR) as less than 50 percent as assessed by a survey(at time of discharge (about 5 days after admission))
  • Number of participants that received information about life-sustaining care outcomes as assessed by a survey(at time of discharge (about 5 days after admission))
  • Number of participants that desire more information regarding life-sustaining care as assessed by a survey(at time of discharge (about 5 days after admission))
  • Number of participants that had ICU-free days(at time of discharge (about 5 days after admission))
  • Discharge disposition(at time of discharge (about 5 days after admission))
  • Number of participants that had ventilator-free days(at time of discharge (about 5 days after admission))
  • Decisional conflict score as assessed by the Decisional Conflict Scale(at time of discharge (about 5 days after admission))
  • Number of interventional procedures(at time of discharge (about 5 days after admission))

研究者

发起方
The University of Texas Health Science Center, Houston
申办方类型
Other
责任方
Principal Investigator
主要研究者

Thaddeus J. Puzio

Assistant Professor

The University of Texas Health Science Center, Houston

研究点 (1)

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