Using Videos to Improve Understanding of the Delivery of End-of-life Medical Care in Non-hospital Settings
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 101
- 试验地点
- 2
- 主要终点
- preference for medical care
研究概览
简要总结
To compare the decision making of elderly subjects having a verbal advance care planning discussion compared to subjects using a video.
详细描述
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.
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
- 65 Years 至 —（Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •over age of 64
- •have decision making capacity
排除标准
- •do not speak English
结局指标
主要结局
preference for medical care
时间窗: 5 minutes after the survey
preference for care at the end of life
次要结局
未报告次要终点
研究者
Angelo E. Volandes, MD
Faculty
Massachusetts General Hospital