Using Videos in Advance Care Planning for Patients With Advanced Cancer
To compare the decision making of subjects with advanced cancer having a verbal advance care planning discussion compared to subjects using a video.
|Study Design:||Allocation: Randomized
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Health Services Research
|Official Title:||A Pilot Study of Using Video Images in Advance Care Planning in Patients With Advanced Cancer|
- preferences for CPR [ Time Frame: within one hour after oncology visit ] [ Designated as safety issue: No ]CPR preference after visit to oncologist
- knowledge of CPR [ Time Frame: baseline and post-intervention ] [ Designated as safety issue: No ]assess knowledge of CPR
- stability of preferences [ Time Frame: after 6-8 weeks ] [ Designated as safety issue: No ]assess CPR preferences again
- predictors of preferences [ Time Frame: post-intervention ] [ Designated as safety issue: No ]predictors of preferences for CPR
|Study Start Date:||April 2009|
|Study Completion Date:||April 2012|
|Primary Completion Date:||January 2012 (Final data collection date for primary outcome measure)|
Experimental: video decision aid
Video decision aid arm
Behavioral: video decision aid
video of CPR
No Intervention: Usual Care -- Verbal Description Arm
Verbal description of CPR (i.e., without the video).
A.1. Aim 1: To recruit 150 subjects with advanced cancer and randomly assign these subjects to one of two advance care planning (ACP) modalities: 1. a video visually depicting CPR (intervention) or 2. a verbal narrative describing the CPR.
Hypothesis 1: It is feasible to recruit and randomize 150 subjects with advanced cancer.
A.2. Aim 2: To compare the care preferences for CPR among 150 subjects randomized to video vs. verbal narrative intervention.
Hypothesis 2: Subjects randomized to the video intervention will be significantly more likely to opt NOT to have CPR compared to those randomized to the verbal narrative.
A.3. Aim 3: To compare knowledge assessment of CPR for 150 subjects randomized to video vs. verbal narrative intervention.
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 CPR.