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.
Please refer to this study by its ClinicalTrials.gov identifier: NCT01241929
|United States, Massachusetts|
|Massachusetts General Hospital|
|Boston, Massachusetts, United States, 02114|