Improving Decision Making About Feeding Options for Dementia
This study is a randomized trial to test whether a decision aid can help to improve the quality of decision making about feeding options in care of patients with dementia.
|Study Design:||Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single Blind (Subject)
Primary Purpose: Supportive Care
|Official Title:||Improving Decision Making About Feeding Options for Dementia|
- Decisional Conflict Scale [ Time Frame: 3 months ] [ Designated as safety issue: No ]Decisional Conflict Scale measures conflict in decisions Total scale range 1-5 with lower scores indicating less conflict.
- Percent With Treatment Decisions [ Time Frame: 3 months ] [ Designated as safety issue: No ]Treatment decisions are expressed as percentage of subjects with discussions of new tube feeding, new orders to forego tube feeding, and new choices for assisted feeding.
|Study Start Date:||May 2007|
|Study Completion Date:||June 2010|
|Primary Completion Date:||June 2010 (Final data collection date for primary outcome measure)|
Experimental: Decision support
Structured decision aid with prompting to share information in discussion with primary treating health care providers.
Other: Feeding Options in Dementia Decision Aid
Structured decision aid on feeding options in dementia care with prompting to share information in discussion with primary treating health care provider.
Other Name: Feeding Options in Dementia Decision Aid
No Intervention: Control
This research study is a cluster randomized controlled trial of a decision aid to improve decision-making about feeding options for patients with advanced dementia. Surrogate decision-makers in the nursing homes randomized to the intervention will review the decision aid and be prompted to discuss it with the primary health care provider, while those in the control sites receive usual care. We measure the immediate, 1 and 3 month effects of the decision aid on the quality of surrogate decision-making for nursing home residents with advanced dementia.
|United States, North Carolina|
|University of North Carolina|
|Chapel Hill, North Carolina, United States, 27599|
|Principal Investigator:||Laura C Hanson, MD, MPH||University of North Carolina, Chapel Hill|