A Study to Tailor Advance Directives

This study has been completed.
Sponsor:
Information provided by (Responsible Party):
University of Chicago
ClinicalTrials.gov Identifier:
NCT00121004
First received: July 11, 2005
Last updated: September 4, 2013
Last verified: September 2013

July 11, 2005
September 4, 2013
July 2005
September 2005   (final data collection date for primary outcome measure)
Not Provided
Not Provided
Complete list of historical versions of study NCT00121004 on ClinicalTrials.gov Archive Site
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A Study to Tailor Advance Directives
A Study to Tailor Advance Directives

In this study, hospitalized patients will first be surveyed regarding their interest in a traditional advanced directive (AD) and then in a modified AD.

The purpose of this study is to assess whether patients will execute an advance directive which offers a limited trial of life-sustaining therapy in non-terminal illness, declines life-sustaining therapy or artificial nutrition in advanced dementia, or declines life-sustaining therapy in general. Advance directives (ADs) as currently drafted have been questioned since they have not had much effect on end-of-life care. However, the reason for the lack of success may be simply that they rarely apply. Traditional ADs, which are limited to terminal illness or persistent vegetative states, are difficult to apply to the more common cases of critical illness in the setting of potentially reversible disease and advanced dementia, which are often not recognized as terminal. In addition, terminal ADs are drafted too narrowly for patients who do not wish for life-sustaining therapy regardless of condition.

Patients may execute either AD at the conclusion of the survey. This research has the potential to demonstrate widely reproducible methods on which more precise advance planning can be based and thereby improve end-of-life care.

Observational
Observational Model: Cohort
Time Perspective: Prospective
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Non-Probability Sample

Hospitalized patients admitted to the general medical service at the University of Chicago

  • Dementia
  • Persistent Vegetative State
  • Terminally Ill
Behavioral: Advance Directive Selection
Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Completed
100
September 2005
September 2005   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • Hospitalized patients admitted to the general medical service at the University of Chicago
  • Previously enrolled in a study of hospitalized general medicine patients at the University of Chicago

Exclusion Criteria:

  • Patients who score less than 17 out of 30 on the Folstein Mini-Mental Status Examination or who have a proxy decision-maker
  • Patients who are medically unstable based on two or more abnormal vital signs
  • Patients who face a possible new diagnosis of cancer
Both
18 Years and older
Yes
Contact information is only displayed when the study is recruiting subjects
United States
 
NCT00121004
13787A
No
University of Chicago
University of Chicago
Not Provided
Principal Investigator: Elmer Abbo, M.D., Ph.D. University of Chicago
Principal Investigator: David Meltzer, M.D., Ph.D. University of Chicago
University of Chicago
September 2013

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP