Using Videos in Advance Care Planning for Patients With Advanced Cancer

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT01241929
Recruitment Status : Completed
First Posted : November 16, 2010
Last Update Posted : July 10, 2012
Information provided by (Responsible Party):
Angelo E. Volandes, MD, Massachusetts General Hospital

Brief Summary:
To compare the decision making of subjects with advanced cancer having a verbal advance care planning discussion compared to subjects using a video.

Condition or disease Intervention/treatment Phase
Advanced Cancer Behavioral: video decision aid Not Applicable

Detailed Description:

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.

Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 150 participants
Allocation: Randomized
Intervention Model: Single Group Assignment
Masking: None (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
Study Start Date : April 2009
Actual Primary Completion Date : January 2012
Actual Study Completion Date : April 2012

Arm Intervention/treatment
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).

Primary Outcome Measures :
  1. preferences for CPR [ Time Frame: within one hour after oncology visit ]
    CPR preference after visit to oncologist

Secondary Outcome Measures :
  1. knowledge of CPR [ Time Frame: baseline and post-intervention ]
    assess knowledge of CPR

  2. stability of preferences [ Time Frame: after 6-8 weeks ]
    assess CPR preferences again

  3. predictors of preferences [ Time Frame: post-intervention ]
    predictors of preferences for CPR

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Ages Eligible for Study:   21 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  1. diagnosis of cancer that falls under one of the following: A. All patients with brain cancer, inoperable hepatocellular/bile duct/gallbladder cancer, incurable non-small cell lung carcinoma (wet IIIb or IV), extensive stage small cell lung cancer, inoperable mesothelioma, inoperable pancreatic cancer or; metastatic gastric or esophageal cancer, metastatic melanoma, OR B. Patients with the following cancers, if first-line therapy has failed and limited response is expected to second-line therapy: breast cancer, colorectal cancer, head and neck cancer, leukemia, ovarian cancer, prostate cancer, renal cancer, sarcoma, lung cancer, myeloma, or lymphoma, OR C. Less than one year prognosis.
  2. ability to provide informed consent,
  3. cognitive ability to participate in the study
  4. ability to communicate in English.

Exclusion Criteria:

  1. inability to make decisions,
  2. non-English speaking,
  3. new patient visit

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT01241929

United States, Massachusetts
Massachusetts General Hospital
Boston, Massachusetts, United States, 02114
Sponsors and Collaborators
Massachusetts General Hospital

Publications automatically indexed to this study by Identifier (NCT Number):
Responsible Party: Angelo E. Volandes, MD, PI, Massachusetts General Hospital Identifier: NCT01241929     History of Changes
Other Study ID Numbers: 2008P000826
First Posted: November 16, 2010    Key Record Dates
Last Update Posted: July 10, 2012
Last Verified: July 2012

Keywords provided by Angelo E. Volandes, MD, Massachusetts General Hospital:
advanced cancer

Additional relevant MeSH terms: