Goals of Care Discussions for Hospitalized Patients With Advanced Cancer
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ClinicalTrials.gov Identifier: NCT01991015
: November 25, 2013
Last Update Posted
: February 9, 2015
Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
Quality of end-of-life communication [ Time Frame: 15 months ]
This is a qualitative study and the outcome will be assessed by coding the transcripts of the goals of care discussions. We will use the Roter Interaction Analysis System (RIAS) in which coders assign 1 of 37 mutually exclusive and exhaustive categories to each complete thought expressed (referred to as an utterance). Utterances are combined to reflect "instrumental" (e.g., biomedical exchange, psychosocial exchange, and partnership building) and "affective" behaviors (e.g., social conversation, positive and negative statements, and emotional statements). Additional global measures include patient-centeredness, verbal dominance, and tone.
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Ages Eligible for Study:
18 Years and older (Adult, Senior)
Sexes Eligible for Study:
Accepts Healthy Volunteers:
Patients must be hospitalized at Northwestern Memorial Hospital and be having a goals of care discussion with their physician. In addition, eligible patients must be greater than the age of 18 years, speak English fluently, be able to physically and cognitively complete the informed consent process, and have metastatic cancer that has progressed despite treatment.
English speaking, have metastatic cancer that has progressed despite treatment