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Patient Understanding of End of Life Care

This study has been completed.
Information provided by (Responsible Party):
Partners in Internal Medicine Identifier:
First received: July 25, 2012
Last updated: September 7, 2012
Last verified: September 2012

July 25, 2012
September 7, 2012
March 2009
June 2010   (Final data collection date for primary outcome measure)
Composite score of correct responses [ Time Frame: Patients interviewed within 48 hours of admission, questionnaire adminsitered at the time of interview ]
Patients in both arms were administered a questionnaire, that assessed demographics, subjective questions as well as a set of objective questions designed to assess patient understanding of code status. The responses to the objective questions were scored and the composite score of correct responses was used as a marker of patient understanding. Patients in the control arm were administered the questionnaire alone. Patients in the intervention arm first received our standard explanation, and were then administered the questionnaire
Same as current
No Changes Posted
Compare differences in demographic, medical, social and associated factors on patient choice of code status [ Time Frame: Patients interviewed within 48 hours of admission, questionnaire adminsitered at the time of interview ]
Same as current
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Patient Understanding of End of Life Care
Assessing Patient Understanding and Factors That Govern Advanced Directives and End of Life Discussion
This study aims at assessing factors that affect patient choices for end of life care. 300 patients would be assigned either to a control arm (questionnaire alone) or intervention arm (standardized explanation+ questionnaire). Our intervention is a standardized explanation which explains what code status, advance directive and end of life care mean. Based on patient responses, factors that affect choices of code status would be analyzed. We will also evaluate if a standardized explanation improves patient understanding of end of life issues. This would be determined by generating a composite score of correct responses to a subset of objective questions in the questionnaire
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Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Health Services Research
  • Advance Directives
  • Resuscitation Orders
Other: Standardized explanation
Standardized explanation provided on code status, advance directives and end of life care
  • No Intervention: Control
  • Experimental: Intervention
    Standardized explanation followed by questionnaire
    Intervention: Other: Standardized explanation
Not Provided

*   Includes publications given by the data provider as well as publications identified by Identifier (NCT Number) in Medline.
June 2010
June 2010   (Final data collection date for primary outcome measure)

Inclusion Criteria:

  • Age >18 years
  • Admitted to regular nursing floor

Exclusion Criteria:

  • altered mental status
  • admitted in ICU
  • positive screening for depression
  • terminal illness defined as life expectancy< 100 days
  • inability to consent
Sexes Eligible for Study: All
18 Years and older   (Adult, Senior)
Contact information is only displayed when the study is recruiting subjects
United States
SVH 1195
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Partners in Internal Medicine
Partners in Internal Medicine
Not Provided
Principal Investigator: George Abraham, MD Saint Vincent Hospital
Principal Investigator: Kriti Mittal, MD Saint Vincent Hospital
Partners in Internal Medicine
September 2012

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