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Using Videos to Improve Understanding of the Delivery of End-of-life Medical Care in Non-hospital Settings

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: NCT01233973
Recruitment Status : Completed
First Posted : November 4, 2010
Last Update Posted : May 1, 2012
Information provided by (Responsible Party):
Angelo E. Volandes, MD, Massachusetts General Hospital

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

Condition or disease Intervention/treatment Phase
Elderly Other: video decision aid Not Applicable

Detailed Description:

A.1. Aim 1: To recruit 101 subjects over the age of 64 who are newly admitted to a nursing home facility and randomly assign these subjects to one of two advance care planning (ACP) modalities: 1. a video visually depicting the Goals of Care (Life Prolonging Care, Limited Care, and Comfort Care) (intervention) or 2. a verbal narrative describing the Goals of Care (control) encountered if the subject becomes very ill.

Hypothesis 1: It is feasible to recruit and randomize newly admitted elderly subjects to each of the ACP modalities.

A.2. Aim 2: To compare the care preferences for their primary goal of care (i.e., life-prolonging care, limited care, or comfort care) among 101 subjects randomized to video vs. verbal narrative intervention for ACP.

Hypothesis 2: Subjects randomized to the video intervention will be significantly more likely to opt for comfort care (vs. life-prolonging or limited care) as the primary goal of care compared to those randomized to the verbal narrative.

A.3. Aim 3: To compare knowledge assessment of the Goals of Care of 101 subjects randomized to video vs. verbal narrative intervention for ACP.

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 the Goals of Care.

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 101 participants
Allocation: Randomized
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Health Services Research
Study Start Date : July 2010
Actual Primary Completion Date : February 2011
Actual Study Completion Date : February 2011

Arm Intervention/treatment
No Intervention: control subjects
verbal narrative of advance care planning
Experimental: intervention group
video decision aid viewed by subjects
Other: video decision aid
Other Names:
  • decision aid
  • film

Primary Outcome Measures :
  1. preference for medical care [ Time Frame: 5 minutes after the survey ]
    preference for care at the end of life

Information from the National Library of Medicine

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Ages Eligible for Study:   65 Years and older   (Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes

Inclusion Criteria:

  • over age of 64
  • have decision making capacity

Exclusion Criteria:

  • do not speak English

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): NCT01233973

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United States, Massachusetts
Boston, Massachusetts, United States, 02114
Sponsors and Collaborators
Massachusetts General Hospital
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Principal Investigator: Angelo Volandes MGH

Publications automatically indexed to this study by Identifier (NCT Number):
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Responsible Party: Angelo E. Volandes, MD, Faculty, Massachusetts General Hospital Identifier: NCT01233973     History of Changes
Other Study ID Numbers: 2010-P-000180
First Posted: November 4, 2010    Key Record Dates
Last Update Posted: May 1, 2012
Last Verified: April 2012
Keywords provided by Angelo E. Volandes, MD, Massachusetts General Hospital:
nursing home
advance care planning