Advancing Discussions Using a Video-based Support Tool About End-of-life Care

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age65+
SponsorThe University of Texas Health Science Center, Houston

About this trial

The purpose of this study is to evaluate the effectiveness and implementation considerations of a video aid to improve communication and patient-centered outcomes in older injured adults

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

English or Spanish speaking

admitted to any level of care following trauma

Disqualifiers

Prisoners

Existing do not resuscitate (DNR)/do not intubate (DNI)

Patients admitted while on hospice

Patients not expected to survive over 24-48 hours

Trial design

Design model

Parallel

Treatments tested in this trial

  • Video conversation aid

    Behavioral

    A video conversation aid which provides information regarding life-sustaining care and encourages further goals of care discussions with a healthcare provider will be shown to patients or their surrogates (for those incapacitated and unable to make their own decisions) on admission or within 48 hours whenever feasible

  • Usual Care

    Behavioral

    Participants and/or surrogates will participate in discussions surrounding life-sustaining care at healthcare provider discretion.

Treatment groups

270 Participants
are divided into 2 treatment groups
Group A: Video conversation aidExperimental treatment 1 intervention
Group B: Usual CareActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

Number of participants who had a transition in code status from full code

Data will be reported categorically as number of participants who transitioned from full code to DNR/DNI, DNR, ok for intubation, or Comfort measures only

Time frame
at time of discharge (about 5 days after admission)

Secondary outcomes

1

Percentage of participants that recognize survival after Cardiopulmonary resuscitation (CPR) as less than 50 percent as assessed by a survey

Time frame
at time of discharge (about 5 days after admission)
2

Number of participants that received information about life-sustaining care outcomes as assessed by a survey

Time frame
at time of discharge (about 5 days after admission)
3

Number of participants that desire more information regarding life-sustaining care as assessed by a survey

Time frame
at time of discharge (about 5 days after admission)
4

Number of participants that had hospital-free days

Time frame
in the first 30 days after admission

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.