Using Videos in Advance Care Planning for Patients With Advanced Cancer

N/ACompletedNCT01241929

Massachusetts General Hospital150 enrolled

Overview

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

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

Allocation

RANDOMIZED

Purpose

HEALTH_SERVICES_RESEARCH

Masking

NONE

Enrollment

150

Conditions

Advanced Cancer

Interventions

video decision aidBEHAVIORAL

video of CPR

Eligibility

Sex: ALLMin age: 21 Years

Medical Language ↔ Plain English

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

Locations (1)

Massachusetts General Hospital

Boston, Massachusetts, United States

Outcomes

Primary Outcomes

preferences for CPR

CPR preference after visit to oncologist

Time frame: within one hour after oncology visit

Secondary Outcomes

knowledge of CPR

assess knowledge of CPR

Time frame: baseline and post-intervention

stability of preferences

assess CPR preferences again

Time frame: after 6-8 weeks

predictors of preferences

predictors of preferences for CPR

Time frame: post-intervention

Data from ClinicalTrials.gov

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