This study is a randomized trial of adolescent and young adults with advanced cancer and their caregivers to assess preferences for care in advanced cancer. This research study is examining the similarities and differences between patient's and caregiver's goals of cancer care. The names of the study interventions involved in this study may include: * Questionnaires * Video * Phone Interview
The research study procedures include: screening for eligibility and study interventions including questionnaires and follow up visits. \- Patients and their caregivers will be randomized into the same group; either ACP video decision aid intervention or usual care. * Patients' and caregivers' knowledge, preferences (goals of care, CPR, ventilation), and decisional conflict be assessed before and after the ACP video decision aid intervention or usual care. * Participants will be in this research study for up to 3 months with only 2 study visits. * It is expected that about 100 people (50 patients and 50 caregivers) will take part in this research study.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Enrollment
102
10 minute video decision aid describing the goals-of-care options
Verbal description of the three types of care
Boston Children's Hospital
Boston, Massachusetts, United States
Brigham and Women's Hospital
Boston, Massachusetts, United States
Dana Farber Cancer Institute
Boston, Massachusetts, United States
Increased Concordance Rate in Stated Goals of Care (Life-prolonging Medical Care, Selective Medical Care, or Comfort-focused Care)
AYA with advanced cancer and caregivers randomized to the video will have higher concordance in their stated goals of care between patients and caregivers at 3 month compared to baseline
Time frame: baseline, 3 months
Increased Advance Care Planning (ACP) Conversations
Patients randomized to the video will have more ACP conversations and documentation after 3 months.
Time frame: Baseline and 3 months
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