Educational Videos to Improve Patient Decision Making and Race Disparities in Implantable Cardioverter Defibrillator Use (VIVID-01)

Duke University

Status: Completed

Conditions: Sudden Cardiac Arrest

Study type: Observational

Funder types: Other; Industry

Identifiers

NCT00918125

Pro00011117

1U18HS016964 (U.S. AHRQ Grant/Contract)

Details and patient eligibility

About

The investigators will examine whether an educational video increases patient knowledge about heart failure and the risk of sudden cardiac arrest and leads to greater satisfaction with information provided as compared to usual care. Additionally, the investigators will look at whether racial concordance (physician and patient being of the same race) improves satisfaction with the patient's treatment decision and disease knowledge. Our hypothesis is that a video in which participants are of the same race as the patient will provide better education and more satisfaction with the treatment decision and may lead to more patients choosing ICD therapy.

Enrollment: 59 patients

Sex: All

Ages: 19+ years old

Volunteers: No Healthy Volunteers

Inclusion and exclusion criteria

Inclusion Criteria:

• Class I primary prevention indications for an implantable cardioverter defibrillator (ICD). These include:
• Patients with ejection fraction <35% due to prior myocardial infarction (MI) who are at least 40 days post-MI and with New York Heart Association (NYHA) functional class II or III;OR
• Patients with nonischemic dilated cardiomyopathy (DCM) who have an LVEF < 35% and who meet criteria for NYHA functional class II or III; OR
• Patients with left ventricular dysfunction due to prior MI who are at least 40 days post-MI, have an left ventricular ejection fraction (LVEF) <30% and are in NYHA functional class I-III; OR
• Patients with nonsustained ventricular tachycardia (VT) due to prior MI, LVEF <40%, and with inducible ventricular fibrillation (VF) or sustained VT at electrophysiological study; AND
• Self identified race as black/African American or white/Caucasian

Trial design

59 participants in 3 patient groups

White educational video

Description:

Patients will view an educational video that contains White physicians and patients.

African-American educational video

Description:

Patients will view an educational video that contains African-American physicians and patients.

Usual care

Description:

Patients will receive counseling about their condition and treatment options.