Feasibility of a Standardized Video for Patient Education and as a Decision Aid on Code Status for Patients in the Emergency Department Pending Admission to the Hospital

Mayo Clinic

Status: Completed

Conditions: Patient Education

Treatments: Other: CPR video

Study type: Interventional

Funder types: Other

Identifiers

NCT03213197

16-009141

Details and patient eligibility

About

The researchers hypothesize that patients and their families will be comfortable watching standardized CPR informational videos and that they would recommend that others watch the videos. Furthermore, the researchers hypothesize that patients and their families will find the videos helpful in their own end-of-life planning.

Full description

The code status video, produced by experts in palliative medicine and end of life care, has been evaluated in a variety of healthcare settings to allow patients to make more informed decisions based on realistic information about resuscitation status. This video could be used as a supplement for clinical discussions and decision making. It is not meant to replace a careful, individualized discussion by the clinician with patients and their families, but appears to be a helpful tool to help educate patients in order for them to be better informed to make complicated decisions about their code status. The Emergency Department is an ideal setting to evaluate the video because they could improve patient understanding in an environment with inherently limited face-to-face provider time.

Specific Aims

1. To assess the satisfaction of patients and family members who view the video on cardiopulmonary resuscitation. This will be measured through use of a questionnaire asking them to score their comfort with watching the video and how likely they would be to recommend the video to others.
2. To assess if watching the standardized video changes patients' code status. This will be measured as what patients' code status was before and after watching the video.

Enrollment: 50 patients

Sex: All

Ages: 65+ years old

Volunteers: No Healthy Volunteers

Inclusion and exclusion criteria

Inclusion Criteria

• Any patient in the Emergency Department whose disposition is listed as a full admission to the hospital
• Provider willingness to have patient watch the video and be available to answer questions after.
• Age > 65
• Ability to provide consent

Exclusion Criteria

• Does not speak English
• Hearing or visually impaired
• Prisoner or incarcerated
• Inability to provide consent according to attending Physician or Study Coordinator and legal power of attorney is not present

Trial design

Primary purpose: Supportive Care

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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50 participants in 1 patient group

CPR video

Experimental group

Description:

Patient watches a short CPR video

Treatment:

Other: CPR video