Video Images About Decisions for Ethical Outcomes in the Emergency Department (VIDEO-ED)

Mass General Brigham

Status: Active, not recruiting

Conditions: Emergencies

Treatments: Behavioral: control arm ACP information sheet; Behavioral: video decision aid

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT04931797

R01AG065254 (U.S. NIH Grant/Contract)

2021p001552

Details and patient eligibility

About

A randomized controlled trial of a video decision aid in the Emergency Department Setting to improve advance care planning documentation.

Full description

A randomized controlled trial of a video decision aid in the Emergency Department setting shown to patients followed by a brief advance care planning discussion and then relay that discussion to the patient's primary care provider and/or admitting clinical team and look at rates of advance care planning documentation in the electronic health record over time. Primary outcome is advance care planning documentation in the EHR at 3 months.

Enrollment: 900 estimated patients

Sex: All

Ages: 50+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• anyone aged 65 and over or anyone aged over 50-64 with an indicator of serious illness

Exclusion criteria

• non english or spanish speakers those with a POLST legally blind medically non stable requiring ICU level care

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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900 participants in 2 patient groups

Video

Experimental group

Description:

Video decision aid and advance care planning discussion

Treatment:

Behavioral: video decision aid

Control arm

Active Comparator group

Description:

Usual advance care planning services provided at the study site.

Treatment:

Behavioral: control arm ACP information sheet