A Pilot Study of Using Video Images in Advance Care Planning in Patients With Advanced Cancer
21 Years
N/A
Both
Advanced Cancer
Trial Information
A Pilot Study of Using Video Images in Advance Care Planning in Patients With Advanced Cancer
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.
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
Type of Study:
Interventional
Study Design:
Allocation: Randomized, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Health Services Research
Outcome Measure:
preferences for CPR
Outcome Description:
CPR preference after visit to oncologist
Outcome Time Frame:
within one hour after oncology visit
Safety Issue:
No
Authority:
United States: Institutional Review Board
Study ID:
2008P000826
NCT ID:
NCT01241929
Start Date:
April 2009
Completion Date:
April 2012
Related Keywords:
- Advanced Cancer
- advanced cancer
- Neoplasms
Name | Location |
|---|---|
| Massachusetts General Hospital | Boston, Massachusetts 02114-2617 |
