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| Name | Class |
|---|---|
| Gordon and Betty Moore Foundation | OTHER |
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A no-cost intervention may improve adherence with a recommendation for higher-quality, lower-cost care for patients with critical illness endorsed by a collaborative of critical care societies. The investigators propose prompting consideration of functional outcomes. This trial will help establish the impact of the intervention on practice patterns including proxy engagement and elements of shared decision-making.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Control | No Intervention | Prompts standard to rounds or electronic medical records. | |
| Prompting Intervention | Experimental | Prompting consideration of 3-month functional outcome. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Consideration of 3-month functional prognosis | Behavioral |
|
| Measure | Description | Time Frame |
|---|---|---|
| Presence of acceptable treatment option as assessed by a checklist completed by clinical colleges. | 0 to 5 minutes after prompting an intervention |
| Measure | Description | Time Frame |
|---|---|---|
| Level of conflict with proxy with a previously validated single question | 0 to 5 minutes after prompting an intervention | |
| Level of shared decision-making measured using CollaboRATE scale | 0 to 5 minutes after prompting an intervention |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Alison E Turnbull | Johns Hopkins University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Johns Hopkins Hospital | Baltimore | Maryland | 21205 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 32469920 | Derived | Abshire MA, Li X, Basyal PS, Teply ML, Singh AL, Hayes MM, Turnbull AE. Actor feedback and rigorous monitoring: Essential quality assurance tools for testing behavioral interventions with simulation. PLoS One. 2020 May 29;15(5):e0233538. doi: 10.1371/journal.pone.0233538. eCollection 2020. | |
| 30882479 | Derived |
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| ID | Term |
|---|---|
| D016638 | Critical Illness |
| ID | Term |
|---|---|
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| Prevalence of communication skills for involving ICU proxies in treatment decisions assessed by a checklist completed by clinical colleges | 0 to 5 minutes after prompting an intervention |
| Medical interactions assessed using the Roter Interaction Analysis System (RIAS) | 0 to 5 minutes after prompting an intervention |
| Prevalence of the discussed option of stopping life support as assessed by blinded assessors | 0 to 5 minutes after prompting an intervention |
| Prevalence of conveying prognosis as assessed by blinded assessors | 0 to 5 minutes after prompting an intervention |
| Level of shared decision-making measured using CollaboRATE scale as assessed by blinded assessors | 0 to 5 minutes after prompting an intervention |
| The Observer OPTIONS5 measure completed by blinded assessors | 0 to 5 minutes after prompting an intervention |
| Consulting services requested by study participants | 0 to 5 minutes after prompting an intervention |
| Turnbull AE, Hayes MM, Brower RG, Colantuoni E, Basyal PS, White DB, Curtis JR, Needham DM. Effect of Documenting Prognosis on the Information Provided to ICU Proxies: A Randomized Trial. Crit Care Med. 2019 Jun;47(6):757-764. doi: 10.1097/CCM.0000000000003731. |