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| ID | Type | Description | Link |
|---|---|---|---|
| R01AG065254 | U.S. NIH Grant/Contract | View source |
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| Name | Class |
|---|---|
| University of California, Davis | OTHER |
| National Institute on Aging (NIA) | NIH |
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A randomized controlled trial of a video decision aid in the Emergency Department Setting to improve advance care planning documentation.
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Video | Experimental | Video decision aid and advance care planning discussion |
|
| Control arm | Active Comparator | Usual advance care planning services provided at the study site. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| video decision aid | Behavioral | advance care planning video decision aid |
| |
| Measure | Description | Time Frame |
|---|---|---|
| EHR documentation of advance care planning | EHR documentation of advance care planning | 3 months |
| Measure | Description | Time Frame |
|---|---|---|
| patient reported conversations with health care providers and family | patient reported conversations with health care providers and family | at 3 and 6 months |
| concordance between stated and documented preferences |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| UC Davis | Davis | California | 95616 | United States | ||
| Massachusetts General Hospital |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 41998266 | Derived | Volandes AE, Bohossian H, Chang Y, Lindvall C, Paasche-Orlow MK, Randa S, Samarakoon U, Hashimoto T, Shirai N, Davis AD, Goldstein NE, Garde C, Paasche-Orlow GA, Sciacca K, Klein K, Hanson E, Sage A, Nielsen DS, Walker-Corkery B, El-Jawahri A, Barry MJ, Joel M, Platts-Mills T, Durieux BN, Kwok A, Tyler KR, Ouchi K. Effect of Emergency Department-Initiated Video-Enhanced Advance Care Planning on Documentation and Goal-Concordant Care: A Randomized Clinical Trial. J Gen Intern Med. 2026 Apr 17. doi: 10.1007/s11606-026-10406-6. Online ahead of print. |
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1 year after all primary and secondary publications published.
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| Type | Date | Date Unknown |
|---|---|---|
| Release | Jun 10, 2026 | |
| Reset | Jul 6, 2026 |
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| Release Date | Unrelease Date | Unrelease Date Unknown | Reset Date | MCP Release Number |
|---|---|---|---|---|
| Jun 10, 2026 | Jul 6, 2026 |
| ID | Term |
|---|---|
| D004630 | Emergencies |
| ID | Term |
|---|---|
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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RCT
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Primary outcome will be obtained through natural language processing (NLP) from the EHR, in which the RA conducting the NLP will not know which arm of the study the patient was in.
| control arm ACP information sheet |
| Behavioral |
control arm ACP information sheet |
|
concordance between stated and documented preferences
| at 3 and 6 months |
| ACP documentation in the EHR | ACP documentation in the EHR | at 6 months |
| hospitalization | hospitalization | at 3 and 6 months |
| differential intervention effects of the ACP video intervention on patient ACP documentation based on race and ethnicity | We will look at ACP documentation in the intervention and control arms to see if there are differential intervention effects based on race and ethnicity. We will look at the ACP documentation rate in Whites in both arms, and compare them to African Americans and Latinx populations. We will be able to see if the intervention had a greater or lesser effect on ACP rates in sub groups of our population by race and ethnicity. | at baseline, 3 and 6 months |
| quality of clinician ACP communication using an ACP quality communication survey | quality of ACP communication using an ACP quality communication survey | quality of communication at the time of the survey interview (baseline), and then at 3 and 6 months |
| place of death | place of death | at 3 and 6 months |
| enrollment in hospice | enrollment in hospice | at 3 and 6 months |
| ED visits | ED visits | at 3 and 6 months |
| mortality | mortality | at 3 and 6 months |
| ICU days | ICU days | at 3 and 6 months |
| patient CPR and breathing machine preferences | we will ask the patient whether or not they want CPR attempted and whether they would wish to be placed on a breathing machine | at time of survey (baseline) and then after 3 and 6 months |
| patient preferences for goals of care | We will ask patient if they wish to receive life prolonging care, limited care or comfort care. | at time of survey (baseline) and then after 3 and 6 months |
| decisional certainty regarding decision making for ACP preferences | we will ask patients how certain they are about their decisions for the goals of care | at baseline survey interview |
| patient knowledge of ACP | We will ask patients knowledge questions about their understanding of advance care planning | at baseline survey interview |
| patient confidence in health care delivery that is aligned with patient preferences | We will ask patients how confident they are in that they will receive the type of medical care they wish in their health care system | at time of survey (baseline) and then after 3 and 6 months |
| patient ACP engagement with ACP topics | We will ask patients how ready and engaged they are with the topic of advance care planning | at baseline survey interview |
| Boston |
| Massachusetts |
| 02114 |
| United States |
| Brigham and Women's Hospital | Boston | Massachusetts | 02115 | United States |
| Newton Wellesley Hospital | Newton | Massachusetts | 02468 | United States |