Video Images About Decisions for Ethical Outcomes in the Emergency Department (VIDEO-ED)
Purpose
A randomized controlled trial of a video decision aid in the Emergency Department Setting to improve advance care planning documentation.
Condition
- Emergencies
Eligibility
- Eligible Ages
- Over 50 Years
- Eligible Genders
- All
- Accepts Healthy Volunteers
- No
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
Study Design
- Phase
- N/A
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel Assignment
- Intervention Model Description
- RCT
- Primary Purpose
- Health Services Research
- Masking
- Single (Outcomes Assessor)
- Masking Description
- 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.
Arm Groups
| Arm | Description | Assigned Intervention |
|---|---|---|
|
Experimental Video |
Video decision aid and advance care planning discussion |
|
|
Active Comparator Control arm |
Usual advance care planning services provided at the study site. |
|
Recruiting Locations
Massachusetts General Hospital
Boston, Massachusetts 02114
Boston, Massachusetts 02114
More Details
- Status
- Recruiting
- Sponsor
- Massachusetts General Hospital
Detailed 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.