A Randomized Controlled Trial of Using Video Images in Dementia

A Randomized Controlled Trial of Using Video Images in Dementia


Lead Sponsor: Massachusetts General Hospital

Collaborator: Foundation for Informed Medical Decision Making

Source Massachusetts General Hospital
Brief Summary

BACKGROUND: Advance care planning (ACP) is the process in which patients plan for future medical care under circumstances of impaired decision-making. Video is an underutilized medium that can assist clinicians in discussions of future health states, such as the state of advanced dementia. Video may enable patients to visualize the future by concisely providing complex information vital for ACP. This study will examine whether the use of video could facilitate a more comprehensive understanding of advanced dementia and inform clinician-patient discussions about the level of care a patient would want in the event of advanced dementia.

RESEARCH PLAN: We propose to conduct a randomized trial studying ACP for 200 elderly subjects using a video depiction of a patient with dementia compared to the traditional verbal narrative. Specific aims 1 and 2 assess the effect of a video of advanced dementia on the clinical decision making of elderly subjects compared to the traditional verbal narrative.

Detailed Description

Outcome measures were what subjects wanted if they had advanced dementia.

Overall Status Completed
Start Date September 2007
Completion Date June 2008
Primary Completion Date June 2008
Phase N/A
Study Type Interventional
Primary Outcome
Measure Time Frame
preferences at time of interview
Enrollment 200

Intervention Type: Other

Intervention Name: video

Description: video of dementia

Arm Group Label: 2

Other Name: video decision aid



Inclusion Criteria:

- Over 64

Exclusion Criteria:

- Can't speak English

Gender: All

Minimum Age: 65 Years

Maximum Age: N/A

Healthy Volunteers: Accepts Healthy Volunteers

Overall Official
Last Name Role Affiliation
Angelo Volandes, MD Principal Investigator MGH
Facility: MGH
Location Countries

United States

Verification Date

June 2009

Responsible Party

Name Title: Angelo Volandes, MD PI

Organization: Massachusetts General Hospital

Has Expanded Access No
Condition Browse
Number Of Arms 2
Arm Group

Label: 1

Type: No Intervention

Description: verbal

Label: 2

Type: Experimental

Description: video

Study Design Info

Allocation: Randomized

Intervention Model: Single Group Assignment

Primary Purpose: Supportive Care

Masking: None (Open Label)

Source: ClinicalTrials.gov