Feasibility of a Standardized Video for Patient Education and as a Decision Aid on Code Status for Patients in the Emergency Department Pending Admission to the Hospital

The researchers hypothesize that patients and their families will be comfortable watching standardized CPR informational videos and that they would recommend that others watch the videos. Furthermore, the researchers hypothesize that patients and their families will find the videos helpful in their own end-of-life planning.

Study Overview

• Status: Completed
• Conditions: Patient Education
• Intervention / Treatment: Other: CPR video

Detailed Description

The code status video, produced by experts in palliative medicine and end of life care, has been evaluated in a variety of healthcare settings to allow patients to make more informed decisions based on realistic information about resuscitation status. This video could be used as a supplement for clinical discussions and decision making. It is not meant to replace a careful, individualized discussion by the clinician with patients and their families, but appears to be a helpful tool to help educate patients in order for them to be better informed to make complicated decisions about their code status. The Emergency Department is an ideal setting to evaluate the video because they could improve patient understanding in an environment with inherently limited face-to-face provider time.

Specific Aims

1. To assess the satisfaction of patients and family members who view the video on cardiopulmonary resuscitation. This will be measured through use of a questionnaire asking them to score their comfort with watching the video and how likely they would be to recommend the video to others.
2. To assess if watching the standardized video changes patients' code status. This will be measured as what patients' code status was before and after watching the video.

• Study Type: Interventional
• Enrollment (Actual): 50
• Phase: Not Applicable

Contacts and Locations

Study Locations

• United States
  • Minnesota
    • Rochester, Minnesota, United States, 55905
      • Mayo Clinic in Rochester

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 65 years and older (Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria

• Any patient in the Emergency Department whose disposition is listed as a full admission to the hospital
• Provider willingness to have patient watch the video and be available to answer questions after.
• Age > 65
• Ability to provide consent

Exclusion Criteria

• Does not speak English
• Hearing or visually impaired
• Prisoner or incarcerated
• Inability to provide consent according to attending Physician or Study Coordinator and legal power of attorney is not present

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Supportive Care
• Allocation: N/A
• Interventional Model: Single Group Assignment
• Masking: None (Open Label)

Number of Arms

1

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: CPR video; Patient watches a short CPR video	Other: CPR video; Patient watches a short CPR video

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Satisfaction of patients and family members in watching videos of cardiopulmonary resuscitation	This will be measured through use of a questionnaire asking them to score their comfort with watching the video and how likely they would be to recommend the video to others.	1 year

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
The number of patients/families who will feel that the video was helpful in the decision regarding code status	To assess if watching the standardized video changes patients' code status. This will be measured as what patients' code status was before and after watching the video.	1 year

Collaborators and Investigators

• Sponsor: Mayo Clinic
• Investigators: Principal Investigator: Caitlin E Loprinzi Brauer, Mayo Clinic

Study record dates

Study Major Dates

• Study Start (Actual): February 14, 2017
• Primary Completion (Actual): March 22, 2018
• Study Completion (Actual): June 19, 2018

Study Registration Dates

• First Submitted: July 7, 2017
• First Submitted That Met QC Criteria: July 7, 2017
• First Posted (Actual): July 11, 2017

Study Record Updates

• Last Update Posted (Actual): February 5, 2019
• Last Update Submitted That Met QC Criteria: February 4, 2019
• Last Verified: February 1, 2019

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Pathologic Processes; Disease Attributes; Emergencies
• Other Study ID Numbers: 16-009141

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO
• IPD Plan Description: Not being shared....

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No