Establishing Video Decision Aids for Geriatric Patients With Frailty to Promote Advance Care Planning

Establishing Video Decision Aids for Geriatric Patients With Frailty to Promote Advance Care Planning: Comprehensibility, Usability, Feasibility

The goal of this observational study aimed to develop and assess a video decision aid for advance care planning in geriatric patients with frailty. The main question it aims to answer is:

The video decision aid comprehensibility, usability, feasibility? The video includes an introduction to geriatric frailty (3 minutes) and advance care planning (5 minutes). Advance care planning includes three levels of medical care: life-prolonging care, limited care, and comfort care.

Study Overview

• Status: Enrolling by invitation
• Conditions: Frailty
• Intervention / Treatment: Behavioral: video decision aids

• Study Type: Observational
• Enrollment (Estimated): 60

Contacts and Locations

Study Locations

• Taiwan
  • Taipei, Taiwan
    • National Taiwan University Hospital

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult; Older Adult
• Accepts Healthy Volunteers: Yes

• Sampling Method: Non-Probability Sample

Study Population

National Taiwan University Hospital inpatient wards or the Department of Family Medicine's Geriatric Frailty Clinic.

Description

Inclusion Criteria:

• Phase 1 - Patients

  1. Aged 65 or older.
  2. Have not completed an advance directive (AD) document.
  3. Able to communicate in Mandarin or Taiwanese.
  4. Have adequate vision and hearing to watch a video in Mandarin or Taiwanese on a tablet.
  5. Willing to participate in the study after explanation.

• Phase 1 - Family Members

  1. Aged 18 or older.
  2. Have not completed an advance directive (AD) document.
  3. Able to communicate in Mandarin or Taiwanese.
  4. Have adequate vision and hearing to watch a video in Mandarin or Taiwanese on a tablet.
  5. Willing to participate in the study after explanation.

• Phase 1 - Healthcare Providers

  1. Have not completed an advance directive (AD) document.
  2. Able to communicate in Mandarin or Taiwanese.
  3. Willing to participate in the study after explanation.

• Phase 2 - Patients

  1. Aged 65 or older.
  2. Have participated in shared decision-making (SDM) using decision aid tools.
  3. Have experience in advance care planning (ACP) consultation or have completed related written advance directive documents.
  4. Able to communicate in Mandarin or Taiwanese.
  5. Have adequate vision and hearing to watch a video in Mandarin or Taiwanese on a tablet.
  6. Willing to participate in the study after explanation.

• Phase 2 - Healthcare Providers

  1. Have professional knowledge and practical experience in advance care planning (ACP).
  2. Have experience caring for frail elderly populations.
  3. Able to communicate in Mandarin or Taiwanese.
  4. Willing to participate in the study after explanation.

Exclusion Criteria:

1.Cognitive impairment, unable to communicate clearly.

Study Plan

How is the study designed?

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
comprehensibility	Comprehensibility was measured using a knowledge questionnaire and the Patient Education Materials Assessment Tool for Audiovisual Materials (PEMAT-A/V).The knowledge questionnaire consists of 7 questions, each with 10 correct answer choices, scored at 10 points per correct choice, for a total of 100 points. Higher scores indicate greater accuracy in knowledge and better comprehension. The PEMAT-A/V evaluates comprehension through 13 items and feasibility through 4 items. Responses are scored as Agree = 1 point, Disagree = 0 points, and Not Applicable (N/A) excluded from the total score calculation. The final score is calculated as Total Points/Total Possible Points x 100. Higher scores indicate that the material is easier to comprehend or more feasibility. Measurement timing: elder patients and their family members will complete the knowledge questionnaire before viewing the video. They will also complete the PEMAT A/V within one hour after viewing the materials.	Watching a 10-minute video and completing questionnaire takes approximately 5-10 minutes.
usability	Usability was evaluated through a feedback questionnaire. The feedback questionnaire consists of 6 items. Except for the final open-ended question, the remaining items are scored using a 4-point Likert scale (0-3). Lower scores indicate higher usability. Measurement timing: elder patients and their family members will complete the feedback questionnaire within one hour after viewing the materials.	Watching a 10-minute video and completing questionnaire takes approximately 5-10 minute
feasibility	Feasibility were evaluated through the PEMAT-A/V. The PEMAT-A/V evaluates comprehension through 13 items and feasibility through 4 items. Responses are scored as Agree = 1 point, Disagree = 0 points, and Not Applicable (N/A) excluded from the total score calculation. The final score is calculated as Total Points/Total Possible Points x 100. Higher scores indicate that the material is easier to comprehend or more feasibility. Measurement timing: elder patients and Healthcare professionals (Have experience in advance care planning) will complete the PEMAT A/V within one hour after viewing the materials.	Watching a 10-minute video and completing questionnaire takes approximately 5-10 minute

Collaborators and Investigators

• Sponsor: National Taiwan University Hospital

Study record dates

Study Major Dates

• Study Start (Actual): November 19, 2024
• Primary Completion (Estimated): March 31, 2025
• Study Completion (Estimated): March 31, 2025

Study Registration Dates

• First Submitted: November 20, 2024
• First Submitted That Met QC Criteria: November 25, 2024
• First Posted (Estimated): November 27, 2024

Study Record Updates

• Last Update Posted (Estimated): November 27, 2024
• Last Update Submitted That Met QC Criteria: November 25, 2024
• Last Verified: March 1, 2024

More Information

Terms related to this study

• Keywords: Frailty; Advance Care Planning; Video Decision Aids
• Additional Relevant MeSH Terms: Pathologic Processes; Frailty
• Other Study ID Numbers: 202403006RIFC

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

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