Using Video Images to Improve Advance Care Planning in Patients With Cancer

NCT00970125 | Completed

• 2 other identifiers: 2008-P-002156/2R21CA139121-01
• Study Type: interventional
• Target: 80
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this study is to study whether preferences for the goals of care for 80 subjects with end-stage cancer are altered after viewing a video outlining the goals of care compared to their initial preferences after hearing a verbal description of the goals of care alone.

Conditions

Advanced Cancer

Keywords

advance care planning; cancer

Outcome Measures

Primary Outcomes (1)

• end of life preference at time of interview

  5 minutes after survey

Secondary Outcomes (2)

• knowledge

  5 minutes after survey

• decisional conflict

  5 minutes after survey

Study Arms (1)

Cancer subjects

EXPERIMENTAL

Behavioral: video

Interventions

video BEHAVIORAL

outline of the goals of care

Cancer subjects

Eligibility Criteria

• Age: 21 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Terminal, progressive cancer with poor prognosis whose treatment intent is palliative, based on the following definition:
• All patients with brain cancer, liver cancer, inoperable non-small cell lung carcinoma, pancreatic cancer, or gallbladder cancer; OR
• Patients with the following cancers: metastatic colon cancer or stage III or IV non-small cell lung cancer; OR
• Patients with the following cancers, if first-line therapy has failed and limited response is expected to second-line therapy: breast cancer, colorectal cancer, head and neck cancer, stomach cancer, esophageal cancer, melanoma, leukemia, ovarian cancer, prostate cancer, renal cancer, sarcoma, lung cancer, myeloma, or lymphoma.
• The terms terminal, progressive, poor prognosis, palliative intent and limited response will be judged by the patient's oncologist (and not by the RSA or consenting professional).
• Return patient visit (defined as a patient known to the oncologist from previous assessments and treatments, where the working and personal relationship has been established and not a new patient to the clinic).
• English speaking. Only English-speaking patients will be included in our present study since English is the validated language of our study tools.
• Given the sensitive nature of the study, clinicians will decide whether the patient is a potentially appropriate subject based on their knowledge of the patient.
• Able to provide informed consent.
• Age greater than or equal to 21.

You may not qualify if:

• MMSE \< 25.
• Psychological state not appropriate for end-of-life discussion as determined by the treating clinician.

Sponsors & Collaborators

• Massachusetts General Hospital: lead

Study Sites (1)

Memorial Sloan Kettering

New York, New York, 10065, United States

Location

MeSH Terms

Conditions

Neoplasms

Interventions

Videotape Recording

Intervention Hierarchy (Ancestors)

Tape Recording; Audiovisual Aids; Educational Technology; Technology; Technology, Industry, and Agriculture; Television

Study Officials

• Angelo E. Volandes, MD, MPH

  Massachusetts General Hospital

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Faculty

Study Record Dates

• First Submitted: August 6, 2009
• First Posted: September 2, 2009
• Study Start: August 1, 2009
• Primary Completion: June 1, 2011
• Study Completion: June 1, 2011
• Last Updated: May 1, 2012

Record last verified: 2012-04

Locations

US (1)