Code Status Video in the Intensive Care Unit: Video Assisted Patient Education

NCT01610076 | Completed Phase 1 Results

• 1 other identifier: 10-003628
• Study Type: interventional
• Target: 208
• Locations: 1 country
• Sites: 1

Brief Summary

This is a single-center, randomized control trial of a code status video as an educational tool in the intensive care unit. Subjects are stratified by patient or surrogate and are randomized to either watch an educational video on code status or not watch the video. They are then asked knowledge base questions regarding code status as well as questions pertaining to comfort regarding code status. Participants randomized to watch the video are also asked questions related to acceptance of the video.

Conditions

Critical Illness

Keywords

Code Status; Do not resuscitate (DNR); Do not intubate (DNI); CPR; Cardiopulmonary resuscitation; video; advanced directives

Outcome Measures

Primary Outcomes (1)

• 12 Question Resuscitation Status Survey (Question 4 Has 4 Sub-questions)

  12 question (question 4 has 4 sub-questions) survey previously validated to determine knowledge level about resuscitation status with total score on the scale of 0-15. Possible scores ranged from 0 to 15, with higher scores representing increased medical knowledge. The CPR knowledge survey assesses a participants basic understanding of cardiopulmonary resuscitation (CPR). The survey consisted of 12 questions with one point being awarded for each correct response. Question four had a total of four possible correct answers. Thus the scores on the scale of 0-15 points is designed, with higher scores representing increased knowledge.

  after admission to ICU, approx one hour

Secondary Outcomes (3)

• Participant Reported Comfort With Video Intervention

  immediately after intervention

• Perception of Utility of Video

  immediately after intervention

• Willingness to Recommend Video to Other Patients

  immediately after intervention

Study Arms (2)

No Video - Control

NO INTERVENTION

This group does not watch the 10 minute "code status" video before having the knowledge base video administered.

Code Status Video

EXPERIMENTAL

This group views a 10 minute video about "code status" prior to knowledge base survey administration

Other: Code Status Video

Interventions

Code Status Video OTHER

10 minute video about "Code Status"

Code Status Video

Eligibility Criteria

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

You may qualify if:

• Patients ages 18 and older admitted to the medical intensive care unit

You may not qualify if:

• Institutionalized status (prisoners)
• Pregnancy
• A priori decided comfort care measures

Sponsors & Collaborators

• Mayo Clinic: lead

Study Sites (1)

Mayo Clinic

Rochester, Minnesota, 55905, United States

Location

Related Publications (4)

• Hofmann JC, Wenger NS, Davis RB, Teno J, Connors AF Jr, Desbiens N, Lynn J, Phillips RS. Patient preferences for communication with physicians about end-of-life decisions. SUPPORT Investigators. Study to Understand Prognoses and Preference for Outcomes and Risks of Treatment. Ann Intern Med. 1997 Jul 1;127(1):1-12. doi: 10.7326/0003-4819-127-1-199707010-00001.

  PMID: 9214246 BACKGROUND

• Wenger NS, Phillips RS, Teno JM, Oye RK, Dawson NV, Liu H, Califf R, Layde P, Hakim R, Lynn J. Physician understanding of patient resuscitation preferences: insights and clinical implications. J Am Geriatr Soc. 2000 May;48(S1):S44-51. doi: 10.1111/j.1532-5415.2000.tb03140.x.

  PMID: 10809456 BACKGROUND

• Teno JM, Hakim RB, Knaus WA, Wenger NS, Phillips RS, Wu AW, Layde P, Connors AF Jr, Dawson NV, Lynn J. Preferences for cardiopulmonary resuscitation: physician-patient agreement and hospital resource use. The SUPPORT Investigators. J Gen Intern Med. 1995 Apr;10(4):179-86. doi: 10.1007/BF02600252.

  PMID: 7790978 BACKGROUND

• von Gunten CF, Ferris FD, Emanuel LL. The patient-physician relationship. Ensuring competency in end-of-life care: communication and relational skills. JAMA. 2000 Dec 20;284(23):3051-7. doi: 10.1001/jama.284.23.3051.

  PMID: 11122596 BACKGROUND

MeSH Terms

Conditions

Critical Illness

Condition Hierarchy (Ancestors)

Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Limitations and Caveats

In this study the patient outcomes were not addressed as the primary outcome was patient and family knowledge of CPR.

Results Point of Contact

• Title: Kianoush Kashani; Principal Investigator
• Organization: Mayo Clinic

kashani.kianoush@mayo.edu

5072667093

Study Officials

• Kianoush B Kashani, MD

  Mayo Clinic

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: No
• Restrictive Agreement: No

Study Design

• Study Type: interventional
• Phase: phase 1
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: MD

Study Record Dates

• First Submitted: January 31, 2012
• First Posted: June 1, 2012
• Study Start: November 1, 2010
• Primary Completion: June 1, 2013
• Study Completion: June 1, 2013
• Last Updated: May 13, 2016
• Results First Posted: April 4, 2016

Record last verified: 2016-04

Locations

US (1)