Shared Decision Making to Improve Goals of Care in the ED
1 other identifier
interventional
230
1 country
3
Brief Summary
This project will develop and refine a shared decision making (SDM) intervention (decision aid tool) to improve and normalize high quality end of life discussions in the Emergency Department (ED) setting.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Mar 2018
Longer than P75 for not_applicable
3 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
January 3, 2018
CompletedStudy Start
First participant enrolled
March 28, 2018
CompletedFirst Posted
Study publicly available on registry
February 7, 2019
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2026
ExpectedStudy Completion
Last participant's last visit for all outcomes
December 1, 2026
February 10, 2026
February 1, 2026
8.7 years
January 3, 2018
February 6, 2026
Conditions
Outcome Measures
Primary Outcomes (1)
Patient and physician feedback survey for tool development and iterative refinement
A debrief survey/open-ended questionnaire is filled out by the patient and his/her provider to collect feedback. This is used to refine this shared decision making (SDM) intervention in the Emergency Department (ED) setting.
1 year
Secondary Outcomes (1)
Patient and physician satisfaction questionnaire
1 year
Study Arms (1)
Shared decision aid assessment
EXPERIMENTALPatients will be selected to have a goals of care discussion with an emergency physician utilizing a pilot decision aid and will be asked for feedback to assist with refinement of the decision aid.
Interventions
Provide feedback on a shared decision making tool to aid in discussion on goals of care in the emergency department
Eligibility Criteria
You may qualify if:
- Patients presenting to Mayo Clinic Rochester, Saint Marys' Emergency Department,
- Patients at high risk for critical illness as determined by an Elderly Risk Assessment (ERA) score ≥ 16 or as determined by provider discretion,
- ≥ 60 years of age,
- Ability to provide informed consent,
- Medically stable at the time of enrollment,
- Able to participate without causing a delay in care.
You may not qualify if:
- GCS scores \< 15,
- Signs of altered mental status,
- Known to be pregnant,
- Incarcerated or in Police Custody,
- Communication barriers such as visual or hearing impairment that may preclude use of the decision aid.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Mayo Cliniclead
Study Sites (3)
Mayo Clinic in Arizona
Scottsdale, Arizona, 85259, United States
Mayo Clinic in Florida
Jacksonville, Florida, 32224, United States
Mayo Clinic in Rochester
Rochester, Minnesota, 55905, United States
Related Links
Study Officials
- PRINCIPAL INVESTIGATOR
Laura E Walker
Mayo Clinic
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- SUPPORTIVE CARE
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Principal Investigator
Study Record Dates
First Submitted
January 3, 2018
First Posted
February 7, 2019
Study Start
March 28, 2018
Primary Completion (Estimated)
December 1, 2026
Study Completion (Estimated)
December 1, 2026
Last Updated
February 10, 2026
Record last verified: 2026-02