Understanding Community Considerations, Opinions, Values, Impacts, and Decisions for COVID-19

NCT04373135 | Completed

• 1 other identifier: UCLA-20-000683
• Study Type: interventional
• Target: 1,971
• Locations: 1 country
• Sites: 1

Brief Summary

The novel coronavirus (COVID-19) is affecting the way many people live their lives, including seeking medical care and maintaining good self-care to keep healthy. Additionally, in the event many people become critically ill at once, COVID-19 has the possibility of overwhelming hospitals to the point where they have to make decisions about how to determine who receives intensive care and life-support measures. Many hospitals as well as local or state governments have been working on policies to determine how to make these decisions. This study seeks to learn about how COVID-19 has affected the way patients and healthcare providers care for themselves and about their thoughts and concerns about policies that may "ration" life-support resources.

Conditions

Covid-19; Critical Illness; Attitude of Health Personnel; Attitude to Health; Health Behavior; Health Care Utilization

Keywords

health disparity; scarce resource allocation; triage; community engagement

Outcome Measures

Primary Outcomes (3)

• Improvement in knowledge surrounding SRA policy

  Improvement in knowledge item score of 1/2 SD points on follow up after intervention delivery and at final follow up

  1 month, 6 months

• Stability of in anxiety surrounding SRA policy

  No worsening in anxiety scale of 1/2 SD responses on follow up after intervention delivery and at final follow up

  1 month, 6 months

• Improvement in trust surrounding SRA policy

  Improvement in trust scale of 1/2 SD on follow up after intervention delivery and at final follow up

  1 month, 6 months

Study Arms (2)

Experimental

EXPERIMENTAL

Subjects will be provided a brief educational intervention prior to completing follow up survey about SRA attitudes and knowledge

Behavioral: Brief educational video

Control

NO INTERVENTION

Subjects will not be provided any prior to completing follow up survey about SRA attitudes and knowledge

Interventions

Brief educational video BEHAVIORAL

A brief educational video will be displayed explaining the mechanics of how SRA policies operate, how they are decided, and what patients' and healthcare workers' rights are surrounding them.

Experimental

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Participants shall be adults aged 18 years or older
• Willingness and ability to participate in an internet-based survey

You may not qualify if:

• Children under age 18

Sponsors & Collaborators

• University of California, Los Angeles: lead

Study Sites (1)

University of California, Los Angeles

Los Angeles, California, 90095, United States

Location

Related Publications (18)

• Rundle AG, Park Y, Herbstman JB, Kinsey EW, Wang YC. COVID-19-Related School Closings and Risk of Weight Gain Among Children. Obesity (Silver Spring). 2020 Jun;28(6):1008-1009. doi: 10.1002/oby.22813. Epub 2020 Apr 18. No abstract available.

  PMID: 32227671 BACKGROUND

• Grasselli G, Pesenti A, Cecconi M. Critical Care Utilization for the COVID-19 Outbreak in Lombardy, Italy: Early Experience and Forecast During an Emergency Response. JAMA. 2020 Apr 28;323(16):1545-1546. doi: 10.1001/jama.2020.4031. No abstract available.

  PMID: 32167538 BACKGROUND

• Powell T, Christ KC, Birkhead GS. Allocation of ventilators in a public health disaster. Disaster Med Public Health Prep. 2008 Mar;2(1):20-6. doi: 10.1097/DMP.0b013e3181620794.

  PMID: 18388654 BACKGROUND

• Truog RD, Mitchell C, Daley GQ. The Toughest Triage - Allocating Ventilators in a Pandemic. N Engl J Med. 2020 May 21;382(21):1973-1975. doi: 10.1056/NEJMp2005689. Epub 2020 Mar 23. No abstract available.

  PMID: 32202721 BACKGROUND

• Emanuel EJ, Persad G, Upshur R, Thome B, Parker M, Glickman A, Zhang C, Boyle C, Smith M, Phillips JP. Fair Allocation of Scarce Medical Resources in the Time of Covid-19. N Engl J Med. 2020 May 21;382(21):2049-2055. doi: 10.1056/NEJMsb2005114. Epub 2020 Mar 23. No abstract available.

  PMID: 32202722 BACKGROUND

• Zhou F, Yu T, Du R, Fan G, Liu Y, Liu Z, Xiang J, Wang Y, Song B, Gu X, Guan L, Wei Y, Li H, Wu X, Xu J, Tu S, Zhang Y, Chen H, Cao B. Clinical course and risk factors for mortality of adult inpatients with COVID-19 in Wuhan, China: a retrospective cohort study. Lancet. 2020 Mar 28;395(10229):1054-1062. doi: 10.1016/S0140-6736(20)30566-3. Epub 2020 Mar 11.

  PMID: 32171076 BACKGROUND

• Yang J, Zheng Y, Gou X, Pu K, Chen Z, Guo Q, Ji R, Wang H, Wang Y, Zhou Y. Prevalence of comorbidities and its effects in patients infected with SARS-CoV-2: a systematic review and meta-analysis. Int J Infect Dis. 2020 May;94:91-95. doi: 10.1016/j.ijid.2020.03.017. Epub 2020 Mar 12.

  PMID: 32173574 BACKGROUND

• Antommaria AHM, Gibb TS, McGuire AL, Wolpe PR, Wynia MK, Applewhite MK, Caplan A, Diekema DS, Hester DM, Lehmann LS, McLeod-Sordjan R, Schiff T, Tabor HK, Wieten SE, Eberl JT; Task Force of the Association of Bioethics Program Directors. Ventilator Triage Policies During the COVID-19 Pandemic at U.S. Hospitals Associated With Members of the Association of Bioethics Program Directors. Ann Intern Med. 2020 Aug 4;173(3):188-194. doi: 10.7326/M20-1738. Epub 2020 Apr 24.

  PMID: 32330224 BACKGROUND

• Daugherty Biddison EL, Faden R, Gwon HS, Mareiniss DP, Regenberg AC, Schoch-Spana M, Schwartz J, Toner ES. Too Many Patients...A Framework to Guide Statewide Allocation of Scarce Mechanical Ventilation During Disasters. Chest. 2019 Apr;155(4):848-854. doi: 10.1016/j.chest.2018.09.025. Epub 2018 Oct 11.

  PMID: 30316913 BACKGROUND

• Biddison ELD, Gwon HS, Schoch-Spana M, Regenberg AC, Juliano C, Faden RR, Toner ES. Scarce Resource Allocation During Disasters: A Mixed-Method Community Engagement Study. Chest. 2018 Jan;153(1):187-195. doi: 10.1016/j.chest.2017.08.001. Epub 2017 Aug 9.

  PMID: 28802695 BACKGROUND

• Biddison LD, Berkowitz KA, Courtney B, De Jong CM, Devereaux AV, Kissoon N, Roxland BE, Sprung CL, Dichter JR, Christian MD, Powell T; Task Force for Mass Critical Care; Task Force for Mass Critical Care. Ethical considerations: care of the critically ill and injured during pandemics and disasters: CHEST consensus statement. Chest. 2014 Oct;146(4 Suppl):e145S-55S. doi: 10.1378/chest.14-0742.

  PMID: 25144262 BACKGROUND

• Wisk LE, Nelson EB, Magane KM, Weitzman ER. Clinical Trial Recruitment and Retention of College Students with Type 1 Diabetes via Social Media: An Implementation Case Study. J Diabetes Sci Technol. 2019 May;13(3):445-456. doi: 10.1177/1932296819839503. Epub 2019 Apr 22.

  PMID: 31010315 BACKGROUND

• Pierannunzi C, Hu SS, Balluz L. A systematic review of publications assessing reliability and validity of the Behavioral Risk Factor Surveillance System (BRFSS), 2004-2011. BMC Med Res Methodol. 2013 Mar 24;13:49. doi: 10.1186/1471-2288-13-49.

  PMID: 23522349 BACKGROUND

• Buhr RG, Huang CX, Romero R, Wisk LE. Bolstering agreement with scarce resource allocation policy using education: a post hoc analysis of a randomized controlled trial. BMC Health Serv Res. 2025 Apr 14;25(1):540. doi: 10.1186/s12913-025-12712-x.

  PMID: 40229711 DERIVED

• Buhr RG, Romero R, Wisk LE. Promotion of Knowledge and Trust Surrounding Scarce Resource Allocation Policies: A Randomized Clinical Trial. JAMA Health Forum. 2024 Oct 4;5(10):e243509. doi: 10.1001/jamahealthforum.2024.3509.

  PMID: 39422889 DERIVED

• Loui HF, Li J, Jackson NJ, Romero R, Wisk LE, Buhr RG. Tobacco consumption behavior change during the COVID-19 pandemic is associated with perceived COVID threat. BMC Public Health. 2024 Oct 15;24(1):2827. doi: 10.1186/s12889-024-20259-5.

  PMID: 39407204 DERIVED

• Wisk LE, Buhr RG. Rapid deployment of a community engagement study and educational trial via social media: implementation of the UC-COVID study. Trials. 2021 Aug 2;22(1):513. doi: 10.1186/s13063-021-05467-3.

  PMID: 34340693 DERIVED

• Wisk LE, Buhr RG. Rapid Deployment of A Community Engagement Study And Educational Trial Via Social Media: Implementation of The UC-COVID Study. Res Sq [Preprint]. 2021 May 7:rs.3.rs-359099. doi: 10.21203/rs.3.rs-359099/v1.

  PMID: 34013254 DERIVED

MeSH Terms

Conditions

COVID-19; Critical Illness; Health Behavior; Patient Acceptance of Health Care

Condition Hierarchy (Ancestors)

Pneumonia, Viral; Pneumonia; Respiratory Tract Infections; Infections; Virus Diseases; Coronavirus Infections; Coronaviridae Infections; Nidovirales Infections; RNA Virus Infections; Lung Diseases; Respiratory Tract Diseases; Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms; Behavior; Treatment Adherence and Compliance

Study Officials

• Russell G Buhr, MD, PhD

  Division of Pulmonary & Critical Care Medicine, UCLA

  PRINCIPAL INVESTIGATOR

• Lauren E Wisk, PhD

  Division of General Internal Medicine & Health Services Research, UCLA

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Model Details: Pre-/post-intervention survey with random allocation of a brief educational intervention about scarce resource allocation policy

Study Record Dates

• First Submitted: April 30, 2020
• First Posted: May 4, 2020
• Study Start: May 8, 2020
• Primary Completion: January 31, 2021
• Study Completion: January 31, 2021
• Last Updated: January 30, 2025

Record last verified: 2024-05

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, SAP, ICF, ANALYTIC CODE
• Time Frame: Within 4 months of study closure
• Access Criteria: Reasonable request to investigators

Locations

US (1)