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

NCT06708494 | Enrolling By Invitation

• 1 other identifier: 202403006RIFC
• Study Type: observational
• Target: 60
• Locations: 1 country
• Sites: 1

Brief Summary

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.

Conditions

Frailty

Keywords

Frailty; Advance Care Planning; Video Decision Aids

Outcome Measures

Primary Outcomes (3)

• 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

Interventions

video decision aids BEHAVIORAL

The video includes an introduction to geriatric frailty (3 minutes) and ACP (5 minutes). ACP includes three levels of medical care: life-prolonging care, limited care, and comfort care.

Eligibility Criteria

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

Study Population

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

You may qualify if:

• Phase 1 - Patients
• Aged 65 or older.
• Have not completed an advance directive (AD) document.
• Able to communicate in Mandarin or Taiwanese.
• Have adequate vision and hearing to watch a video in Mandarin or Taiwanese on a tablet.
• Willing to participate in the study after explanation.
• Phase 1 - Family Members
• Aged 18 or older.
• Have not completed an advance directive (AD) document.
• Able to communicate in Mandarin or Taiwanese.
• Have adequate vision and hearing to watch a video in Mandarin or Taiwanese on a tablet.
• Willing to participate in the study after explanation.
• Phase 1 - Healthcare Providers
• Have not completed an advance directive (AD) document.
• Able to communicate in Mandarin or Taiwanese.

You may not qualify if:

• Cognitive impairment, unable to communicate clearly.

Sponsors & Collaborators

• National Taiwan University Hospital: lead

Study Sites (1)

National Taiwan University Hospital

Taipei, Taiwan

Location

MeSH Terms

Conditions

Frailty

Condition Hierarchy (Ancestors)

Pathologic Processes; Pathological Conditions, Signs and Symptoms

Study Design

• Study Type: observational
• Observational Model: CASE ONLY
• Time Perspective: CROSS SECTIONAL
• Target Duration: 1 Day
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: November 20, 2024
• First Posted: November 27, 2024
• Study Start: November 19, 2024
• Primary Completion: March 31, 2025
• Study Completion: March 31, 2025
• Last Updated: November 27, 2024

Record last verified: 2024-03

Data Sharing

• IPD Sharing: Will not share

Locations

TW (1)