Using Videos in Advance Care Planning for Patients With Advanced Cancer

A Pilot Study of Using Video Images in Advance Care Planning in Patients With Advanced Cancer

Status

Completed

Phases

Study type

Interventional

Source

ClinicalTrials.gov

Registry ID

NCT01241929

Enrollment

150

Registered

2010-11-16

Start date

2009-04-30

Completion date

2012-04-30

Last updated

2012-07-10

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Advanced Cancer

Keywords

advanced cancer

Brief summary

To compare the decision making of subjects with advanced cancer having a verbal advance care planning discussion compared to subjects using a video.

Detailed description

A.1. Aim 1: To recruit 150 subjects with advanced cancer and randomly assign these subjects to one of two advance care planning (ACP) modalities: 1. a video visually depicting CPR (intervention) or 2. a verbal narrative describing the CPR. Hypothesis 1: It is feasible to recruit and randomize 150 subjects with advanced cancer. A.2. Aim 2: To compare the care preferences for CPR among 150 subjects randomized to video vs. verbal narrative intervention. Hypothesis 2: Subjects randomized to the video intervention will be significantly more likely to opt NOT to have CPR compared to those randomized to the verbal narrative. A.3. Aim 3: To compare knowledge assessment of CPR for 150 subjects randomized to video vs. verbal narrative intervention. Hypothesis 3: When compared to subjects randomized to the verbal narrative arm, subjects in the video group will have higher knowledge assessment scores when asked questions regarding their understanding of CPR.

Interventions

BEHAVIORALvideo decision aid

video of CPR

Study design

Allocation

RANDOMIZED

Intervention model

SINGLE_GROUP

Primary purpose

HEALTH_SERVICES_RESEARCH

Masking

NONE

Eligibility

Sex/Gender

ALL

Age

21 Years to No maximum

Healthy volunteers

Inclusion criteria

1. diagnosis of cancer that falls under one of the following: A. All patients with brain cancer, inoperable hepatocellular/bile duct/gallbladder cancer, incurable non-small cell lung carcinoma (wet IIIb or IV), extensive stage small cell lung cancer, inoperable mesothelioma, inoperable pancreatic cancer or; metastatic gastric or esophageal cancer, metastatic melanoma, OR B. 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, leukemia, ovarian cancer, prostate cancer, renal cancer, sarcoma, lung cancer, myeloma, or lymphoma, OR C. Less than one year prognosis. 2. ability to provide informed consent, 3. cognitive ability to participate in the study 4. ability to communicate in English.

Exclusion criteria

1. inability to make decisions, 2. non-English speaking, 3. new patient visit

Design outcomes

Primary

Measure	Time frame	Description
preferences for CPR	within one hour after oncology visit	CPR preference after visit to oncologist

Secondary

Measure	Time frame	Description
knowledge of CPR	baseline and post-intervention	assess knowledge of CPR
stability of preferences	after 6-8 weeks	assess CPR preferences again
predictors of preferences	post-intervention	predictors of preferences for CPR

Countries

United States

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026