Advance Directives, Resuscitation Orders
Conditions
Brief summary
This study aims at assessing factors that affect patient choices for end of life care. 300 patients would be assigned either to a control arm (questionnaire alone) or intervention arm (standardized explanation+ questionnaire). Our intervention is a standardized explanation which explains what code status, advance directive and end of life care mean. Based on patient responses, factors that affect choices of code status would be analyzed. We will also evaluate if a standardized explanation improves patient understanding of end of life issues. This would be determined by generating a composite score of correct responses to a subset of objective questions in the questionnaire
Interventions
OTHERStandardized explanation
Standardized explanation provided on code status, advance directives and end of life care
Sponsors
Partners in Internal Medicine
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Age \>18 years * Admitted to regular nursing floor
Exclusion criteria
* altered mental status * admitted in ICU * positive screening for depression * terminal illness defined as life expectancy\< 100 days * inability to consent
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Composite score of correct responses | Patients interviewed within 48 hours of admission, questionnaire adminsitered at the time of interview | Patients in both arms were administered a questionnaire, that assessed demographics, subjective questions as well as a set of objective questions designed to assess patient understanding of code status. The responses to the objective questions were scored and the composite score of correct responses was used as a marker of patient understanding. Patients in the control arm were administered the questionnaire alone. Patients in the intervention arm first received our standard explanation, and were then administered the questionnaire |
Secondary
| Measure | Time frame |
|---|---|
| Compare differences in demographic, medical, social and associated factors on patient choice of code status | Patients interviewed within 48 hours of admission, questionnaire adminsitered at the time of interview |
Countries
United States
Outcome results
None listed