Patient Understanding of End of Life Care

NCT01683097 — Not applicable, Completed, 300 participants, Partners in Internal Medicine

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Assessing Patient Understanding and Factors That Govern Advanced Directives and End of Life Discussion

Registry	NCT01683097
Status	Completed
Phase	Not applicable
Study type	Interventional; randomized, parallel, masking: none, health services research
Enrollment	300 (Actual)
Sponsor	Partners in Internal Medicine (Other)
Conditions	Advance Directives, Resuscitation Orders
Interventions	Standardized explanation (Other)
Dates	start 2009-03-01, primary completion 2010-06-01, completion 2010-06-01, first posted 2012-09-11, last updated 2012-09-11
Locations	1 site in United States

-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

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+Arms and interventions

Arm	Type	Interventions	Description
Control	No intervention		Questionnaire
Intervention	Experimental	Other: Standardized explanation	Standardized explanation followed by questionnaire

Standardized explanation (Other): Standardized explanation provided on code status, advance directives and end of life care

+Outcome measures

Primary outcomes

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 outcomes

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]

+Eligibility

Sex: All, ages: 18 Years to any

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

+Locations (1)

Facility	City	Country	Status
Saint Vincent Hospital	Worcester, Massachusetts	United States

+Investigators

George Abraham, MD, Principal investigator, Saint Vincent Hospital
Kriti Mittal, MD, Principal investigator, Saint Vincent Hospital

My Notes

Public

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