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Study protocol for Video Images about Decisions to Improve Ethical Outcomes with Palliative Care Educators (VIDEO-PCE): a pragmatic stepped wedge cluster randomised trial of older patients admitted to the hospital
Lakin, Joshua R; Zupanc, Sophia N; Lindvall, Charlotta; Moseley, Edward T; Das, Sophiya; Sciacca, Kate; Cabral, Howard J; Burns, Edith A; Carney, Maria T; Itty, Jennifer; Lopez, Santiago; Emmert, Kaitlin; Martin, Narda J; Lambert, Sherene; Polo, Jennifer; Sanghani, Shreya; Dugas, Julianne N; Gomez, Michele; Winter, Michael R; Wang, Na; Gabry-Kalikow, Shira; Dobie, Alexandra; Amshoff, Meredith; Cucinotta, Traci; Joel, Milton; Caruso, Lisa B; Ramirez, Ana Maria; Salerno, Kathleen; Ogunneye, Qausarat; Henault, Lori; Davis, Aretha Delight; Volandes, Angelo; Paasche-Orlow, Michael K.
Afiliación
  • Lakin JR; Department of Psychosocial Oncology and Palliative Care, Dana-Farber Cancer Institute, Boston, Massachusetts, USA jlakin@partners.org.
  • Zupanc SN; Harvard Medical School, Boston, Massachusetts, USA.
  • Lindvall C; Department of Psychosocial Oncology and Palliative Care, Dana-Farber Cancer Institute, Boston, Massachusetts, USA.
  • Moseley ET; Department of Psychosocial Oncology and Palliative Care, Dana-Farber Cancer Institute, Boston, Massachusetts, USA.
  • Das S; Harvard Medical School, Boston, Massachusetts, USA.
  • Sciacca K; Department of Psychosocial Oncology and Palliative Care, Dana-Farber Cancer Institute, Boston, Massachusetts, USA.
  • Cabral HJ; Department of Psychosocial Oncology and Palliative Care, Dana-Farber Cancer Institute, Boston, Massachusetts, USA.
  • Burns EA; Department of Psychosocial Oncology and Palliative Care, Dana-Farber Cancer Institute, Boston, Massachusetts, USA.
  • Carney MT; Department of Biostatistics, Boston University School of Public Health, Boston, Massachusetts, USA.
  • Itty J; Institute of Health System Science, Northwell Health Feinstein Institutes for Medical Research, Manhasset, New York, USA.
  • Lopez S; Department of Medicine, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, New York, USA.
  • Emmert K; Institute of Health System Science, Northwell Health Feinstein Institutes for Medical Research, Manhasset, New York, USA.
  • Martin NJ; Department of Medicine, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, New York, USA.
  • Lambert S; Institute of Health System Science, Northwell Health Feinstein Institutes for Medical Research, Manhasset, New York, USA.
  • Polo J; Institute of Health System Science, Northwell Health Feinstein Institutes for Medical Research, Manhasset, New York, USA.
  • Sanghani S; Department of Medicine, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, New York, USA.
  • Dugas JN; Institute of Health System Science, Northwell Health Feinstein Institutes for Medical Research, Manhasset, New York, USA.
  • Gomez M; Institute of Health System Science, Northwell Health Feinstein Institutes for Medical Research, Manhasset, New York, USA.
  • Winter MR; Institute of Health System Science, Northwell Health Feinstein Institutes for Medical Research, Manhasset, New York, USA.
  • Wang N; Institute of Health System Science, Northwell Health Feinstein Institutes for Medical Research, Manhasset, New York, USA.
  • Gabry-Kalikow S; Institute of Health System Science, Northwell Health Feinstein Institutes for Medical Research, Manhasset, New York, USA.
  • Dobie A; Biostatistics and Epidemiology Data Analytics Center, Boston University School of Public Health, Boston, Massachusetts, USA.
  • Amshoff M; Commonwealth Care Alliance, Boston, Massachusetts, USA.
  • Cucinotta T; Biostatistics and Epidemiology Data Analytics Center, Boston University School of Public Health, Boston, Massachusetts, USA.
  • Joel M; Biostatistics and Epidemiology Data Analytics Center, Boston University School of Public Health, Boston, Massachusetts, USA.
  • Caruso LB; ACP Decisions, Waban, Massachusetts, USA.
  • Ramirez AM; Boston University School of Medicine, Section of General Internal Medicine, Boston Medical Center, Boston, Massachusetts, USA.
  • Salerno K; Palliative Medicine, Boston Medical Center, Boston, Massachusetts, USA.
  • Ogunneye Q; Palliative Medicine, Boston Medical Center, Boston, Massachusetts, USA.
  • Henault L; Palliative Medicine, Boston Medical Center, Boston, Massachusetts, USA.
  • Davis AD; Palliative Medicine, Boston Medical Center, Boston, Massachusetts, USA.
  • Volandes A; Boston University School of Medicine, Department of Medicine, Section of Geriatrics, Boston Medical Center, Boston, Massachusetts, USA.
  • Paasche-Orlow MK; Boston University School of Medicine, Section of General Internal Medicine, Boston Medical Center, Boston, Massachusetts, USA.
BMJ Open ; 12(7): e065236, 2022 07 25.
Article en En | MEDLINE | ID: mdl-35879001
INTRODUCTION: Despite the known benefit to patients and families, discussions about goals, values and preferences for medical care in advancing serious illness often do not occur. Many system and clinician factors, such as patient and clinician reticence and shortage of specialty palliative care teams, contribute to this lack of communication. To address this gap, we designed an intervention to promote goals-of-care conversations and palliative care referrals in the hospital setting by using trained palliative care educators and video decision aids. This paper presents the rationale, design and methods for a trial aimed at addressing barriers to goals-of-care conversations for hospitalised adults aged 65 and older and those with Alzheimer's disease and related Dementias, regardless of age. METHODS AND ANALYSIS: The Video Image about Decisions to Improve Ethical Outcomes with Palliative Care Educators is a pragmatic stepped wedge, cluster randomised controlled trial, which aims to improve and extend goals-of-care conversations in the hospital setting with palliative care educators trained in serious illness communication and video decision aids. The primary outcome is the proportion of patients with goals-of-care documentation in the electronic health record. We estimate that over 9000 patients will be included. ETHICS AND DISSEMINATION: The Institutional Review Board (IRB) at Boston Medical Center will serve as the single IRB of record for all regulatory and ethical aspects of this trial. BMC Protocol Number: H-41482. Findings will be presented at national meetings and in publications. This trial is registered at ClinicalTrials.gov. TRIAL REGISTRATION NUMBER: NCT04857060; ClinicalTrials.gov.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Cuidados Paliativos / Enfermería de Cuidados Paliativos al Final de la Vida Tipo de estudio: Clinical_trials / Guideline / Prognostic_studies Aspecto: Ethics Límite: Adult / Humans Idioma: En Revista: BMJ Open Año: 2022 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Cuidados Paliativos / Enfermería de Cuidados Paliativos al Final de la Vida Tipo de estudio: Clinical_trials / Guideline / Prognostic_studies Aspecto: Ethics Límite: Adult / Humans Idioma: En Revista: BMJ Open Año: 2022 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido