A Randomized Controlled Trial of a Goals-of-Care Video for Elderly Patients Admitted to Skilled Nursing Facilities

Volandes AE, Brandeis GH, Davis AD, Paasche-Orlow MK, Gillick MR, Chang Y, Walker-Corker ES, Mann E, Mitchell SL. A randomized controlled trial of a goals-of-care video for elderly patients admitted to skilled nursing facilities. J Palliat Med. 2012 May 4

View Publication

evidence-study-randomized-controlled-trial-elderly-legend

Protocol

  1. 6 minute video of the Goals of Care
  2. Randomized controlled trial of 101 elderly patients admitted to a skilled nursing facility
  3. Developed and edited with an expert panel of geriatricians

Viewing Experience

Knowledge Level: Subjects in the video arm were more knowledgeable about their options and more comfortable with their decisions.

Comfort with the Video: 100% of participants were comfortable watching the video.  100% found the video to be helpful. 95% of subjects would recommend the video to other patients.

Preferences

Verbal Arm: 48% wanted CPR, 51% wanted no CPR, 1% was uncertain.

Video Arm: 20% wanted CPR, 79% wanted no CPR, 1% was uncertain.

What Patients Think

would recommend the video to others

Comfortable watching the video

Find the video helpful.

Publications

A Randomized Controlled Trial of a Cardiopulmonary Resuscitation Video in Advance Care Planning for Progressive Pancreas and Hepatobiliary Cancer Patients.

Epstein AS, Volandes AE, Chen LY, Gary KA, Li Y, Agre P, Levin TT, Reidy DL, Meng RD, Segal NH, Yu KH, Abou-Alfa GK, Janjigian YY, Kelsen DP, O'Reilly EM.

View Publication

It Helps Me See with My Heart: How Video Informs Patients Rationale for Decisions about Future Care in Advanced Dementia.

Deep KS, Hunter A, Murphy K, Volandes A.

View Publication

Randomized Controlled Trial of a Video Decision Support Tool for Cardiopulmonary Resuscitation Decision Making in Advanced Cancer

Volandes A, Paasche-Orlow MK, Mitchell SL, El-Jawahri A, Davis AD, Barry MJ, Hartshorn KL, Jackson VA, Gillick MR, Walker-Corkery ES, Change Y, Lopez L, Kemeny M, Bulone L, Mann E, Misra S, Peachey M, Abbo ED, Eichler AF, Epstein AS, Noy A, Levin TT, Temel JS, J Clin Oncol. Jan 20;31(3):380-386.

View Publication

Health Literacy Not Race Predicts End-Of-Life Care Preferences.

Volandes A, Paasche-Orlow M, Gillick M, Cook EF, Shaykevich S, Abbo E. Health literacy not race predicts end-of-life care preferences. J Palliat Med. 2008; Jun11(5):754-762.

View Publication

Overcoming Educational Barriers For Advance Care Planning In Latinos With Video Images.

Volandes A, Ariza M, Abbo E, Paasche-Orlow M. Overcoming educational barriers for advance care planning in Latinos with video images. J Palliat Med. 2008; Jun 11(5):700-706.

View Publication

Using Video Images to Improve the Accuracy of Surrogate Decision-Making: A Randomized Controlled Trial.

Volandes A, Mitchell S, Chang Y, and Paasche-Orlow M. Using Video Images to Improve the Accuracy of Surrogate Decision-Making: A Randomized Controlled Trial. J Am Med Dir Assoc, 2009 Oct;10(8):575-80.

View Publication

Assessing End-Of-Life Preferences For Advanced Dementia In Rural Patients Using An Educational Video: A Randomized Controlled Trial.

Volandes A, Ferguson LA, Davis AD, Hull NC, Green MJ, Chang Y, Deep K, and Paasche-Orlow M. Assessing end-of-life preferences for advanced dementia in rural patients using an educational video: a randomized controlled trial. J Palliat Med. 2011 Feb; 14(2): 169-77.

View Publication

Augmenting Advance Care Planning In Poor Prognosis Cancer With A Video Decision Aid: A Pre-Post Study.

Volandes A, Levin T, Slovin S, Carvajal R, O’Reilly E, Keohan M, Theodoulou M, Dickler M, Gerecitano J, Morris M, Epstein A, Naka-Blackstone A, Walker-Corkery E, Chang Y, and Noy A. Augmenting advance care planning in poor prognosis cancer with a video decision aid: a pre-post study. Cancer. 2012 Jan 17.

View Publication

A Randomized Controlled Trial Of A Goals-Of-Care Video For Elderly Patients Admitted To Skilled Nursing Facilities.

Volandes AE, Brandeis GH, Davis AD, Paasche-Orlow MK, Gillick MR, Chang Y, Walker-Corker ES, Mann E, Mitchell SL. A randomized controlled trial of a goals-of-care video for elderly patients admitted to skilled nursing facilities. J Palliat Med. 2012 May 4.

View Publication

Use Of Video To Facilitate End-Of-Life Discussions With Patients With Cancer: A Randomized Controlled Trial

El-Jawahri A, Podgurski LM, Eichler AF, Plotkin SR, Temel JS, Mitchell SL, ChangY, Barry MJ, Volandes AE. “Use of video to facilitate end-of-life discussions with patients with cancer: a randomized controlled trial.” J Clin Oncol. 2010 Jan 10;28(2):305-10. Epub 2009 Nov 30.

View Publication

Video Decision Support Tool for Advance Care Planning in Dementia: Randomised Controlled Trial

Volandes AE, Paasche-Orlow MK, Barry MJ, Gillick MR, Minaker KL, Chang Y, Cook EF, Abbo ED, El-Jawahri A, Mitchell SL. Video decision support tool for advance care planning in dementia: randomised controlled trial. BMJ. 2009 May 28;338:b2159. doi: 10.1136/bmj.b2159.

View Publication

Using Video Images Of Dementia In Advance Care Planning

Volandes A, Cook E, Shaykevich S, Abbo E, and Gillick M. Using video images of dementia in advance care planning. Archives of Internal Medicine, 2007; 167(8):828-33.

View Publication