A Trial of a CPR Video in Heart Failure Patients

  • STATUS
    Recruiting
  • participants needed
    50
  • sponsor
    Massachusetts General Hospital
Updated on 26 January 2021

Summary

This is a randomized controlled trial of a CPR video decision aid in patients with advanced congestive heart failure (CHF).

Description

Aim 1: To compare the care preferences for CPR and intubation among subjects randomized to video and subjects randomized to the current standard of care without the video.

Hypothesis 1: Subjects randomized to the video intervention will be significantly more likely to opt against CPR and intubation compared to those who do not see the video.

Aim 2: To compare code-status documentation in the electronic medical records between subjects randomized to the video and those who are receiving the current standard of care without the video.

Hypothesis 2: Subjects randomized to the video are more likely to have their code status correctly documented in the electronic medical records compared to those who do not see the video.

Aim 3: To compare knowledge and decisional conflict of subjects randomized to video and subjects randomized to the current standard of care without the video.

Hypothesis 3: When compared to subjects randomized to the current standard of care, subjects in the video intervention group will have higher knowledge and lower decisional conflict (lower decisional conflict scores) when asked to choose CPR and intubation preferences.

Details
Condition Heart failure, Congestive Heart Failure, Heart failure, Heart disease, Heart disease, Cardiac Disease, Congestive Heart Failure, Cardiac Disease, congestive heart disease
Treatment video decision aid
Clinical Study IdentifierNCT01653938
SponsorMassachusetts General Hospital
Last Modified on26 January 2021

Eligibility

Yes No Not Sure

Inclusion Criteria

A diagnosis of advanced heart failure
New York Heart Association Class III or IV (III: marked limitation in activity due to symptoms, even during less-than-ordinary activity; IV: severe limitations, experiences symptoms while at rest). AND
Two or more hospitalizations for heart failure in the last year. AND
Either a systolic blood pressure 120 mm Hg OR Na 135 mEq/L
Ability to provide informed consent
Ability to communicate in English
Age 65 or older
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If you are confirmed eligible after full screening, you will be required to understand and sign the informed consent if you decide to enroll in the study. Once enrolled you may be asked to make scheduled visits over a period of time.

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Complete your scheduled study participation activities and then you are done. You may receive summary of study results if provided by the sponsor.

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