Skip to main content
OpenTrials
Recruiting

NCT Number: NCT06804226

Advancing Discussions Using a Video-based Support Tool About End-of-life Care

The purpose of this study is to evaluate the effectiveness and implementation considerations of a video aid to improve communication and patient-centered outcomes in older injured adults

Recruiting

Interested in participating?

Request Info

Key information

Conditions

Traumatic Injury Wounds and Injuries

Age range

65 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • English or Spanish speaking
  • admitted to any level of care following trauma

Exclusion criteria

  • Prisoners
  • Existing do not resuscitate (DNR)/do not intubate (DNI)
  • Patients admitted while on hospice
  • Patients not expected to survive over 24-48 hours

Treatment and study plan

Video conversation aid

Behavioral

A video conversation aid which provides information regarding life-sustaining care and encourages further goals of care discussions with a healthcare provider will be shown to patients or their surrogates (for those incapacitated and unable to make their own decisions) on admission or within 48 hours whenever feasible

Usual Care

Behavioral

Participants and/or surrogates will participate in discussions surrounding life-sustaining care at healthcare provider discretion.

Primary outcomes

  1. Number of participants who had a transition in code status from full code

    Time frame: at time of discharge (about 5 days after admission)

    Data will be reported categorically as number of participants who transitioned from full code to DNR/DNI, DNR, ok for intubation, or Comfort measures only

Secondary outcomes

  1. Percentage of participants that recognize survival after Cardiopulmonary resuscitation (CPR) as less than 50 percent as assessed by a survey

    Time frame: at time of discharge (about 5 days after admission)

  2. Number of participants that received information about life-sustaining care outcomes as assessed by a survey

    Time frame: at time of discharge (about 5 days after admission)

  3. Number of participants that desire more information regarding life-sustaining care as assessed by a survey

    Time frame: at time of discharge (about 5 days after admission)

  4. Number of participants that had hospital-free days

    Time frame: in the first 30 days after admission

  5. Number of participants that had ICU-free days

    Time frame: at time of discharge (about 5 days after admission)

  6. Discharge disposition

    Time frame: at time of discharge (about 5 days after admission)

    Data will be reported categorically as number of participants that were discharged to home, nursing facility, rehab facility, long term care hospital, hospice or number of participants that die

  7. Number of participants that had ventilator-free days

    Time frame: at time of discharge (about 5 days after admission)

  8. Decisional conflict score as assessed by the Decisional Conflict Scale

    Time frame: at time of discharge (about 5 days after admission)

    This is a 4 item questionnaire, each is scored as 0(no) or 1(yes), for a maximum score of 4, higher score indicating no decisional conflict

  9. Number of interventional procedures

    Time frame: at time of discharge (about 5 days after admission)

    Procedures include tracheostomy, feeding tube placement, dialysis initiation

Study contacts

Contact information is provided by the study sponsor or research team.

Erin Fox

CONTACT

[email protected]

(713) 500-7965

Thaddeus J Puzio, MD, MS, FACS

CONTACT

[email protected]

713-500-7218

Sponsors and collaborators

Lead sponsor

The University of Texas Health Science Center, Houston

Other

Registry information

Official study title

Advancing Discussions Using a Video-based Support Tool About End-of-life Care: the ADVISE Project

Acronym: ADVISE

Important dates

Study start
2025
Primary completion
2026
Study completion
2026
First posted
Feb 3, 2025
Registry last updated
Mar 30, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

Related clinical trials

Published trials that share one or more normalized conditions with this study.