Randomized Study of a Hospice Video Educational Tool for Patients With Advanced Cancer and Their Caregivers

The purpose of this research study is to compare two ways to educate patients with cancer and their caregivers about hospice care services - a video educational tool or a verbal narrative. The study will assess the effect of these methods on patients' and caregivers' knowledge about hospice care, as well as their perceptions and preferences for this service.

Using this research, the investigators hope to find out the best way to help patients and their loved ones better understand hospice care. The educational methods used in this study (the video educational tool or verbal narrative) are meant to serve as an introduction to hospice care. Further details about hospice should be discussed directly with your care team.

This study will enroll 150 patients with advanced cancer and up to 150 of their caregivers in this randomized clinical trial. The study will use questionnaires to measure the participant and the caregivers' knowledge of hospice care, as well as your perceptions and preferences for these services. Study assessments will be completed before and after watching the video or hearing the verbal narrative in the hospital.

Inclusion criteria

Patients Eligibility Criteria:

• Adult patients (≥18 years) with a diagnosis of metastatic solid cancer.
• A prognosis of 12 months or less based on the treating oncologist's assessment.
• The ability to provide informed consent.
• Ability to comprehend and speak English.

Caregivers Eligibility Criteria:

• Adult caregivers (>18 years) of patients who have agreed to participate in study.
• A relative or a friend upon whom the patient relies for help and who will be likely to be present during hospitalization, or willing to participate by phone.
• Ability to comprehend and speak English.

Exclusion criteria

Patients Exclusion Criteria:

-Significant uncontrolled psychiatric disorder (psychotic disorder, bipolar disorder, major depression) or other co-morbid disease (dementia, cognitive impairment), which the treating clinician believes prohibits the ability to participate in study procedures