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Active, Not Recruiting

NCT Number: NCT04931797

Video Images About Decisions for Ethical Outcomes in the Emergency Department (VIDEO-ED)

A randomized controlled trial of a video decision aid in the Emergency Department Setting to improve advance care planning documentation.

Active, Not Recruiting

This study is active but is not currently recruiting participants.

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Key information

Conditions

Emergencies Disease Attributes Pathologic Processes Pathological Conditions, Signs and Symptoms

Age range

50 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

UC Davis, Davis, California, United States

Loading trial locations.

About this study

A randomized controlled trial of a video decision aid in the Emergency Department setting shown to patients followed by a brief advance care planning discussion and then relay that discussion to the patient's primary care provider and/or admitting clinical team and look at rates of advance care planning documentation in the electronic health record over time. Primary outcome is advance care planning documentation in the EHR at 3 months.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • anyone aged 65 and over or anyone aged over 50-64 with an indicator of serious illness

Exclusion criteria

  • non english or spanish speakers those with a POLST legally blind medically non stable requiring ICU level care

Treatment and study plan

video decision aid

Behavioral

advance care planning video decision aid

control arm ACP information sheet

Behavioral

control arm ACP information sheet

Primary outcomes

  1. EHR documentation of advance care planning

    Time frame: 3 months

    EHR documentation of advance care planning

Secondary outcomes

  1. patient reported conversations with health care providers and family

    Time frame: at 3 and 6 months

    patient reported conversations with health care providers and family

  2. concordance between stated and documented preferences

    Time frame: at 3 and 6 months

    concordance between stated and documented preferences

  3. ACP documentation in the EHR

    Time frame: at 6 months

    ACP documentation in the EHR

  4. hospitalization

    Time frame: at 3 and 6 months

    hospitalization

  5. differential intervention effects of the ACP video intervention on patient ACP documentation based on race and ethnicity

    Time frame: at baseline, 3 and 6 months

    We will look at ACP documentation in the intervention and control arms to see if there are differential intervention effects based on race and ethnicity. We will look at the ACP documentation rate in Whites in both arms, and compare them to African Americans and Latinx populations. We will be able to see if the intervention had a greater or lesser effect on ACP rates in sub groups of our population by race and ethnicity.

  6. quality of clinician ACP communication using an ACP quality communication survey

    Time frame: quality of communication at the time of the survey interview (baseline), and then at 3 and 6 months

    quality of ACP communication using an ACP quality communication survey

  7. place of death

    Time frame: at 3 and 6 months

    place of death

  8. enrollment in hospice

    Time frame: at 3 and 6 months

    enrollment in hospice

  9. ED visits

    Time frame: at 3 and 6 months

    ED visits

  10. mortality

    Time frame: at 3 and 6 months

    mortality

  11. ICU days

    Time frame: at 3 and 6 months

    ICU days

  12. patient CPR and breathing machine preferences

    Time frame: at time of survey (baseline) and then after 3 and 6 months

    we will ask the patient whether or not they want CPR attempted and whether they would wish to be placed on a breathing machine

  13. patient preferences for goals of care

    Time frame: at time of survey (baseline) and then after 3 and 6 months

    We will ask patient if they wish to receive life prolonging care, limited care or comfort care.

  14. decisional certainty regarding decision making for ACP preferences

    Time frame: at baseline survey interview

    we will ask patients how certain they are about their decisions for the goals of care

  15. patient knowledge of ACP

    Time frame: at baseline survey interview

    We will ask patients knowledge questions about their understanding of advance care planning

  16. patient confidence in health care delivery that is aligned with patient preferences

    Time frame: at time of survey (baseline) and then after 3 and 6 months

    We will ask patients how confident they are in that they will receive the type of medical care they wish in their health care system

  17. patient ACP engagement with ACP topics

    Time frame: at baseline survey interview

    We will ask patients how ready and engaged they are with the topic of advance care planning

Sponsors and collaborators

Lead sponsor

Massachusetts General Hospital

Other

Collaborators

  • National Institute on Aging (NIA)
  • University of California, Davis

Registry information

Official study title

Using the Emergency Department Visit to Promote Advance Care Planning

Acronym: VIDEO-ED

Important dates

Study start
2022
Primary completion
2025
Study completion
2026
First posted
Jun 18, 2021
Registry last updated
Nov 10, 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.

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