Video decision support tool promoting values conversations in advanced care planning in cancer: protocol of a randomised controlled trial
Abstract Background Views on advance care planning (ACP) has shifted from a focus solely on treatment decisions at the end-of-life and medically orientated advanced directives to encouraging conversations on personal values and life goals, patient-caregiver communication and decision making, and fam...
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| Format: | Article |
| Language: | English |
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BMC
2021-06-01
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| Series: | BMC Palliative Care |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12904-021-00794-3 |
| _version_ | 1818657201404772352 |
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| author | Natasha Michael Clare O’Callaghan Ekavi Georgousopoulou Adelaide Melia Merlina Sulistio David Kissane |
| author_facet | Natasha Michael Clare O’Callaghan Ekavi Georgousopoulou Adelaide Melia Merlina Sulistio David Kissane |
| author_sort | Natasha Michael |
| collection | DOAJ |
| description | Abstract Background Views on advance care planning (ACP) has shifted from a focus solely on treatment decisions at the end-of-life and medically orientated advanced directives to encouraging conversations on personal values and life goals, patient-caregiver communication and decision making, and family preparation. This study will evaluate the potential utility of a video decision support tool (VDST) that models values-based ACP discussions between cancer patients and their nominated caregivers to enable patients and families to achieve shared-decisions when completing ACP’s. Methods This open-label, parallel-arm, phase II randomised control trial will recruit cancer patient-caregiver dyads across a large health network. Previously used written vignettes will be converted to video vignettes using the recommended methodology. Participants will be ≥18 years and be able to complete questionnaires. Dyads will be randomised in a 1:1 ratio to a usual care (UC) or VDST group. The VDST group will watch a video of several patient-caregiver dyads communicating personal values across different cancer trajectory stages and will receive verbal and written ACP information. The UC group will receive verbal and written ACP information. Patient and caregiver data will be collected individually via an anonymous questionnaire developed for the study, pre and post the UC and VDST intervention. Our primary outcome will be ACP completion rates. Secondarily, we will compare patient-caregiver (i) attitudes towards ACP, (ii) congruence in communication, and (iii) preparation for decision-making. Conclusion We need to continue to explore innovative ways to engage cancer patients in ACP. This study will be the first VDST study to attempt to integrate values-based conversations into an ACP intervention. This pilot study’s findings will assist with further refinement of the VDST and planning for a future multisite study. Trial registration Australian New Zealand Clinical Trials Registry No: ACTRN12620001035910 . Registered 12 October 2020. Retrospectively registered. |
| first_indexed | 2024-12-17T03:37:43Z |
| format | Article |
| id | doaj.art-1d7abc390f0242efa64fc8cf95055f09 |
| institution | Directory Open Access Journal |
| issn | 1472-684X |
| language | English |
| last_indexed | 2024-12-17T03:37:43Z |
| publishDate | 2021-06-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Palliative Care |
| spelling | doaj.art-1d7abc390f0242efa64fc8cf95055f092022-12-21T22:05:05ZengBMCBMC Palliative Care1472-684X2021-06-012011910.1186/s12904-021-00794-3Video decision support tool promoting values conversations in advanced care planning in cancer: protocol of a randomised controlled trialNatasha Michael0Clare O’Callaghan1Ekavi Georgousopoulou2Adelaide Melia3Merlina Sulistio4David Kissane5Supportive, Psychosocial and Palliative Care Research Department, Cabrini HealthSupportive, Psychosocial and Palliative Care Research Department, Cabrini HealthSchool of Medicine, Sydney Campus, University of Notre Dame Australia DarlinghurstSupportive, Psychosocial and Palliative Care Research Department, Cabrini HealthSupportive, Psychosocial and Palliative Care Research Department, Cabrini HealthSupportive, Psychosocial and Palliative Care Research Department, Cabrini HealthAbstract Background Views on advance care planning (ACP) has shifted from a focus solely on treatment decisions at the end-of-life and medically orientated advanced directives to encouraging conversations on personal values and life goals, patient-caregiver communication and decision making, and family preparation. This study will evaluate the potential utility of a video decision support tool (VDST) that models values-based ACP discussions between cancer patients and their nominated caregivers to enable patients and families to achieve shared-decisions when completing ACP’s. Methods This open-label, parallel-arm, phase II randomised control trial will recruit cancer patient-caregiver dyads across a large health network. Previously used written vignettes will be converted to video vignettes using the recommended methodology. Participants will be ≥18 years and be able to complete questionnaires. Dyads will be randomised in a 1:1 ratio to a usual care (UC) or VDST group. The VDST group will watch a video of several patient-caregiver dyads communicating personal values across different cancer trajectory stages and will receive verbal and written ACP information. The UC group will receive verbal and written ACP information. Patient and caregiver data will be collected individually via an anonymous questionnaire developed for the study, pre and post the UC and VDST intervention. Our primary outcome will be ACP completion rates. Secondarily, we will compare patient-caregiver (i) attitudes towards ACP, (ii) congruence in communication, and (iii) preparation for decision-making. Conclusion We need to continue to explore innovative ways to engage cancer patients in ACP. This study will be the first VDST study to attempt to integrate values-based conversations into an ACP intervention. This pilot study’s findings will assist with further refinement of the VDST and planning for a future multisite study. Trial registration Australian New Zealand Clinical Trials Registry No: ACTRN12620001035910 . Registered 12 October 2020. Retrospectively registered.https://doi.org/10.1186/s12904-021-00794-3Advance care planningCancerCommunicationEnd-of-life careComplex interventionDecision aid |
| spellingShingle | Natasha Michael Clare O’Callaghan Ekavi Georgousopoulou Adelaide Melia Merlina Sulistio David Kissane Video decision support tool promoting values conversations in advanced care planning in cancer: protocol of a randomised controlled trial BMC Palliative Care Advance care planning Cancer Communication End-of-life care Complex intervention Decision aid |
| title | Video decision support tool promoting values conversations in advanced care planning in cancer: protocol of a randomised controlled trial |
| title_full | Video decision support tool promoting values conversations in advanced care planning in cancer: protocol of a randomised controlled trial |
| title_fullStr | Video decision support tool promoting values conversations in advanced care planning in cancer: protocol of a randomised controlled trial |
| title_full_unstemmed | Video decision support tool promoting values conversations in advanced care planning in cancer: protocol of a randomised controlled trial |
| title_short | Video decision support tool promoting values conversations in advanced care planning in cancer: protocol of a randomised controlled trial |
| title_sort | video decision support tool promoting values conversations in advanced care planning in cancer protocol of a randomised controlled trial |
| topic | Advance care planning Cancer Communication End-of-life care Complex intervention Decision aid |
| url | https://doi.org/10.1186/s12904-021-00794-3 |
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