Angelo E. Volandes|Michael K. Paasche?Orlow|Susan L. Mitchell|Areej El?Jawahri|Aretha Delight Davis|Michael J. Barry|Kevan L. Hartshorn|Vicki A. Jackson|Muriel R. Gillick|Elizabeth Walker-Corkery|Yuchiao Chang|Lenny López|Margaret E. Kemeny|Linda Bulone|Eileen Mann|Sumathi Misra|Matt Peachey|Elmer D. Abbo|A. F. Eichler|Andrew S. Epstein|Ariela Noy|Tomer T. Levin|Jennifer S. Temel
Randomized Controlled Trial of a Video Decision Support Tool for Cardiopulmonary Resuscitation Decision Making in Advanced Cancer
Harvard University|Massachusetts General Hospital|Harvard University|Massachusetts General Hospital|Harvard University|Massachusetts General Hospital|Harvard University|Massachusetts General Hospital|Harvard University|Massachusetts General Hospital|Harvard University|Massachusetts General Hospital|Harvard University|Massachusetts General Hospital|Harvard University|Massachusetts General Hospital|Harvard University|Massachusetts General Hospital|Harvard University|Massachusetts General Hospital|Harvard University|Massachusetts General Hospital|Harvard University|Massachusetts General Hospital|Harvard University|Massachusetts General Hospital|Harvard University|Massachusetts General Hospital|Harvard University|Massachusetts General Hospital|Harvard University|Massachusetts General Hospital|Harvard University|Massachusetts General Hospital|Harvard University|Massachusetts General Hospital|Harvard University|Massachusetts General Hospital|Harvard University|Massachusetts General Hospital|Harvard University|Massachusetts General Hospital|Harvard University|Massachusetts General Hospital|Harvard University|Massachusetts General Hospital
purpose decision making regarding cardiopulmonary resuscitation cpr challenging study examined effect video decision support tool cpr preferences among patients advanced cancer patients methods performed randomized controlled trial 150 patients advanced cancer four oncology centers participants control arm n 80 listened verbal narrative describing cpr likelihood successful resuscitation participants intervention arm n 70 listened identical narrative viewed 3minute video depicting patient ventilator cpr performed simulated patient primary outcome participants preference cpr measured immediately exposure either modality secondary outcomes participants knowledge cpr score range 0 4 higher score indicating knowledge comfort video results mean age participants 62 years standard deviation 11 years 49 women 44 african american latino 47 lung colon cancer verbal narrative control arm 38 participants 48 wanted cpr 41 51 wanted cpr one 1 uncertain contrast intervention arm 14 participants 20 wanted cpr 55 79 wanted cpr 1 1 uncertain unadjusted odds ratio 35 95 ci 17 72 p lt 001 mean knowledge scores higher intervention arm control arm 33 10 v 26 13 respectively p lt 001 65 participants 93 intervention arm comfortable watching video conclusion participants advanced cancer viewed video cpr less likely opt cpr listened verbal narrative