Palliative Care Clinical Trial
Official title:
Improving Medical Decision Making for Older Patients With End Stage Renal Disease
The overall objective of this study is to reduce the burden of chronic kidney disease (CKD) and its consequences for an aging U.S. population. To accomplish this, the investigators propose to conduct a multi-center randomized trial of an advance care planning (ACP) video intervention (vs. usual care) among older patients with CKD.
The video intervention consists of a video decision aid along with a video declaration (ViDec), which is recorded by the patient. The video decision aid explores ACP options for medical care for end-stage renal disease (ESRD) and reviews hemodialysis, peritoneal dialysis, as well as medical management without dialysis; it also reviews cardiopulmonary resuscitation (CPR). Patients will also audio- or video-record their preferences using a tablet. The video will be shared with their nephrologist. The patient will have a copy of the video to take with them and share with their loved ones. Patients will answer survey questions about their preferences, knowledge, decisional conflict, and ACP engagement. They will be surveyed every two months for one year or death (if they die before one year). Potential participants will be recruited from 10 nephrology clinics: Massachusetts General Hospital (n=75), Brigham and Women's Hospital (n=75), University of Pittsburgh (n=75), University of Pennsylvania, Stanford University, Palo Alto Veterans Institute for Research, University of Washington, Renal & Transplant Associates of New England, University of New Mexico and Boston Medical Center. ;
| Status | Clinical Trial | Phase | |
|---|---|---|---|
| Completed |
NCT04673760 -
The PROAKTIV Study
|
N/A | |
| Completed |
NCT03520023 -
Critical Care and Palliative Care Medicine Together in the ICU
|
N/A | |
| Completed |
NCT01990742 -
Improving Palliative Care Through Teamwork
|
N/A | |
| Not yet recruiting |
NCT05434208 -
Effects of Nurse-led Telephone Based Service for Early Palliative Care (PALTEL)
|
N/A | |
| Not yet recruiting |
NCT03267706 -
Introducing the Palliative Care Comprehensive Tool in Family Medicine
|
N/A | |
| Completed |
NCT02845817 -
Requests for Euthanasia and Assisted Suicide
|
N/A | |
| Recruiting |
NCT02778347 -
Development and Validation of a Comprehensive Standardised Clinical Assessment Tool for Patient Needs
|
N/A | |
| Completed |
NCT01934413 -
Technology-enhanced Transitional Care for Rural Palliative Care Patients: A Pilot Study
|
N/A | |
| Completed |
NCT01933789 -
Improving Communication About Serious Illness
|
N/A | |
| Recruiting |
NCT01170000 -
Timely End-of-Life Communication to Parents of Children With Brain Tumors
|
N/A | |
| Recruiting |
NCT04052074 -
Complementary Therapy in Home Palliative Care Patients and Their Caregivers
|
N/A | |
| Recruiting |
NCT05935540 -
ACP-Family Programme for Palliative Care Patients and Their Family Member
|
N/A | |
| Active, not recruiting |
NCT02689375 -
A Prospective, Open Label, Pilot Study of Patient OutcoMes Following Successful TriAl of High Frequency SpInal CorD Stimulation at 10kHz (HF10™) Leading to Permanent Implant Compared to Trial Failure and Standard CarE for the TreatmeNt of Persistent Low BACK Pain of Neuropathic Origin
|
N/A | |
| Recruiting |
NCT05520281 -
Short-term Psychodynamic Psychotherapy in Serious Physical Illness
|
N/A | |
| Completed |
NCT06140004 -
Home-Based Palliative Care Impact on Providers
|
||
| Completed |
NCT04333719 -
Prevalence of Deep Sedation in Terminal Palliative Phase
|
||
| Recruiting |
NCT03286127 -
Palliative Outcome Evaluation Muenster I
|
||
| Completed |
NCT06211816 -
Efficacy of End-of-life Communication Strategies on Nurses in the Intensive Care Unit
|
N/A | |
| Completed |
NCT04857060 -
Palliative Care Educator
|
N/A | |
| Completed |
NCT04491110 -
Intervention to Improve Quality of Sleep of Palliative Patient Carers in the Community: Clinical Trial
|
N/A |