Implantable Defibrillator User Clinical Trial
Official title:
GAMification to Encourage End-Of-Life Discussions Between Implantable Cardioverter Defibrillator Recipients and Family Members
The purpose of this study is to determine the feasibility and efficacy of the GAMification to Encourage End-Of-Life (GAME-EOL) intervention, which uses the Hello Game program to encourage and facilitate quality end-of-life (EOL) discussions between implantable cardioverter defibrillators (ICD) recipients and family members of ICD recipients.
Implantable cardioverter defibrillators (ICD)s are first-line treatment for the primary and secondary prevention of sudden cardiac arrest in populations with a history of, or at high risk for, lethal arrhythmias. Despite the relatively short survival expectancy following device implantation, many ICD recipients do not participate in advance care planning and either have no advance directives or advance directives that do not address end-of-life (EOL) decisions related to ICDs. The prevalence of ICD recipients with general advance directives ranges from 10-30%. Of these advance directives, only 2% have language related to the ICD specifically, leaving hundreds of thousands of ICD recipients at risk of unnecessary and painful shocks. Approximately 30% of ICD recipients will receive a shock in the active dying phase of a terminal illness, from which resuscitation was not intended. Communication among family members is integral to EOL decision-making. Appropriate quality discussions can create concordance of perceptions and well thought out advance care plans for EOL that are congruent with the values and beliefs of the chronically ill and family members. The Hello Game (commonpractice.com) was created to encourage conversations among families about EOL choices. The gameplay presents a series of questions that include practical and philosophical question prompts. These questions range from 1) What kind of music would you like to be listening to on your last day alive? to 2) Who should your health care surrogate seek advice from if they need to make a decision about your care? Participation in the game has been found to improve advance care planning behaviors. The purpose of this pilot study is to determine the feasibility and efficacy of the GAME-EOL intervention, which uses the Hello Game to encourage and facilitate quality EOL discussions between ICD recipients and family members. Aim 1: To determine feasibility of the GAME-EOL intervention to facilitate EOL conversations between ICD recipients and family members. Aim 2: To provide preliminary estimates of the efficacy of the GAME-EOL intervention on: (2.1) Completion of advance directives (2.2) Completion of device specific advance directives (2.3) Discussion of EOL choices between ICD recipients and family members Aim 3: To examine efficacy of GAME-EOL on improving the concordance of EOL perceptions and advance care planning between ICD recipients and family members. ;
Status | Clinical Trial | Phase | |
---|---|---|---|
Completed |
NCT04078815 -
End-of-life Practices in 2019 vs. 2014
|
||
Recruiting |
NCT04750395 -
Comparing Haloperidol and Olanzapine in Treating Terminal Delirium
|
Phase 2 | |
Recruiting |
NCT06108375 -
Differences in Acceptability of Music Therapy Sessions Played Live Compared to a Recording Thereof
|
N/A | |
Completed |
NCT04030910 -
'LIFEView' Audiovisual Technology: Virtual Travel to Support Wellbeing and Quality of Life at the End of Life
|
N/A | |
Completed |
NCT04568629 -
ADJUST: A Study on MDT Prognostication
|
N/A | |
Completed |
NCT03520270 -
Prevalence of Potentially Inappropriate Treatments
|
||
Enrolling by invitation |
NCT05625854 -
Using a Fan With Aromatherapy in Breathlessness Patients in Terminal Illness
|
N/A | |
Recruiting |
NCT04257227 -
Transcranial Magnetic Stimulation for Psychological Distress in Patients With Advanced Illness
|
N/A | |
Completed |
NCT04678310 -
iLIVE Volunteer Study
|
||
Completed |
NCT04456647 -
Parenteral Nutrition Therapy in Patients With Incurable Cancer
|
||
Completed |
NCT02362295 -
Prospective National Survey of the Palliative Situation Among Inmates in French Prisons
|
N/A | |
Terminated |
NCT03886753 -
Pharmacokinetic (PK) and Pharmacodynamics (PD) Study of Ilera Specific Products
|
||
Active, not recruiting |
NCT04950608 -
Pilot Study of Psilocybin-Assisted Therapy for Demoralization in Patients Receiving Hospice Care
|
Phase 2 | |
Completed |
NCT03336489 -
Evaluation of the Organization of Continuity of Care for Home Hospice Patients by Four Parisian Health Networks
|
||
Completed |
NCT03392857 -
End Of Life in the Critically Ill patiEnt
|
||
Completed |
NCT03697213 -
The Surprise Study
|
||
Completed |
NCT01367613 -
Open-Label Treatment Extension of Protocol MNTX 302
|
Phase 3 | |
Recruiting |
NCT04612738 -
Project Talk Trial: Engaging Underserved Communities in End-of-life Conversations
|
N/A | |
Completed |
NCT02067572 -
A Randomized Controlled Trial Evaluating the Effectiveness of a Salvia-based Mouthwash in Palliative Care
|
N/A | |
Withdrawn |
NCT03041571 -
Impact of Early Implementation of Narrative Medicine Techniques on Patient Centered Attitudes of Medical Students
|