Advancing Discussions Using a Video-based Support Tool About End-of-life Care: the ADVISE Project

What this Trial Is About

Researchers are evaluating a video-based support tool designed to improve communication and patient-centered outcomes in older adults who have experienced traumatic injury. This study aims to assess how effectively the video aid encourages discussions about end-of-life care and influences decisions such as code status transitions. The project is sponsored by The University of Texas Health Science Center, Houston. Participants are randomly assigned to one of two groups: one group will watch a video conversation aid that provides information about life-sustaining care and promotes further discussion with healthcare providers, while the other group will receive usual care where such discussions occur at the provider's discretion. The video is shown to patients or their surrogates within 48 hours of admission when possible. The study uses a double-blind design. During the study, researchers will monitor participants around the time of discharge (about five days after admission) for changes in code status and various health outcomes, including hospital-free days within 30 days, ICU-free days, ventilator-free days, and discharge disposition. Surveys will assess participants' understanding of survival chances after CPR, receipt of information about life-sustaining care, desire for more information, and decisional conflict. The study continues until June 2026.

Advancing Discussions Using a Video-based Support Tool About End-of-life Care