VIDEO-PEDS for Goals of Care Discussions in Pediatric Cancer

This study, called VIDEO-PEDS, is looking at a new way to help parents of children with cancer talk about their child's care goals with their medical team. It uses a special video to help parents think about what's most important for their child. After watching the video, parents will talk with a trained team member called a Navigator. The study wants to see if this video and discussion help parents and doctors communicate better, improve how care goals are written down, and potentially lead to care choices that better match family wishes, including palliative care (comfort care) or hospice. This study is for parents of children aged 0-12 who have any type of cancer and are receiving treatment.

Study design
This study plans to enroll 567 parents and children. It will involve a pilot study and then a larger study comparing the VIDEO-PEDS intervention to standard care.
What's involved
Following enrollment, parents will view a video decision aid and then engage in communication with a trained Navigator. Some parents may also participate in a focus group.
Compensation
Not stated in the trial record.
Follow-up
The study will measure outcomes related to Goals-of-Care Discussion, Code Status Limitation, and Palliative Care at the end of three 9-month cycles.

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NCT06786104

Video Inspired Discussions About Ethical Outcomes in Pediatrics

Recruiting
NAAll AgesInterventionalSupportive care
Massachusetts General Hospital
~567 participants
Updated 2026-05-14 on ClinicalTrials.gov
What's tested:VIDEO-PEDSVIDEO-PEDS pilotFocus Group

At a glance

Recruiting sites
3 of 4 listed sites are recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Goals-of-Care Discussion
Measured over At the end of Cycles 1, 2, and 3 (each cycle is 9 months)
+3 more outcomes measured
Pediatric Cancer
4 sites across 4 states
Alabama1
Georgia1
Massachusetts1
New Hampshire1
  • Angelo Volandes, MD · PRINCIPAL_INVESTIGATOR · Dartmouth-Hitchcock Medical Center

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Eligibility criteria

Inclusion

Age 0-12 years
Diagnosed with any type or stage of cancer
Receiving cancer directed treatment
Decision maker for the child.
Biological parent, step-parent, legal guardian (e.g., adoptive parent), or grandparent with medical consent authority.
Able to communicate in English or Spanish (the languages of the video decision aids).

Exclusion

Not receiving primary medical care from the cancer clinic (e.g., second-opinion consultations only)
Already referred to and fully consulted by the palliative care team
Prognosis of less than a 2-month life expectancy
Visually impaired beyond 20/200 corrected and unable to view the video (note: hearing impaired is not an exclusion as the videos are closed captioned).
Psychological state not appropriate for GOC discussions, as determined by the primary oncologist per the opt-out.
Participants who do not speak English or Spanish
  • Goals-of-Care DiscussionAt the end of Cycles 1, 2, and 3 (each cycle is 9 months)

    Percentage of parents who held conversations with their medical team about goals, values, or priorities for treatment and outcomes as per documentation in the medical record.

  • Code Status LimitationAt the end of Cycles 1, 2, and 3 (each cycle is 9 months)

    Percentage of parents who communicate limitations to cardiopulmonary resuscitation and intubation with their medical team as per documentation in the medical record.

  • Palliative CareAt the end of Cycles 1, 2, and 3 (each cycle is 9 months)

    Percentage of parents who mention a visit with a specialty palliative care clinician, mention of specialist palliative care discussion, or patient preferences regarding seeing a palliative care clinician to their medical team as per documentation in the medical record.

  • Time-Limited TrialAt the end of Cycles 1, 2, and 3 (each cycle is 9 months)

    Percentage of parents who engage in conversations with their medical team about the use of a treatment or procedure for a set amount of time with a pre-defined goal and plan related to the outcome at the end of the trial as per documentation in the medical record.